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Emerald Coast Association of REALTORS

Detached Single Family (DSF) Entry Form (rev 9/12/02) MLS Number

Office File No Listing Date Expiration Date Listing Price

Street Number Street Name

City State Zip Code

County Main Area Sub Area

Subdivision Parcel ID

Elementary School Middle School High School


Legal Description

Design A-Frame Florida Cottage Mobile Home Salt Box Tudor

(choose one) Beach House French Provincial New Orleans Southern U-Shaped
Cabin Log Cabin Other Spanish Victorian
Colonial L-Shaped Patio Home Split Foyer Villa
Contemporary Mansard Ranch Split Level
Country Manufactured Rustic Traditional

Appr Heated/Cooled Sq Ft Finished Sq Ft Below Grade No of Bedrooms Full Baths

Half Baths No of Stories Year Built (ex: 1995)

Occupancy Status New (Never Occupied) Immediate Occupancy? Yes Construction Status Construction Complete
(choose one) Occupied (choose one) No (choose one) To Be Built
Vacant (Prev Occupied) Under Construction
Vacation Rental


Agent Notes

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Emerald Coast Association of REALTORS
Detached Single Family (DSF) Entry Form (rev 9/12/02) MLS Number

Parking Spaces Lot Size Acres Waterfront Ft Land Lease/Yr

Parking Type (choose one) Carport Driveway Only Garage Spaces Street Only

Room Types Breakfast Room Dining Room Great Room Mud Room Screened Porch
Breezeway Eat-In Kitchen Greenhouse Nursery Separate Apartment
Bath: 1/2 Carport Exercise Room Hobby Room Office Sitting Room
Bath: Full Darkroom Family Room Kitchen Other Room Storage
Bath: Master Den Florida Room Laundry Room Pantry Sun Room
Bedroom: Additional Dining/Kitchen Combo Formal Dining Room Library Play Room Utility Room
Bedroom: Master Dining/Living Combo Foyer Living Room Recreation Room Workshop
Bonus Room Dining Area Garage Loft Retail Space

Room Type Level Dimensions Room Type Level Dimensions

01 02

03 04

05 06

07 08

09 10

11 12

Tax Year Annual Taxes Homestead Exemption? (choose one) Yes No

Fees Paid Monthly Sale Subject to Lease? (choose one) Yes No

(choose one) Quarterly
New Buyer Fee Annually Rent/Mo Lease Expiration Date

Sellers (Last, First) Seller Phone

Listing Type Exclusive Office/Agency Named Exceptions? Yes Dual/Variable Rate Commission? Yes
(choose one) Exclusive Right of Sale (choose one) No (choose one) No

Agency Relationship Non-representative Listing Office ID Listing Agent ID

(choose one) Single Agent
Transaction Broker Co-Listing Office ID Co-Listing Agent ID

Buyer Agent % Limited Service? No MLS Entry Only

Compensation $ Limited Service

Transaction Broker % Non-representation % Bonus? Yes

Compensation $ Compensation $ (choose one) No

Terms of Bonus

Page 2 of 5 Legend: required required autofill optional optional autofill Entered on _________________ by __________________________
Emerald Coast Association of REALTORS
Detached Single Family (DSF) Entry Form (rev 9/12/02) MLS Number

Contact Types Agent Fax Office Fax Co-Agent Mobile Phone Co-Office Phone
Agent Pager Office Other Phone Co-Agent Fax Co-Office Fax
Agent Phone Agent Other Phone Other (enter info in space below) Co-Agent Pager Co-Office Other Phone
Agent Mobile Phone Office Phone Co-Agent Phone Co-Agent Other Phone

Contact Order 01 Contact Order 02 Contact Order 03

Contact Order 04 Contact Order 05 Contact Order 06

Other Description Other Phone No

Lot Access Dirt/Clay Road No Access Trail

Easement No Road U.S. Highway
City Road Graded/Maintained Paved Road
Controlled Access Gravel/Oyster Shell See Remarks
County Road Near Interstate Exit State Highway

Lot Features Corner Interior Storm Sewer

Covenants Irregular Survey Available
Additional Land Available Cul-De-Sac Level Wetlands
Aerials/Topography Available Curb & Gutter Low Will Divide
Bulkhead/Seawall Dead End Restrictions Within 1.2 Mile of Water
Cleared Easements See Remarks Wooded
Coastal Barrier Zone Flood Insurance Required Sidewalk Zero Lot Line
Coastal Setback Golf Course Soil Map

Zoning City Historical Residential Multi-Family

Commercial Horses Allowed Residential Single Family
Agriculture County Industrial See Remarks
Business Deed Restrictions Mobile Home Unrestricted

Waterfront (Fronts water & no road to cross) Riparian Rights Sound

Bay Harbor River Stream
Bayou Intracoastal Waterway Shore: Beach Unit Waterfront
Canal Lake Shore: Natural
Creek Other Shore: Rip Rap
Gulf Pond Shore: Seawall

Waterview (View but does not front water, or Unit across road from water) Harbor Sound
Canal Intracoastal Waterway Stream
Bay Creek Lake Unit Waterview Only
Bayou Gulf River

Parking Features Covered Golf Cart: Open RV

Detached Guest
Assigned Golf Cart: Covered Other
Boat Golf Cart: Enclosed Oversized

Project Facilities Elevators Laundry Pool

Airfield Exercise Room Marina Sauna/Steam Room
BBQ Pit/Grill Fishing Minimum Rental Period Separate Storage
Beach Game Room No Rental Stables
Boat Launch Gated Community No Short Term Rental TV Cable
Community Room Golf Pavilion/Gazebo Tenant Approval Required
Deed Access Greenhouse Pets Allowed Tennis
Dock Handball Picnic Area Waterfront
Dumpster Handicap Provisions Playground Whirlpool

Page 3 of 5 Legend: required required autofill optional optional autofill Entered on _________________ by __________________________
Emerald Coast Association of REALTORS
Detached Single Family (DSF) Entry Form (rev 9/12/02) MLS Number

Construction/Siding Roof Built-Up Roof Tile/Slate Siding Stucco

Roof Composite Shingle Siding Aluminum/Metal Siding Vinyl
Block Roof Fiberglass Siding Asbestos Siding Wood
Concrete Roof Flat Siding Brick All Steel
Foundation Off Grade Roof Foam Siding Brick Front Trim Aluminum
Foundation On Pilings Roof Membrane Siding Brick Some Trim Vinyl
Foundation Slab On Grade Roof Metal Siding EIFS Trim Wood
Foundation Stilts Roof Pitched Siding Masonite
Frame Roof Rolled Siding Shake
Other/NA Roof Shingle/Shake Siding Stone

Exterior Features Deck Open Needs Work Porch Screened

Dock Patio Covered Renovated
BBQ Pit/Grill Fenced Back Yard Patio Enclosed Satellite Dish
Balcony Fenced Chain Link Patio Open Sauna/Steam
Boat Launch Fenced Cross Pavilion/Gazebo Separate Building for Rent
Boat Slip Fenced Lot-All Pool Above-Ground Shower
Boathouse Fenced Lot-Part Pool Enclosed Sprinkler System
Boatlift Fenced Privacy Pool Heated TV Antenna
Cabana Greenhouse Pool House Tennis Court
Columns Hot Tub Pool In-Ground Workshop
Deck Covered Hurricane Shutters Porch Covered Yard Building
Deck Enclosed Lawn Pump Porch Open

Interior Features Fireplace Guest Quarters Split Bedroom

Fireplace 2 + Handicap Provisions Upgraded Media Wiring
Atrium Fireplace: Gas Kitchen: Island Wallpaper
Basement: Finished Floor: Allowance Lighting: Recessed Walls: Mirrored
Basement: Unfinished Floor: Hardwood Lighting: Track Walls: Paneled
Breakfast Bar Floor: Marble Lock Out Walls: Wainscoting
Built-in Bookcases Floor: Parquet Needs Work Washer/Dryer Hookup
Ceiling: Beamed Floor: Terrazo Newly Painted Wet Bar
Ceiling: Cathedral Floor: Tile Owner’s Closet Window Treatment: All
Ceiling: Crown Molding Floor: Vinyl Pantry Window Treatment: None
Ceiling: Raised Floor: W/W Carpet Plantation Shutters Window Treatment: Some
Ceiling: Trayed/Coffered Floor: W/W Carpet New Pull Down Stairs Window: Bay
Ceiling: Vaulted Furnished: All Renovated Window: Garden
Converted Garage Furnished: None Shelving Woodwork: Painted
Decorating Allowance Furnished: Some Skylight(s) Woodwork: Stained

Appliances Elevator Oven: Double Stove/Oven Gas

Fire Alarm/Sprinkler Oven: Self Cleaning Trash Compactor
Auto Garage Door Opener Freezer Range Hood Warranty Provided
Central Vacuum Ice Machine Refrigerator Washer
Cooktop Intercom Refrigerator W/Ice Maker Wine Refrigerator
Dishwasher Jennaire Type Security System
Disposal Microwave Smoke Detector
Dryer Oven: Continuous Clean Stove/Oven Electric

Utilities Gas: Natural Phone Sewer Available

Gas: Propane Private Well TV Cable
Community Sewer Lift Station Public Sewer Tap Fee Due
Community Water None Public Water Tap Fee Paid
Electric Other Septic Tank

Page 4 of 5 Legend: required required autofill optional optional autofill Entered on _________________ by __________________________
Emerald Coast Association of REALTORS
Detached Single Family (DSF) Entry Form (rev 9/12/02) MLS Number

Energy Good Cents/Blue Ribbon Heat: Oil See Remarks

Heat Pump Air to Air Heat: Solar Solar Screens
A/C: Central Electric Heat Pump A/A Two Or More Heat: Two Or More Storm Doors
A/C: Central Gas Heat Pump Water to Air Heat: Wall/Window Storm Windows
A/C: High Efficiency Heat Pump W/A Two Or More Heat: Wood Stove Water Heater: Electric
A/C: None Heat Recovery System Insulated Doors Water Heater: Gas
A/C: Two Or More Heat: Central Electric Insulated Floors Water Heater: None
A/C: Window/Wall Heat: Central Gas Power Vent Water Heater: Solar
Attic Fan Heat: Floor/Space Ridge Vent Water Heater: Two Or More
Ceiling Fans Heat: High Efficiency Roof Turbines Whole House Fan
Double Paned Windows Heat: None Roof Vent

Master Bed/Bath MBath Garden Tub MBath Tile MBed Fireplace

MBath Bidet MBath Hollywood MBath Walk-in Closet MBed First Floor
MBath Carpeted MBath Sauna/Steam MBath Whirlpool MBed Sitting Area
MBath Cultured Marble MBath Separate Shower MBed Balcony MBed Walk-in Closet
MBath Double Vanity MBath Shower Only MBed Carpeted Mbed Waterfront
MBath Dressing Area MBath Skylight MBed Cathedral Ceiling See Remarks

Assumable Mortgage FHA ARM Qualification Required VA Balloon

FHA Balloon ROL Desired VA Bond
Conventional ARM FHA Bond ROL Required VA Fixed
Conventional Balloon FHA Fixed SOE Desired
Conventional Bond Private/Owner SOE Required
Conventional Fixed Qualification Not Required VA ARM

Financing FHA None Seller Pays Closing Costs

Lease: Option Other VA
Bond Money Available Lease: Purchase Owner Will Lease
Conventional Leaseback Points Limited
Exchange Minimum VA Move-In RHS

Fees Include Ground Keeping Other Utilities TV Cable

Insurance Recreational Facilities Taxes
Accounting Land Recreation Fees Repairs/Maintenance Telephone
Advertising Legal Services Trash Disposal
Electricity Licenses/Permits Sewer Water
Gas Management Supplies

Existing Leases 1-3 Years Month to Month Option to Renew

7-12 Months Negotiable Over 3 Years
0-6 Months Daily/Weekly Option to Buy

Showing Call Listing Associate Listing Agent Accompany See Agent Notes
Call Owner Model Home See Construction Status
Appointment Only Call Tenant No Sign Supra AEII
CBS-On Key in Office On-site Office
Call Broker Key in On-site Office Pets-Caution

Internet Ok to Display Address All None

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