Georgia MLS Input Sheet

What attracted you to your property when you bought it?
REALTOR For Marketing Is First Name - Last Name:
REALTOR Listing ID:
 
Listing Agreement Type:
Ownership:
 
Property Type:
Street Number:
Street Name:
(Add unit number after street name, i.e. Oak Street #2)
List Price:
City:
County:
List Date:  (06/01/06)
Expiration Date:  (12/31/06)
Zip Code:
Zip4:
Subdivision:
(If no subdivision enter NONE)
Taxes:  (County & City)
Actual Year Built:
Land Lot:
District:
Section:
Lot:
Block:
Unit:
Lot Dimension:
(Start with street frontage and move clockwise separating dimensions with an “X”)
New Construction:
Fireplaces:
Home Warranty Paid by Seller:
Annual Association Fee:
 
Elementary School:
On Elementary School Bus Route:
Jr/Middle School:
On JR/Middle School Bus Route:
High School:
On High School Bus Route:
 
# Bedrooms: Upper:   Main:   Lower:
Total Bedrooms:
# Baths (Full): Upper:   Main:   Lower:
Total Baths (Full):
# Baths (Half): Upper:   Main:   Lower:
Total Baths (Half):
 
ONLY Remarks Lines 1 - 3 will appear on GAMLS internet sites and Broker Reciprocity sites
Remarks 1:
Remarks 2:
Remarks 3:
ALL Remarks Lines will appear ON-LINE IN THE RE/XPLORER TM SYSTEM
Remarks 4:
 
Direction Lines will be ON-LINE ONLY
Directions 1:
Directions 2:
Directions 3:
 
Commission to Selling Broker:  Enter % or $ Amount Only
 
Owners Name:
(Last Name, Then First and Middle Initial)
Owners Phone Number:
 
AMENITIES:
BOATHOUSE_DOC:
BASEMENT:
CONSTRUCTION:
COOLING:

SOURCE:

TYPE:
DESCRIPTION_SF:
ENERGY_RELATE:
EQUIPMENT_INC: KITCHEN:

OTHER:
EXTERIOR:
ASSOC_FEE_INC:
FIREPLACE_LOC:
FIREPLACE_TYP:
HEATING: SOURCE:

TYPE:
INTERIOR:
KITCH_BRKFST:
LAUNDRY_LOC:
LAUNDRY_TYPE:
LOT_DESCR:
OWNERSHIP_CON (Condition):
POSS_FINANCE:
PHOTO:
POSSESS_DATE:
PARKING:
ROOMS:
ROOF_TYPE:
SHOWING_INSTR:
STORIES:
STYLE:
WATER_SEWER:
WATERFRONT PROPERTY (INCLUDING RIVERS):

* Enter Other name:
 
SELLER’S STATEMENT: Seller herein certifies that the property Seller is offering for sale through the broker was built in the year specifi ed in this document, and Seller has been informed by the broker of the lead-based paint disclosure requirements under The Residential Lead-Based Paint Hazard Reduction Act of 1992, 42 U.S.C. §4851-4856 (the “Act)”. Seller agrees to sign all the necessary disclosure forms, of which copies are attached hereto and made a part hereof by reference in order to abide by this Act; and, to disclose in writing to the broker and to prospective purchasers any other physical characteristics of the property that may adversely affect its value. Seller understands and agrees that all the information above will be provided to agents who may represent other parties. Seller hereby waives any claims arising out of disclosure of such information to other parties. Seller agrees above information is true and correct to the best of his/her knowledge.
Signature:
Date: