MLS

List Office Name

List Agent Name

*List Office ID

Team Member(s)

*List Agent ID

Related MLS Number(s)

*List Price:

*List Date:

*Expiration Date:

(Note: Compensation is not required in Pinergy. These fields may be left blank if applicable.)

Seller-Offered Sub-Agency Compensation Offered YesNoUnspecified

Seller-Offered Buyer’s Broker Compensation Offered YesNoUnspecified

Seller-Offered Facilitator Compensation Offered YesNoUnspecified

Seller-Offered Sub-Agency Compensation

Seller-Offered Buyer’s Broker Compensation

Seller-Offered Facilitator Compensation

*Entry Only

YesNo

If entering YES in the Entry Only field you are hereby indicating that this listing is an Entry Only Listing and as such you will be providing no other services to the seller other than the entering of this listing into the MLS System. Please refer to Sec. 1.0 (b) Note 2 and the Definitions section of the Rules & Regulations for more information.

*Lender Owned

YesNoUndisclosed

*Short Sale With Lender Approval Required

YesNoUnknown

*Street #

*Street Name

Unit #

*Town

*State

*Zip Code

Zip 4

Neighborhood/Sub-Division (Max. 100 Characters)

Parcel ID Number/PIN (Max. 36 Characters)

Area

Grade School (Max. 15 Characters)

Middle School (Max. 15 Characters)

High School (Max. 15 Characters)

*Directions (Max. 100 Characters)

Special Showing Instructions (Max. 100 Characters)

*Taxes $

*Fiscal Year

*Assessed Value $

*Specific Zoning Code

Certification Number or Deed Date

Map

Block

Lot

*Book

*Page

*TypeDetachedAttachedFarmEquestrian
Year Round YesNoUnknownUnspecified

*Approx. Living Area TotalSqFt

*Approx. Living Area Above Grade SqFt

Living Area Disclosures (Max. 100 Characters)

*Living Area Includes Below-Grade SqFtYesNo

*Approx. Living Area Below Grade SqFt

*Living Area Source (choose only one)AppraiserMeasuredOwnerPublic RecordOther
Green CertifiedYesNoUnknownProposedUnspecified

HERS Index Score

Completion Date of HERS Score

*Approximate Lot Size(Sq. Ft.)

Approximate Acres

Approximate Street Frontage

*Year Built

Year Built Source AppraiserBuilderOwnerPublic Record

*WaterfrontYesNo

Water ViewYesNoUnknownUnspecified

*Beach NearbyYesNo
Beach Approximate Miles to
0 to 1/10 Mile1/10 to 3/10 Mile3/10 to 1/2 Mile1/2 to 1 Mile1 to 2 MilesUnknownUnspecified

Beach Ownership A - PrivateB - PublicC - AssociationD - Deeded RightsE - Other (See Remarks)

Exterior Color

Handicap Access/FeaturesYesNoUnknownUnspecified

Foundation Size

*Garage Spaces

*Parking Spaces

# Fireplaces

*BasementYesNo

# Heat Zones

Cooling Zones

Power Production

Power Production TypeSolar PV - Seller OwnedSolar PV - 3rd Party OwnedWind Turbine - Seller OwnedWind Turbine - 3rd Party OwnedUnspecified

*Annual Power Production(kWh)

*Annual Power Production DescriptionActualEstimatedPartially Estimated

*Power Production Capacity(kW)

*Power Production Install Year

*Title 5PassFailedConditionalNot DoneBuyer’s ResponsibilityCertificate of Compliance

Sewerage District

*# Rooms

*# Bedrooms

*# Full Baths

*# Half Baths

Main Bath YesNoUnknownUnspecified

Room Name	Level(Circle one)	Size	Room Features(Use the Room Feature codes listed below)
Living Room	B1234
Dining Room	B1234
Family Room	B1234
Kitchen	B1234
Main Bedroom	B1234
Bedroom #2	B1234
Bedroom #3	B1234
Bedroom #4	B1234
Bedroom #5	B1234
Bathroom #1	B1234
Bathroom #2	B1234
Bathroom #3	B1234
Laundry	B1234
Other Rooms (Use the letter codes below to fill in the Other Rooms Name field)
	B1234
	B1234
	B1234
	B1234
	B1234
	B1234
	B1234
	B1234

Room Feature Codes (This is a list of all the room features available. These features are room-type specific.)

A-Bathroom - Full
B-Bathroom - Half
12-Bathroom - 1/4
13-Bathroom - 3/4
14-Bathroom - Double Vanity/Sink
19-Bathroom - Tiled With Shower Stall
20-Bathroom - Tiled with Tub
21-Bathroom - Tiled with Tub & Shower
22-Bathroom - with Shower Stall
23-Bathroom - with Tub
24-Bathroom - with Tub & Shower
C-Fireplace
D-Wood/Coal/Pellet Stove
E-Skylight
F-Ceiling - Cathedral
G-Ceiling Fan(s)
28-Ceiling - Beamed
29-Ceiling - Coffered
H-Closet - Linen
I-Closet - Walk-in
J-Closet - Cedar
V-Closet
W-Closet/Cabinets - Custom Build
K-Flooring - Hardwood
L-Flooring - Stone/Ceramic Tile
M-Flooring - Wall to Wall Carpet
1-Flooring - Laminate

3-Flooring - Marble
7-Flooring - Vinyl
9-Flooring - Wood
N-Window(s) - Bay/Bow/Box
4-Window(s) - Picture
58-Window(s) - Stained Glass
O-Dining Area
P-Balcony/Deck
Q-Balcony - Interior
11-Balcony - Exterior
R-Hot Tub/Spa
T-Pantry
U-Countertops - Stone/Granite/Solid
32-Countertops - Paper Based
33-Countertops - Upgraded
X-French Doors
Y-Handicap Accessible
Z-Handicap Equipped
2-Main Level
5-Kitchen Island
6-Jacuzzi/Whirlpool Soaking Tub
8-Wet Bar
10-Attic Access
15-Bidet
16-Low Flow Toilet
17-Enclosed Shower - Fiberglass
18-Enclosed Shower - Plastic

25-Breakfast Bar/Nook
26-Cabinets - Upgraded
27-Cable Hookup
30-Chair Rail
34-Country Kitchen
35-Deck - Exterior
36-Double Vanity
37-Dressing Room
38-Dryer Hookup - Dual
39-Dryer Hookup - Electric
40-Dryer Hookup - Gas
41-Exterior Access
42-High Speed Internet Hookup
43-Laundry Chute
44-Open Floor Plan
45-Paints & Finishes - Low VOC
46-Paints & Finishes - Zero VOC
47-Recessed Lighting
48-Remodeled
49-Second Dishwasher
50-Slider
51-Stainless Steel Appliances
52-Steam/Sauna
53-Pot Filler Faucet
54-Sunken
55-Wainscoting
56-Walk-in Storage

57-Washer Hookup
59-Wine Chiller
60-Gas Stove
61-Peninsula
62-Lighting - Sconce
63-Lighting - Pendant
64-Lighting - Overhead
66-Beadboard
67-Crown Molding
68-Vestibule
69-Breezeway
65-Archway
70-Pedestal Sink
71-Closet - Double
72-Ceiling - Vaulted
73-Ceiling - Half-Vaulted
74-Decorative Molding
75-Flooring - Concrete
76-Pocket Door
77-Tray Ceiling
78-Laundry Sink
79-Flooring - Engineered Hardwood
80-Soaking Tub
81-Window Seat

Other Room Names 3-Letter Codes

1QB-1/4 Bath
3QB-3/4 Bath
APT-Accessory Apartment
BTH-Bathroom
BED-Bedroom
BON-Bonus Room
CHL-Center Hall
DEN-Den
EHL-Entry Hall
EXC-Exercise Room
FOY-Foyer
GAL-Gallery
GRM-Game Room
GRT-Great Room
GRH-Green House
HLP-Live-in Help Quarters
HMO-Home Office
HMS-Home Office-Separate Entry
KIT-Kitchen
LAW-Inlaw Apt.
LDC-Living/Dining Room Combo
LIB-Library
LOF-Loft
MED-Media Room
MUD-Mud Room
NUR-Nursery
OFC-Office
PLY-Play Room
SIT-Sitting Room
SMB-Second Main Bedroom
STU-Study
SUN-Sunroom
VES-Vestibule
WIN-Wine Cellar
WRK-Workshop
OTH-Other

*Lead Paint (Max. of 2)A - YesB - NoneC - Certified TreatedD - Unknown
Adult CommunityYesNoUnknownUnspecified
UFFIYesNoUnknownUnspecified
Home Warranty FeaturesYesNoIncludedUnknownUnspecified
Seller Disclosure Declaration YesNo
Disclosures (Max. 300 Characters. Please include an additional page if needed.)

REMINDER

As stated in the MLS PIN Rules & Regulations Sec 1.0 (e), no broker, agent or agency may be named or identified, nor may any web, e-mail or voicemail address or other personal form of identification be included, in any section or field of any Property Data Form, except only in “Firm Remarks”, “Team Member”, and “Special Showing Instructions.”

Public Remarks(Max. 1000 Characters. Please include an additional page if needed.)

Firm Remarks (Max. 1000 Characters. Please include an additional page if needed.)

(Note: Firm Remarks may not be used to facilitate or communicate offers of compensation.)

Exclusions (Max. 100 Characters. Please include an additional page if needed.)

Power Production

Room Feature Codes (This is a list of all the room features available. These features are room-type specific.)

Other Room Names 3-Letter Codes

**REMINDER**

REMINDER