Lots & Acreage Data Input Form Page 9 of 9

North Texas Real Estate Information Systems, Inc.

Lots & Acreage Data Input Form

(Use Lots & Acreage for Vacant Commercial Land)

INFORMATION DEEMED RELIABLE BUT NOT GUARANTEED

Fields REQUIRED for Active status denoted in BOLD BLUE WITH (á). Italicized fields will be autofilled from public records, if available.

MLS Information

á Property Type / £ Commercial £ Farm/Ranch / £ Residential
á Range Pricing / £ Yes £ No (Defaults to No) / Low Price
(Above Required if answered Y to Range Pricing)
á List Price
á Area / á Sub Area
á County / á Parcel ID
Map Book / £ Dallas / £ Ft. Worth / £ Other
£ Denton
Cooke / £ Parker
Hood/Wise / £ Collin
Grayson
£ Kaufman
Hunt
Rockwall / £ Ellis/Johnson
Hill/Rockwall
Map Page / Map Coord
á Street/Box # /
Street Direction
/ £ E £ N £ NE £ NW
£ S £ SE £ SW £ W
á Street Name / Street Type
Street Directional Suffix
/ £ E £ N £ NE £ NW
£ S £ SE £ SW £ W /
Unit #
á City / á Will Subdivide / £ Yes £ No (Defaults to No)
á Zip Code
á Subdivision / Lake Name
Planned Development
/ Lot
Block / Multi Parcel ID / £ Yes £ No
Additional Legal / á MUD District / £ Yes £ No

Office Information

System will auto-fill Listing Office and Listing Agent information including

Office Code, Office Name, Office Phone, Office Fax, Office Address, Agent ID, Agent Name, Agent Fax, Agent Email and Agent Website

Agent Other Phone
Listing Agent 2 /
Call for Appt
/ £ Agent £ CSS £ Owner
£ Builder £ Office £ Other
Appt Phone / Appt Phone Ext
á Sub Agency
Commission / á Buyers Agency
Commission

Office Information (continued)

á Variable Fee / £ Yes £ No
á Listing Type / £ Exclusive Right to Sell/Lease / Listings will Appear on / £ Members IDX Websites
(Select One) / £ Exclusive Agency / £ NTREIS Translator
£ ER w/Reservations / £ Realtor.com
£ EA w/Reservations / £ Syndicate Listing
£ Limited Service ER / £ TexasRealEstate.com
£ Limited Service EA
áAllow Internet Display / £ Yes £ No / áAllow Address Display / £ Yes £ No
áAllow Comments/ Reviews / £ Yes £ No / áAllow AVM / £ Yes £ No
á Listing Date / á Expire Date

Preferred Title Company

Preferred Title Co.
Title Co. Phone / Title Co. Location
Owner Permission to Video / £ N/A £ Yes £ No

For Intra Office Information

á Owner Name / £ Builder
£ Individual(s) / £ Lender/REO
£ Relo
Owner Home
Phone / á Seller Type
(Select One)
Occupancy / £ Owner / £ Tenant / £ Vacant / Owner Alt. Phone
Occupant / Occupant Home
Phone
Occupant Alt. Phone
Showing
Instructions / ______
______
______
(150 character limit)
Secured Showing
Instructions
______
(50 character limit)
á Keybox # / Combo
á Keybox Type / £ AEII - Gray / £IBox - Blue / £ Redisafe
/ Shackle Code
£ Combo / £ None / £ SentriLock
CBS Code

Property Information

Land SqFt / Land SqFt Source / £ Appraiser / £ Tax
(Select One) / £ Building Plan / £ Other Documentation
List$/Lot SqFt / System Calculated / Appraiser’s Name
Acres
List$/Acre / System Calculated /
Road Frontage
Lot Dimensions /
Feet to Road
Road Assessment / £ N/A £ Yes £ No /
Subdivided
/ £ N/A £ Yes £ No


Property Information (continued)

Number of Lots
Lots Sold Separate /
Lots Sold Package
á HOA
/ £ Mandatory / £ None / £ Voluntary
HOA Dues /
HOA Billing Freq
/ £ Annually / £ Quarterly / £ Other
/ £ Monthly / £ Semi-Annual
/ (Above Required if answered HOA Mandatory)
Crop Retire Program / £ N/A £ Yes £ No
Land Leased / £ N/A £ Yes £ No /
á AG Exemption
/ £ Yes £ No
# of Lakes
# of Ponds /
# of Wells
# of Water Meters / # of Stock Tanks
Pasture Acres
Cultivated Acres /
Bottom Land Acres
Irrigated Acres / á Include Slide Show / £ Yes £ No

School Information

á School District
á School 1 Type / á School 1 Name
Bus 1 / £ N/A £ Yes £ No
á School 2 Type / á School 2 Name
Bus 2 / £ N/A £ Yes £ No
á School 3 Type / á School 3 Name
Bus 3 / £ N/A £ Yes £ No
School 4 Type / School 4 Name
Bus 4 / £ N/A £ Yes £ No

Financial Information

(All fields required if Assumable Non-Qualifying and Assumable Qualifying are entered as the Loan Type)

Unexempt Taxes /
á Loan Type / £ Assumable Non-Qualifying / £ Treat as Clear / Balance
£ Assumable Qualifying
Equity / System Calculated / Mortgage Interest Rate
Payment / Payment Type / £ Principal & Interest
£ Principal, Interest &
Taxes / £ Principal, Int., & Ins.
£ Principal, Int., Tax, Ins.
£ Other
(Select One)
Lender / Original Mtg. Date
á 2nd Mortgage / £ Yes £ No / Possible Short Sale / £ N/A £ Yes £ No

Remarks

á Directions to
Property / ______
______
(150 character limit)


Remarks (continued)

Property
Description / ______
______
(450 character limit)
Excludes
Private
Remarks / ______
______
(110 character limit)
______
______
(300 character limit)
Intra Office
Remarks / ______
______
(225 character limit)

Features

á Lot Description / á Lot Size/Acreage (Select One)
£ Acreage / £ Horses Permitted / £ Partially Cultivated / £ Less than .5 Acre
(not Zero) / £ 3 Acres to 4.99 Acres / £ Over 100 Acres
£ Adjacent to Greenbelt / £ Interior Lot / £ Pasture / £ .5 Acre to .99 Acre / £ 5 Acres to 9.99 Acres / £ Zero Lot
£ Airstrip / £ Irregular / £ River Front / £ 1 Acre to 2.99 Acres / £ 10 Acres to 100 Acres
£ Canal (Man Made) / £ Lake Front / £ Some Trees
£ Corner / £ Lake Front - Main Body / £ Subdivision
£ Creek / £ Landscaped / £ Tank/Pond
£ Cul De Sac / £ Leasehold / £ Taxi-way
£ Cultivated / £ Lrg. Backyard Grass / £ Undivided
£ Golf Course Lot / £ No Backyard Grass / £ Water/Lake View
£ Heavily Treed / £ Park View
Present Use / Proposed Use
£ Agriculture / £ Grazing / £ Residential Multi-Family / £ Agriculture / £ Grazing / £ Residential Multi-Family
£ Cattle / £ Hunting/Fishing / £ Residential Single / £ Cattle / £ Hunting/Fishing / £ Residential Single
£ Commercial / £ Industrial / £ Resort / £ Commercial / £ Industrial / £ Resort
£ Dairy / £ Mobile / £ Sheep/Goats / £ Dairy / £ Mobile / £ Sheep/Goats
£ Equine / £ Orchard/Vineyards / £ Swine / £ Equine / £ Orchard/Vineyards / £ Swine
£ Exotics / £ Planned Unit
Development / £ Truck Farm / £ Exotics / £ Planned Unit
Development / £ Truck Farm
£ Feed Lot / £ Poultry / £ Other / £ Feed Lot / £ Poultry / £ Other
£ Fish Farm / £ Fish Farm
á Zoning Info / á Development
£ Agriculture / £ Not Zoned / £ Retail / £ City Limits / £ Unzoned / £ Zoned
£ Condo / £ Office / £ Rural Residential / £ Plat Approved / £ Utilities Installed / £ Other
£ Duplex / £ Residential / £ Townhouse / £ Streets Installed
£ Industrial / £ Resort / £ Other
£ Multi-Family
á Street Utilities / á Other Utilities
£ Aerobic Septic / £ Curbs / £ Private Road / £ Butane Gas / £ No Electrical Meter / £ Propane Gas
£ All Weather Road / £ Dirt / £ Private Sewer Co. / £ Cable Available / £ No Sewer / £ Propane/Butane Lease
£ Alley / £ Gravel/Rock / £ Private Water Co. / £ City Electric / £ No Water / £ Propane/Butane Own
£ Asphalt / £ MUD Sewer / £ Septic / £ Co-op Electric / £ No Water Meter / £ Rural Water District
£ City Sewer / £ MUD Water / £ Sidewalk / £ Electric / £ None / £ Septic System Required
£ City Water / £ No City Services / £ Underground Utilities / £ Electric Avail. Off Site / £ Other Electric / £ Sewer Avail. Off Site
£ Co-op Water / £ None / £ Unincorporated / £ Electric Avail. On Site / £ Other Utilities / £ Sewer Avail. On Site
£ Community Mailbox / £ Outside City Limits / £ Well / £ Gas Avail. Off Site / £ Perc Test / £ Sewer Tap Fee Paid
£ Concrete / £ Overhead Utilities / £ Other / £ Gas Avail. On Site / £ Phone Avail. Off Site / £ Water Tap Fee Paid
£ Natural Gas / £ Phone Avail. On Site
Topography / Road Frontage Desc
£ Bottom / £ Level / £ Shinnery / £ Asphalt / £ Gravel/Rock / £ Sidewalk
£ Brush / £ Mesquite / £ Sloped / £ City / £ Interest / £ State
£ Cedar / £ Need Fill / £ Steep / £ Concrete / £ Interstate / £ Storm Sewer
£ Cleared / £ Oak / £ Varied / £ County / £ None / £ U.S. Highway
£ Flood Plain / £ Pine / £ Other / £ Curbs/Gutters / £ Oil & Screen / £ Other
£ Gullies / £ Rolling / £ Dirt / £ Private
£ Hilly / £ Rugged / £ FM Road / £ Road Easement
Crops/Grasses / Soil
£ Bluestem / £ Irrigated / £ Renner Love Grass / £ Black / £ Limestone / £ Unknown
£ Buffalo Grass / £ Klein Grass / £ Row Crop / £ Clay / £ Rocky/Shale / £ Other
£ Coastal Bermuda / £ Main Grass / £ Small Grain / £ Fill / £ Sandy Loam
£ Common Bermuda / £ Native / £ Softwood Timber
£ Emmedo Love Grass / £ Non Irrigated / £ Unknown
£ Hardwood Timber / £ Orchard / £ Vineyard
£ Improved Pasture / £ Produce / £ Other
Surface Rights / á Restrictions/Encumbrances
£ All / £ Exist / £ Other / £ Agriculture / £ Health Department / £ No Mobile Home
£ Easement / £ Mineral Easement / £ Animals / £ Hi Line / £ No Restrictions
£ Architectural / £ Inland-Wetland Restr. / £ Pipeline
£ Building / £ Mobile Home / £ Surface Lease(s)
£ Deed / £ No Divide / £ Timber Lease(s)
£ Development / £ No Known Restriction(s) / £ Unknown
Encumbrance(s)
£ Easement(s) / £ No Livestock / £ Other
á Easements / Documents
£ Access / £ None / £ Water Lines / £ Abstract / £ Feasibility Study / £ Road Maintenance
£ Drainage / £ Pipe Line / £ Other / £ Aerial Photo / £ Floorplans/Blueprints / £ Survey
£ Electric / £ Telephone / £ Engineering / £ None / £ Topo Maps
£ Natural Gas / £ Utilities / £ Environmental
Impact Study / £ Plat Approved / £ Other
Type of Fence / Exterior Buildings
£ Automatic Gate / £ Iron / £ Slick/Smooth Wire. / £ Boiler Operation / £ None / £ Winery
£ Barbed Wire / £ None / £ Vinyl / £ Bunk House / £ Silo / £ Workshop
£ Brick / £ Partially Fenced / £ Wood / £ Mobile / £ Tenant House / £ Other
£ Chain Link / £ Pipe / £ Other
£ Cross Fenced / £ Rail
£ Dog Run / £ Rock/Stone
Barn Information / Common Features
£ Barn(s) / £ Hay Loft / £ Stanchion Dairy Barn / £ Boat Ramp / £ Greenbelt / £ Playground
£ Breeding Barn / £ Indoor Arena / £ Tack Room / £ Campground / £ Guarded Entrance / £ Private Lake/Pond
£ Electric to Barn / £ Living Quarters / £ Temperature Controlled / £ Club House / £ Horse Facilities / £ Public Hangar
£ Equipment Barn / £ Loaf Shed(s) / £ Wash Rack / £ Comm. Sprinkler System / £ Jogging /Bike Path / £ Racquet Ball
£ Farrowing Shed / £ Mare Motel / £ Water to Barn / £ Common Elevator / £ Landing Strip / £ RV Parking
£ Feeder Pig Barn / £ Parlor Dairy Barn / £ Other / £ Community Dock / £ Laundry / £ Sauna
£ Goat/Sheep Barn / £ Show Barn / £ Community Pool / £ Marina / £ Spa
£ Hay Barn / £ Stable(s) / £ Gated Entrance / £ Park / £ Tennis
£ Golf / £ Perimeter Fencing / £ Other
HOA Includes (Required if answered HOA Mandatory) / Miscellaneous
£ All Utilities / £ Full Use of Facilities / £ Security / £ Auto Feed Mill / £ Fenced for Exotic
Birds/Game / £ Outdoor Arena
£ Back Yard Maintenance / £ Gas / £ Sprinkler System / £ Calf Tables / £ Fenced for Horses / £ Perm. Squeeze Chutes
£ Blanket Insurance / £ Management Fees / £ Trash / £ Cattle Guard / £ Helipad / £ Walker
£ Electric / £ None / £ Water/Sewer / £ Cattle Working Pen / £ Holding Pen / £ Windmill
£ Exterior Maintenance / £ Partial Use of Facilities / £ Other / £ Cold Storage Facility / £ Hot Walker / £ Other
£ Front Yard Maintenance / £ Reserves / £ Corrals / £ Kennels
£ Fenced for Cattle / £ Loading Chute
Special Notes / Proposed Financing
£ Affordable Housing / £ Right of First Refusal / £ Verify Rollback Tax / £ Assumable Loan / £ FHA Assumable / £ Texas Vet
£ Deed Restrictions / £ Senior/Adult Living
Community / £ Verify Tax
Exemptions / £ Bond Money / £ Fixed / £ Trade/Exchange
£ Flowage Easement / £ Special
Contracts/Provisions / £ Other / £ Cash / £ FMHA / £ TX Vet Assumable
£ Owner/Agent / £ Survey Available / £ Contact Agent / £ Lease Purchase / £ VA
£ Res. Service Contract / £ Verify Flood Insurance / £ Conventional / £ Not Assumable / £ VA Assumable
£ Conventional Assumable / £ Owner Carry First / £ VA Reinstatement Reqd.
£ Escalating / £ Owner Carry Second / £ Other
£ Federal Land Bank / £ Private Assumable
£ FHA / £ Release Liability Reqd.
á Possession / á Showing
£ Closing/Funding / £ Negotiable / £ Other / £ Agent or Owner Present / £ Combo Lockbox / £ Go Show-No Appt
Necessary
£ Lease Outstanding / £ Specific Date / £ Appointment
(Appt Svc only) / £ Contact Agent / £ Key in Office
£ Appointment Service / £ Courtesy Call
(Appt Svc) / £ No Lock Box
£ Call-Key Box / £ Go (Appt Svc only) / £ No Sign on Lot
£ Centralized Showing
Service / £ Go-Key Box / £ Special

Owner(s) have examined the information contained in this profile sheet and warrant that the information contained herein is true and correct to the best of their knowledge.

Owner’s Signature

Owner’s Signature

Signed the day of 20

NOTE: Any information changes and/or status changes should be made on a separate listing modification form and entered into the Multiple Listing Service within the time specified in the Multiple Listing Service Rules & Regulations. I certify that a written listing agreement has been executed on the above property and that it complies with the Rules & Regulations of the Multiple Listing Service.