Residential Input Form: BeachesMLS, Inc. Local Real Estate Brokerage | Broker James M. Arena | BK3608150 Address Information Address Address 1 Address 2 City State/Province Zip/Postal Code Country Unit # Parcel ID Area GEO Contract Information Listing Date MM DD YYYY Go Active Date MM DD YYYY Expiration Date MM DD YYYY Auction Yes No List Price $ Owner Name First Name Last Name Owner Phone (###) ### #### Negotiable Seller Concessions Yes No Listing Type Ex Right w/Limited Service List Office Agency Transaction Broker General Property Description Structure Type * Cabana Co-Ownership Condo Coop Mobile/Manufactured Single Family Detached Townhouse Villa Governing Bodies * Condo Coop HOA None W/D Allowed Yes No Number Main Level Bedrooms Total Bedrooms Main Level Bathrooms Baths - Full Baths - Half Property Condition * New Construction Pre Construction Resale Under Construction Property Completion Date MM DD YYYY Builder Lot/ Unit # Community Development District How Paid Amount Annually $ Year Built MM DD YYYY Builder Name Builder Model SQFT - Total SQFT - Living SQFT Source Appraisal Developer Floor Plan Other Owner Tax Rolls Guest House Yes No SQFT Guest House Gated Community Yes No Garage Spaces Carport Spaces Open Parking Spaces Year Roof Installed MM DD YYYY Homeowners Association * Mandatory None Voluntary HOA/POA/COA (Monthly) $ Application Fee $ Association Deposit * $ Association Contact Phone (###) ### #### Association Website http:// Membership Fee Required * Yes No Membership Fee $ Capital Contribution * Yes No Capital Contribution Amount $ Development Name Lot SQFT Lot Dimensions Waterfront * Yes No Waterfrontage Dock Yes No Front Exposure Private Pool * Yes No Spa * Yes No Building # Unit Floor # Pets Allowed * No Restricted Yes Pet Fee $ Maximum Number of Pets Total Weight Limit (Pets) Pets on Premisies * Yes No Total Floors/ Stories Total Units in Building Total Assessed Value $ Total Units in Complex Directions * Subdivision * Legal Description * Location, Tax & Legal Zoning Tax Year Tax Amount $ Special Assessment * Option 1 Option 2 Short Sale * No Yes Short Sale A/U * Approved Unapproved N/A Short Sale Addendum * No Yes Multiple Offers Accepted * Yes No Hardship Package * Complete Incomplete Submitted REO * Yes No Minimum Credit Score HOPA * No Hopa Yes-Unverfied Yes-Verified MIddle School * High School * Elementary * Remarks & Misc. Public Remarks Broker Only Remarks Office Remarks Seller Opt Out: Seller Directs Listing to be excluded from Internet Seller Directs Address to be excluded from internet Seller Directs Listing to Not be used in AVMs on Internet Seller Directs Listing to Not Allow comments on Internet Publish this listing to: Show Address in VOWs Show street Name on IDX My Condo Plans Realtor.com Portal Realtor.com Sold Data Realtor.com coming soon Co-Ownership Fractional Share Property Management Property Management Phone (###) ### #### Property management Email Co-Ownership Description Lease Info Land Lease Recreation Lease Minimum Days to Lease Lease Times p/Year Mobile/Manufactured Home Info Brand Name Decal # Mobil Home Size Serial # Design < 4 Floors A-Frame Coach House Duplex/Triplex/Row Contemporary French Key West Mediterranean Multi-Level Patio Home Quad Rustic Stilt Traditional Victorian Western 4+ Floors Art Deco Colonial Courtyard European Georgian Log Mid Century Old Spanish Plantation Ranch Spanish Townhouse Tudor Villa Other Arc Unit Description Corner Exterior Catwalk Interior Hallway Multi-Level Penthouse Efficiency Garden Apartment Lobby On Golf Course Construction (1 to 3 Required) Aluminum Siding Brick Concrete Fiber Cement Siding Hollow Tile Manufactured Mixed Piling Pre-Fab Stucco WoodSide Block CBS Elevated Frame Log Metal Modular Pre-cast Stone Vinyl Siding Other Thank you!
