Residential Profile Sheet {R} Denotes Required Feature Group {R} Listing Agent ID Co-Listing Agent ID / / {R} List Date / / {R} Expiration Date {R} Internet Listing (Y/N) {R} Internet Address Display (Y/N) {R} Street Number {R} List Price {R} Listing Comments and Reviews (Y/N) {R} AVM (Automatic Value Module) (Y/N) Unit Number Street Direction {R} Street Name {R} Street Type (St, Rd, Ave. etc.) {R} City {R} County {R} State {R} Zip code {R} Subdivision Neighborhood {R} Area {R} Sub Area {R} In City Seller Name {R} Commission to Buyer Agent {R} Commission to Sub Agent {R} Compensation Buy Type ($ or %) {R} Buyer Agent Comp. Variable (Y/N) {R} Compensation Sub Type ($ or %) {R} Sub Agent Comp. Variable (Y/N) HUD Compliant Senior Housing (Y/N) {R} Directions {R} Year Built {R} Listing Type (EA, ER, LS, EO) Prospect Exempt - Required when Listing Type = EA or ER (Y/N) Auction (Y/N) {R} # Bedrooms Foreclosure (Y/N) {R} # Full Baths {R} Bedrooms First Floor (Y/N) {R} # Half Baths {R} # of Rooms {R} Master Bedroom First Floor (Y/N) 1 of 5 Revised: July-09 2 of 5 Revised: July-09 Residential Profile Sheet {R} Living Area Above Grade {R} Living Area Below Grade {R} Other Area Above Grade {R} Other Area Below Grade Schools {R} Elementary 1 Elementary 2 {R} Middle 1 Middle 2 {R} High 1 High 2 {R} Lot Dimensions {R} Lot Number {R} Approximate Acres {R} Garage (1,2,3,4+) {R} Basement (Y/N) {R} Fireplace (1,2,3,4+) {R} PIN Number {R} Legal Description Tax Value {R} Tax Rate {R} Tax Map/Blk/Prcl/Lot or Deed Pg (20 Characters) Zoning {R} Foundation Required when New Construction = Y {R} New Construction (Y/N) Required when New Construction = Y Estimated Finish Month Estimated Finish Year Builder's Name Floor: A=Additional , B=Basement, L=Lower, M=Main, S=Second, T=Third Floor Dimensions Entrance hall Master Bedroom Living Room Bedroom 2 Dining room Bedroom 3 Familily Room Bedroom 4 Office / Study Bedroom 5 Kitchen Utility Room Breakfast Room Bonus Room Screened Porch Description Floor Dimensions Floor Dimensions Floor Dimensions Floor Dimensions Living Area Other Room 1 Living Area Other Room 3 Floor Dimensions Garage Carport Storage Porch Patio Deck Description Other Area Other Room 2 Other Area Other Room 4 Residential Profile Sheet HOA1 Management 3 of 5 Revised: July-09 HOA2 Management HOA1 Phone {R} Total HOA Dues Association Fee Payment (Monthly , Quarterly, Semi Annually, Annually) {R} Restrictive Covenants (Y/N) {R} Possession (ATC, Del, Imm, Neg, Other) Financial Comments 9 1 9 - 5 9 5 - 8 9 8 9 Appointment Phone Agent Only Remarks {R} Remarks Residential Features {R} Denotes Required Feature Group {R} Design 4 Exterior Finish Cont. HrdBoard/Masonite 1. 5 Story Log 2-Story Partial Block 2.5+ Story Shake 3 Story Stone Multi Level Stucco One Story Vinyl Split Foyer Wood Split Level See Remarks {R} Show Instruc. 5 Basement Descrip. Appointment Only Beware of Pets Apartment BldrMstKey Concrete Block Call LO Daylight Combo Lock Box Finished Elec. Lock Box Full LA Present Garage No Lock Box Heated No Sign Inside Entrance Notice Required Outside Entrance Occupied Partial Finish Onsite Agent Partial Pickup Key Partitioned Restricted Poured Concrete Tenants Unfinished Vacant Unheated See Remarks Workshop None {R} Property Type 3 See Remarks Cluster Condo 1st Floor {R} Roof Condo 2nd Floor 15 Year Warranty Condo Basement 25 Year Warranty Condo End Unit Gravel Condo Other Metal Detached Shingle Manufactured/DBL Slate Manufactured/SNG Tile Manufactured/TRI Tin Patio Home Wood shakes Townhouse End Unit Age 0-5 Years Townhouse Age 6-10 Years See Remarks Age 11+ Years See Remarks {R} Construction Type 1 Manufactured {R} Flooring Modular Bamboo Site Built(Stick) Brick Carpet {R} Acres 1 Carpet/Wood 0-.25 Acres CerBathFlr .26-.50 Acres Concrete .51-.75 Acres Hardwood .76-.99 Acres Laminate 1-2.9 Acres Marble 3-5.9 Acres Parquet 6-10.9 Acres Slatestone 11 + Acres Tile See Remarks Vinyl Wood {R} Style 4 See Remarks A-Frame Active Solar {R} A/C Arts & Crafts 3 Zone Bungalow Central Air Cape Cod Dual Zone Charleston Heat Pump Colonial No A/C Contemporary Wall Unit (s) Craftsman WhleHseFan Deck House Window Unit Dutch Colonial Age 0-3 Years Farm House Age 3-6 Years Flat Age 6+ Years French Province See Remarks Geodesic Georgian {R} Heating Loft 3 Zone Log Home Baseboard Passive Solar Circulator Photovoltaic Dual Zone Ranch Flr Furnace Rustic Forced Air Spanish Geothermal Traditional Hot Water Transitional Radiant Tudor Solar Active Victorian Solar Passive Warehouse Steam Williamsburg Wood Stove See Remarks Heat Pump Hydro Heat {R} Exterior Finish 3 Space Heater All Brick Veneer Wall Heater Aluminum No Heat Asbestos Age 0-3 Years Bd./Batten Age 3-6 Years Block Age 6+ Years Brick Front See Remarks Cedar Engineered Wood {R} Fuel-Heat Fiber Cement Electric (continued) (continued) Fuel-Heat Cont. Gas LP Natural Gas Oil QualUtRate Solar None See Remarks {R} Water Heater Solar 6 Electric Gas Tankless Water Heater No Water Heater Age 0-3 Years Age 3-6 Years Age 6+ Years See Remarks Fireplace Descrip. Circular Direct Vent Gas Logs Gas Starter In Basement In Den In Family Room In Great Room In Living Room In Master Bedroom 3 In Rec Room In Study Masonry Prefab Wood Stove Wood Stove Insert See Remarks None {R} Water/Sewer City Sewer City Water Community Sewer Community Water County Sewer 6 County Water Sand Filter Septic Tank Well None See Remarks Lot Description Boat Dock Permit Corner Lot Cul-de-sac Golf Course Hardwood Trees Open Partial Clear Pasture Pond Stream 4 Private Road PrvRdMntAgr PrvRdAgr Road Frontage Secluded Unpaved Road Water View Water Front Wooded Lot See Remarks {R} Parking 1 Carport 1 Garage 4 2 Carport 2 Garage 3 Carport 3 Garage 4+ Garage Assigned Spaces Attached Covered Parking No Driveway Detached DW Asphalt DW Brick DW Concrete DW Earth DW Gravel Entry Front Entry Rear Entry Side No Driveway Parking Lot Parking Pad Street Parking None See Remarks 2 {R} HO Dues Area Lights Cable Clubhouse Garbage Pick Up HO Assoc. Horse Care Insurance MaintComArea 2 Maint. Exterior Maint. Grounds Pool Sewer Spec. Assessments Street Lights Tennis Water None None Known See Remarks 4 {R} Financing Assume Loan Cash Conventional FHA Lease/Option Lease/Purchase New Needed Owner 2 Owner Finance VA See Remarks {R} Assumption No Assumption Adjust/Variable Farmer Home FHA ARM FHA Fixed 2 FHA GRM Grad. Payment NC Bond No Qual-Lender No Rate Change Qualify-Lender Qualify-Seller Rate Change Renegotiate Rate Subst. VA Elig VA/Adjust VA/Fixed 6 {R} Dining Breakfast Room Dining L Eat-in-Kitchen Kitchen/Dining Room Living/Dining Room Separate Dining Room See Remarks Other Rooms 1st Floor Bedroom 1st Floor Master Bedroom Attic Finished Attic Unfinished Bonus - BR Access Bonus - Hall Access Bonus Room Finished Bonus - Stair Access Bonus Unfinished Den Dressing Room 6 Enclosed Porch Entry Foyer Family Room Fitness Room Great Room InLaw Suite Loft Mbr W/Sitting Room Media Room Nursery Office Rec Room Room Over Garage Separate Living Room Study Sun Room Utility Room Walk in Panty Work Shop See Remarks {R} W/D Location 1st Floor 2nd Floor 3rd Floor Basement Closet Garage Hall (continued) 4 of 5 Revised: July-09 # Denotes How Many Selections Allowed 15 {R} W/D Location Cont. Kitchen Porch Utility Room None See Remarks Equipment/Appliances Chlorinator Cook top - Electric Cook top - Gas Dishwasher Disposal Double Oven Dryer Down Cook Top Electric Dryer Hook Up Electric Range Garage Opener Gas Dryer Hook Up Gas Range 5 Grill Humidifier Ice Maker Connection Microwave Range Hood Refrigerator Self Clean Oven Trash Compactor W/D Stack unit Warming Oven Washer Water Filter Water Softener 3 None See Remarks 20 Interior Features 10ft+ Ceiling 2nd Kitchen 9ft. Ceiling Appt/Suite Attic Exhaust Fan Attic Floored Attic Permanent Stairs Attic Pull Down Attic Scuttle Automation Basement Shop Bath/Shower Bath/Tub Book Shelves Cable TV Available 3 Cathedral Ceiling Ceiling Fan Central Vac. Finished Central Vac Prewired Ceramic Bath Wall Coffered Ceiling Distributed Audio Fiber Glass Bath Fireplace Screen 20 Garage Shop Garden Tub Heated Floors Home Theater Hot Tub Intercom Finished Intercom Prewired Lighting Control Need Repair No Attic Paneling Pantry Plaster Wall Sauna Second Laundry Security Sys. Finished Security Sys. Prewired Skylight(s) Smoke Alarm Solid Surface Countertops Tile Countertops Tray Ceilings Tub/Separate Shower Tub/Shower Walk In Attic Walk In Closet Wet Bar Whirlpool Window Treatment See Remarks 20 Exterior Features Above Ground Pool 3 Air Strip Barn Boat House Boat Slip Brick Wall Circular Drive Community Rec/Avail. Deck (continued) 20 5 of 5 Revised: July-09 Residential Features Exterior Features Cont. Detached Workshop Enclosed Patio Fenced yard Fitness Room/Com Float Dock Garden Area Gas Grill Gated Community Glass Porch Golf Course Com/Fee Golf Course Community Greenhouse Gutters Historical Area House Horses Allowed Hot Tub In Ground Pool Insulated Glass Insulated Windows Landscaped Need Repair Out Building Parade of Homes Patio Pier Play Equipment Porch Private Fence Satellite Dish Screen Porch Storage Shed (continued) Exterior Features Cont. Storm Doors Storm Windows Swimming Pool Com/Fee Swim Pool Private Swim Pool/Priv. Com Tennis Court Com/Fee Tennis Court Private Tennis Court/Priv. Com TV Antenna Walk-in Crawl Space Walking Trails Warranty Program See Remarks Accessibility Features 36"+ Doorways 48"+ Doorways Elevator Handicap Access Level Flooring Levered Door Main Floor Laundry Roll Up Cabinets Roll Windows Serviced By Bus Line Sliding/RotatingKit Cab Wheelchair Entry Wheelchair Full Bath Wheelchair Half Bath See Remarks Green Building Features Adv.Framing/Concrete Const. Energy Star® Light Fixtures Energy Star® Appliances Engineered Wood Products EPA WaterSense Plumb. Fixt. Fresh Air Ventilation Geo Ther. Heat Sys. (Clsd Loop) Infill Lot No-Low VOC/Paints,Sealants,Varn Photovoltaics-Solar Power Radiant Heated Floors Rainwater Collection Recyled Const/Household Waste Sealed Combustion Firepl/Woodst 8 Sealed Crawl Space Solar Hot Water Spray Foam Insulation Tankless Water Heater Xeriscaping-Drought Resist. Plnts 10 Green Building Certif. ENERGY STAR® Homes GHBT Green Certified Home LEED-H Certified NC Healthy Blt. Home Certified 3 Disclosure By signing the authorization section below, the Seller acknowledges the following disclosures: 1. The Seller’s real estate broker (the Broker) is a participant in the Triangle MLS, Inc. (TMLS). 2. The Seller has authorized the Broker to give the information on this form about the Seller’s property to TMLS. 3. TMLS assumes no responsibility or liability to the Seller for errors or omissions on this form or in the TMLS computer system. 5. The Broker is required to promptly any change in status or price of the Seller’s listing to TMLS. 6. If the Seller’s property is sold, the Broker must report to TMLS the price and terms of the sale. 7. Neither the Seller nor any prospective buyer of the property can alter the Broker’s responsibility to report all such data to TMLS by agreement among them. 8. TMLS shall retain and make available all such data and photographs to all its participants (real estate brokers, appraisers, and affiliated professionals) for an indefinite period. 9. Under no circumstances will TMLS permit data about the Seller’s listing to be deleted from TMLS’s systems in order to conceal any information. 10. The Broker’s use of TMLS’s systems is subject to the duties imposed on the Broker by the rules and regulations of TMLS and by the Code of Ethics of the National Association of REALTORS® Authorization: I have read and understand the disclosure: The Listing Contract Starts:____________________________ and Ends _____________________________________ Owner (Signature) : ___________________________________Owner (type or print) :___________________________ Owner (Signature) : ___________________________________Owner (type or print) :___________________________ Real Estate Company:________________________________ By (Agent) :____________________________________
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