Multiple Listing Service for

(3) Class North Central West Virginia Real Estate Information Network Inc.

MU Multi-Unit/Income Input Form

*All fields marked with an asterisk (*) and Bold Text are required.

*TYPE
q  2 – 4 Family
q  Other / *Area:
*Subdivision: *County Code:
*Address:
St. # St. Dir. *Street Name
Address2: (50)
*City:
*State: (2) *ZIP+4: / *MLS #
(System Assigned)
*List Price
$
*Idx
q  Yes
q  No / Minimum Deposit
$
AGENT/OFFICE / *List Agent: Phone:
*Office: Phone:
Co-List Agent: Phone:
Co-Office: Phone:
*List Date: // *Expire Date: // *List Type: Exclusive Agency Exclusive Right to Sell Other
*Seller Agent Comp: (5) *Buyer Agent Comp: (5) Other Comp: (10)
*Lockbox Description:(12) Virtual Tour: http://(100)
LEGAL INFO / *Owner Name: (25) *Property ID No: (30)
District: Zoning: Map Page: (10)
Parcel #: (10) *Deed Page: (10) Addt’l Deed Page: (10)
*Legal Description: (255)
*Year Built: New Construction C-Completed (Never Occupied) M-Model P-Proposed U-Under Construction
UNIT INFORMATION / *Number of Stories: *Number of Units Occupied: Owner Tenant Vacant
*Total SQFT: Foundation Dimensions: (25)
Number of Elevators: Handicap Modified: N-No Y-Yes
# of Acres: Lot SQFT:
*Lot Dimensions: (25)
Unit Number / Total Rooms / Bedrooms / Full Baths / Half Baths / SQFT / Monthly Rent $ / Appliances Included (see Feature Code X) / Leased (Y/N) / Occupied By (Owner, Tenant, Vacant)
Unit #1
Unit #2
Unit #3
Unit #4
Unit #5
Unit #6
SCHOOLS / School County:
*Elementary: *Middle: *High:
Other School: (25)
REMARKS / Directions: (255)
Disclosure: (100)
Possession: (10)
Remarks (512 Characters Only):
Agent Remarks (4000 Characters Only) (attach separate document if necessary):
EXPENSES / *Tax Amount $: Tax YR: Insurance Expense $:
Management Expense $: Maintenance Expense $: Fuel Expense $:
Electric Expense $:Water / Sewer Expense $: Utility Separated: No Partial Yes
Other Expense $:Other Expense Name: Vacancy Factor:
Gross Income $:Operating Expenses $: Net Income $:
Annual Fire Tax $:

The information contained herein is deemed reliable but not guaranteed.

Confidential Page 1 of 2 Revised 5/22/03

Multiple Listing Service for

(3) Class North Central West Virginia Real Estate Information Network Inc.

MU Multi-Unit/Income Input Form

*Listing Address:

Features: select all that apply.

A.  PROPERTY DISCLOSURE

1.  Seller’s Disclosure

2.  Deed Restriction

3.  Pest Inspection Report

4.  Property Inspection

5.  Appraisal

6.  As Is

7.  Lead-Based Paint

8.  Owner Financing

  1. COMMUNITY AMMENITIES

1.  Park

2.  Playground

3.  Pool

4.  Tennis Courts

5.  Golf Course

6.  Shopping/Mall

7.  Health Club

8.  Library

9.  Medical Facility

10.  Public Transportation

11.  Gated Community

12.  Club House

13.  Elevator

14.  Other

  1. BASEMENT

1.  Full

2.  Partial

3.  Crawl Space

4.  Finished

5.  Partially Finished

6.  Unfinished

7.  Walk-Out

8.  Interior Access

9.  Garage Access

10.  Sump Pump

11.  Dirt Floor

12.  Concrete Floor

13.  Drop Ceiling

14.  None

  1. CONSTRUCTION

1.  Frame

2.  Log

3.  Block

4.  Wood

5.  Brick

6.  Stone

7.  Metal

8.  Concrete

9.  Modular

10.  Fixer Upper

11.  Other

  1. COOLING

1.  Heat Pump

2.  Central Air

3.  Window Unit(s)

4.  Attic Fan

5.  Ceiling Fan(s)

6.  Zoned

7.  Wall Unit(s)

8.  Gas

9.  Electric

10.  None

11.  Other

  1. ELECTRICITY

1.  Fuses

2.  Circuit Breakers

3.  60 Amps or Less

4.  100 Amps

5.  150 Amps

6.  200 Amps

7.  200+ Amps

8.  Other

  1. EQUIPMENT

1.  Central Vacuum

2.  Smoke Detectors

3.  Whirlpool / Hot Tub

4.  Security System

5.  Sauna / Steam Room

6.  Humidifier

7.  Garage Door Opener

8.  Intercom

9.  Water Filter

10.  Air Filter

11.  Cable-Ready

12.  Cable Available

13.  Hot Water Heater – Gas

14.  Hot Water Heater – Electric

15.  Hot Tub

16.  Roof Ventilation Fan

17.  Radon Mitigation System

18.  Other

  1. EXTERIOR

1.  Aluminum

2.  Asbestos Siding

3.  Block

4.  Brick

5.  Cedar

6.  Wood

7.  Hardboard

8.  Shakes

9.  Stucco

10.  Vinyl

11.  Stone

12.  Brick / Aluminum

13.  Brick / Vinyl

14.  Log

15.  Other

  1. EXTERIOR FEATURES

1.  Porch

2.  Patio

3.  Deck

4.  Balcony

5.  Storm Windows

6.  Storm Doors

7.  Gas / Propane Grill

8.  In-ground Pool

9.  Above-ground Pool

10.  Sprinkler System

11.  Storage Shed / Outbuilding

12.  Barn

13.  Landscaped

14.  Gazebo

15.  Cabana

16.  Outside Lighting

17.  Double Thermo Windows

18.  Screen Porch

19.  Private Yard

20.  Other

  1. FENCE

1.  Chain Link

2.  Wood

3.  Split Rail

4.  Full

5.  Partial

6.  Privacy

7.  Vinyl

8.  None

9.  Other

  1. FLOORING

1.  Wall-to-Wall Carpet

2.  Wood

3.  Parquet

4.  Ceramic Tile

5.  Vinyl

6.  Tile

7.  Slate

8.  Concrete

9.  Plywood

10.  Laminate

11.  Other

  1. FOUNDATION

1.  Slab

2.  Piling

3.  Footing

4.  Wood

5.  Stone

6.  Concrete

7.  Metal

8.  Brick

9.  Block

10.  Masonry

11.  Insulated Concrete

12.  Other

  1. HEATING

1.  Heat Pump

2.  Central Heat

3.  Forced Air

4.  Radiators

5.  Wall Unit(s)

6.  Baseboards

7.  Space Heater(s)

8.  Zoned

9.  Gravity

10.  Radiant

11.  Floor Heaters

12.  Geothermal

13.  Electric

14.  Gas

15.  Hot Water

16.  Oil

17.  Propane

18.  Wood

19.  Solar

20.  Steam

21.  None

22.  Other

  1. INTERIOR FEATURES

1.  Attic Access

2.  Gas Stove Connection

3.  Electric Stove Connection

4.  Washer Connection

5.  Gas Dryer Connection

6.  Electric Dryer Connection

7.  Icemaker Connection

8.  Newly Decorated

9.  Wet Bar

10.  Walk In Closets

11.  Beamed Ceilings

12.  Skylight(s)

13.  All Window Treatments

14.  Some Window Treatments

15.  Vaulted Ceilings

16.  9ft+ Ceiling

17.  Master Bath

18.  Rough-in Bath

19.  Fireplace

20.  Other

  1. PROPERTY DESCRIPTION

1.  Corner

2.  Wooded

3.  Easements

4.  Water Frontage

5.  Golf Course Frontage

6.  Level

7.  Sloping

8.  Addt’l Land Available

9.  Flood Plain

10.  Views

11.  Zero Lot Line

12.  Cul-de-sac

13.  No Outlet Street

14.  Commons

15.  Rural

16.  Horse Property

17.  Other

  1. Miscellaneous

1.  Fixer Upper

2.  Partially Furnished

3.  Fully Furnished

4.  Drapes / Curtains

5.  Dumpster

6.  Incinerator

7.  Common Laundry

8.  Washer / Dryer Some

9.  Washer / Dryer All

10.  Common Utility Room

11.  Storage In Building

12.  Storage In Garage

13.  TV Antenna

14.  Security Building

15.  Units Vary

  1. PARKING

1.  Carport

2.  1 Car

3.  2 Cars

4.  3+ Cars

5.  Street Parking

6.  RV / Board Pad

7.  Off-Street Parking

8.  Assigned / Reserved

9.  Security

10.  Units Vary

11.  Other

  1. GARAGE

1.  Attached

2.  Detached

3.  Integral

4.  1 Car

5.  2 Cars

6.  3+ Cars

7.  Parking Garage

8.  Security

9.  Assigned / Reserved

10.  Units Vary

11.  None

12.  Other

  1. ROOF

1.  Shingles

2.  Slate

3.  Tile

4.  Shake

5.  Tar / Gravel

6.  Rubber

7.  Metal

8.  Rolled

9.  Flat

10.  Wood Shakes

11.  Other

  1. STYLE

1.  Split Level

2.  Colonial

3.  Contemporary

4.  Ranch

5.  Traditional

6.  Bungalow

7.  Victorian

8.  Tudor

9.  Split Entry

10.  Raised Ranch

11.  A-Frame

12.  Barn

13.  Cape Cod

14.  Saltbox

15.  Chalet

16.  Georgian

17.  Dutch Colonial

18.  Farmhouse

19.  Mediterranean

20.  Two Story

21.  Patio Home

22.  Historical

23.  Log

24.  Other

  1. VIEW DESCRIPTION

1.  Whitewater

2.  Golf Course

3.  Mountain

4.  Valley

5.  City Lights

6.  Panoramic

7.  Lake or River

8.  Park-Like

9.  Neighborhood

10.  Other

  1. WATER/SEWER

1.  City Sewer

2.  Private Sewer

3.  Septic

4.  City Water

5.  Private Water

6.  Well

7.  Retaining Pond

8.  Aeration System

9.  Private Treatment Plant

10.  None

11.  Other

  1. WATERFRONT

1.  Lake

2.  Pond

3.  River

4.  Frontage

5.  View

6.  Walk To

7.  Access

8.  Dock/Mooring

9.  Beach

10.  Stream/Creek

11.  None

12.  Other

  1. Appliances Included

Complete for each Unit on page one.

1.  Range

2.  Countertop Range

3.  Wall Oven

4.  Indoor Grill

5.  Microwave

6.  Dishwasher

7.  Disposal

8.  Compactor

9.  Refrigerator

10.  Freezer

11.  Ice Machine

12.  Washer

13.  Dryer

14.  Water Softener

15.  None

16.  Other

  1. ATTIC

1.  Access Only

2.  Storage Only

3.  Expandable

4.  Finished

5.  Floor

6.  Partially Finished

7.  Permanent Stairs

8.  Pull-Down Stairs

9.  Scuttle

10.  None

11.  Other

ZA.  SHOWING INSTR. (SUB AGENT)

1.  Lockbox

2.  Call List Office

3.  Call List Agent

4.  Key in Office

5.  Show Anytime

6.  Accompany Show

7.  Appointment Required

8.  Sign-in Sheet Required

9.  Pet on Premises

ZB.  SHOWING INSTR. (BUY AGENT)

1.  Lockbox

2.  Call List Office

3.  Call List Agent

4.  Key in Office

5.  Show Anytime

6.  Accompany Show

7.  Appointment Required

8.  Sign-in Sheet Required

9.  Pet on Premises

The information contained herein is deemed reliable but not guaranteed.

Confidential Page 1 of 2 Revised 5/22/03