STEP 1. Fill out this secure MLS data form to get your information into the MLS system. Before submitting the form, please click on "Listing Agreement" and "Lead Paint Disclosure" (if home built 1977 or before), and print out the form. Afterwards, you may click the "Submit" button.
STEP 2. Please remit payment by clicking the appropriate payment button. After making payment, please fill out the forms and fax it to (954) 382-1013.
Property Owner (s)
Property Street Address
City
County
Zip code
List Price of property
Owner Home Phone
Work Phone
Cell phone
Fax number
Phone you prefer agents to call 
Email Address: 
Commission offered to selling agents if they sell your home? (3% suggested, or any amount you wish) 
Legal Description of property (if you know it)
Your legal description for the property  will be found on your tax bill.
Tax assessor folio Number, or Parcel ID Number, or Property Control Number (if you know it)
Your tax assessor also called  "parcel" or "folio" number will be found on your tax bill.
Annual Gross Property Taxes
and tax year?
Any exemptions? (i.e. homestead, widow)
Development name
Subdivision name
Model name
Type of Property for sale 
Construction type of  home? 
Is home Attached or Detached
# of bedrooms?
# of full bathrooms?
# of half bathrooms?
# of Floors in Building?
Floor Number :
Is the home (new, resale, under construction)...
Design type of Property, # Floors & Design style (Ranch, Contemp, etc)?
Is your home currently
Entrance level of the home
Garage Spaces
If garage, is it attached to home?
Carport
If carport, is it attached to home?
Number of parking spaces?
Parking description
 
Any parking restrictions
What are the dimensions of your lot?
Lot Description
 
Is property waterfront?
Waterfront description
 
Does home have water access?
If yes, what type?
Square feet of living area?
Gross or total square feet under roof? 
include garage, etc
What type of view does your home have? 
 
Private pool?
If pool yes, what type Pool? 
 
Dimensions of the pool?
Direction Front of home faces 
pick direction (N,S,E,W,etc)
Year home built?
Furnished or unfurnished?

Please give room dimensions in home.
(i.e.: 10 x 12 in feet, please round dimensions to next highest foot, 10 ft 7 in would be 11 feet etc)

Living Room

Dining Room
Dining Area
Kitchen
Family Room
Florida Room
Master BR
 Bedroom #2
 BR #3
 BR #4
 BR #5
 BR #6
Den
Porch
Utility or laundry Room
Patio/Balcony

Has any room been converted in home?

Any additional or extra rooms?

(check off all that may apply)

Den  Loft Guest House Great Room
Florida Room Attic Utility Room
Atrium Family Room Maid/In-law
Media Room Storage Shed
Convertible bedroom Garage Conv.
What type of dining area do you have?
                                                         
What floor is the master bedroom on?


Master bathroom features

Bidet Combo Tub & Shower Tub Only
Dual Sinks Separate Tub & Shower Shower Only
Spa 2 Master Bathrooms
What type of flooring?  
Pets allowed in community?
If yes, any pet restrictions such as weight, size or  type?
# of ceiling fans? 
Type of   Roofing?


***Give key selling points of the property, please limit remarks to four lines 


 Appliances / Equipment included (check all that apply)

Central Vacuum Washer Dryer Microwave Electric Water heater
Refrigerator Range Dishwasher Solar Water Gas water heater
Disposal Self Cleaning Oven Smoke Detectors Alarm system
Wall Oven Water Softener Auto Garage Door Opener


Exterior Features

Awnings Sprinkler system Barbecue Deck
Fruit Tree Screened Patio Hurricane Shutters Shed
Private Boat Dock Fence  

   
Interior Features

Built-in shelves Cook Island Custom Mirrors Elevator
Fireplace Foyer French Doors Laundry Tub
Wet Bar Roman Tub Skylight Cathedral/Vaulted Ceilings
Walk-in Closets Split bedrooms Roman tub Pantry

Windows and window treatments

Arched Awnings Bay Blinds/Shades Jalousie
Sliding Glass Verticals Drapes Single hung Double hung

Cooling system

Central Electric Air Ceiling Fan (s)
Window / Wall Units
Other

Heating system
Central Electric Heat Gas Heat Wall Unit  Other
    

Automatic lawn sprinkler system? describe.

Source of  drinking water

Sewage system

Financial terms you will consider
pick one or more
Is mortgage assumable
Is maintenance fee mandatory?

What is monthly maintenance Fee?

Is Homeowners fee mandatory?

What is monthly Homeowners Fee, if any?


Maintenance fee includes

Homeowners Association: Yes No

Condo Association:          Yes No

Special Assessments:     Yes No


Common Area Pest Control Water Building Exterior Insurance
Recreational Facilities Security  Trash Removal Roof   Pool Service

Is a club membership or equity required
Application fee for homeowner's association
If so, how much

Do you have any restrictions in your community

Buyer Approval Required Pet Restrictions No Truck / Rec.Veh.
No Lease Lease OK
Other Restrictions

Subdivision amenities

Community Pool Tennis Golf Clubhouse Sauna
Exercise Room Guard Gate Play Area Common Laundry   Bike / Jog
Security Patrol Sidewalk  Basketball

Front Exposure:

East    West   North   South

Directions to home from the nearest main roads. (please limit to four lines)


Special Information:

Sold AS-IS: Yes   No

Owner is Licensed Real Estate Agent : Yes No


I acknowledge that by submitting this information form that I agree to the terms of the listing agreement and have signed the agreement. If this listing can not be accepted for any reason my payment will be returned immediately and in full. I believe the information  provided is accurate and true to the best of my knowledge. I agree and consent to this acknowledgement.

Listing Program Desired: 

Flat Fee for sale $249.00    Click here to print "Listing Agreement for Sale"
Flat Fee for Rent $149.00    Click here to print "Listing Agreement for Rent"
*State of Florida requires that sellers and landlords of properties built in 1977 or earlier need to sign a lead paint disclosure.
Click here to print "Lead Paint Disclosure".

Please fax back appropriate listing agreement and lead paint disclosure (if home built in 1977 or earlier) to (954) 382-1013

   Click submit to send form and make payment.


IF YOU WANT TO ADD ANY PHOTOS ( UP TO 8 ) PLEASE EMAIL THEM TO SELFSERVEREALTY@AOL.COM
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