Bareis MLS Questionnaire

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Counties:  Marin, Mendocino, Napa, Solano, Sonoma

Bareis MLS Questionnaire

Seller Information

Bold Green Fields are Required

Corporate Name
 Seller or Rep Name    Seller 2

Listing Address
    Listing City + Zip                 County 

Seller Email        
                Seller Phone             
Seller Work Phone  

Property Description

 List Price              Last  Date Listed in MLS   

Property Type
:     Single Family    Condo    Townhouse    Twin Home  Manufactured/Modular/Mobile

Commission to Buyer's Agent %   or Fixed Dollar Commission      Senior Complex

    Baths      Neighborhood     Closest Cross Street    

Estimated SF Home      Estimated Yr Built     

Home SF Source:  
Assessor Record   Builder    Seller Estimated Appraiser

MOBILE / MANUFACTURED :  Single Wide   Double Wide   Triple Wide   Remodeled/Updated 

 Park Type: Family    55+ 62+     Park Name    Managers Name   

Manager Approval Mobile Home To Remain      Length    Width    Year Built

 Make Model   Manufacturer ID # 

  HCD Number        Current Tax Status: Personal   Personal and Real   Real

  Land Info:  Included Leased Not Included Owned   # New Mobile Home Spaces RV Parking Fee

# Uncovered Spaces   # of Carport Spaces    # of Sheds    Garage # Attached Detached

Park Info: Clubhouse Game Room Guest Parking Laundry Park Interview Pet Restrictions Picnic Area Setting Rural Setting Urban Public Trans Nearby Putting Green RV Parking Sauna Spa/Hot Tub Swimming Pool Tennis Court

Skirting:   NONE Metal  Brick Stone Vinyl Unknown

Space Rent Monthly  

Space Rent Includes:  None   Water Electric Gas Trash Assoc Dues Cable Pool

Serial (U)    DOH1    Insignia /License 1 


Approx. Lot Size     Lot SF Source:  Assessor Record   Builder    Seller Estimated

2nd Unit on Lot:
Yes         Probate Sale: Yes

School District    Elementary School Jr High SR High

Common Interest Devopment:
Yes   PUD Planned Unit Development: Yes   Tenants In Common: Yes

HOA Homeowners Dues $/Month        Other Fees/Dues $/Month     

HOA Name    HOA Phone       Pending Litigation:  Yes
Occupant :
Owner Tenant    Vacant

Directions to Property

Public Listing Remarks:
Describe your home & neighborhood. Example: Remodeled Kitchen, Canyon Lot, New Roof

Subtype Description :
Attached   Detached     Stories: 1 Story     2 Story     3+ Story   Tri Level

Contemporary Cape Cod     Craftsman/Bungalow   Colonial Mediterranean/Spanish  Ranch
Tudor/French Normandy    Victorian

Stucco  Stucco/Wood  Wood  Block Brick Vinyl   Alum Siding

Upper Level: None  Bath(s) Bedroom(s) Dining Room  Family Room  Garage   Living Room Loft Master Suite(s)  Retreat  Street Entrance  Kitchen

Main Level: None  Bath(s) Bedroom(s) Dining Room  Family Room  Garage   Living Room Loft Master Suite(s)  Retreat  Street Entrance  Kitchen

Lower Level: None  Bath(s) Bedroom(s) Dining Room  Family Room  Garage   Living Room Loft Master Suite(s)  Retreat  Street Entrance  Kitchen

View: None    Bay View   Bay Bridge  City Lights   Evening Lights   Golden Gate Bridge  Golf Course Green Belt     Lake   Marina    Mt Diablo   Mountains   Ocean Panoramic  Partial    Park     San Francisco Valley

Floors:  Concrete Carpet    Ceramic Tile    Granite Laminate  Marble Linoleum/ Vinyl   Slate    Wood

Fireplace #        Fireplace Descript:  Circular Den  Dining Rm Electric Family Rm  Gas Log Gas Starter 
 Insert  Kitchen Living Rm 
 Master Suite   Pellet Stove Raised HearthTwo Way  Wood Burning  Wood Stove

Spa/Hot Tub:
Yes  Pool: Yes    Pool Type:   Association Pool  Above Ground Black Bottom Built-In  Fenced  Fiberglass Heated   Indoors   Lap Pool  Pool/Spa Combo Water Solar Heated

# Garage Spaces  
 Garage Description:  None   Attached   Detached Alley Access Converted  Tandem Parking
Garage Door Opener   Remotes 

# Carport Spaces        Carport:   Attached   Detached   Parking: On Site  Off Site

Bath Type:
Bidet Fiberglass Granite Jack & Jill  Marble  Remodeled Sauna  Shower and Tub  Shower Over Tub
Skylight  Split Bath  Stall Shower  Sunken Tub  Tile  Tub Only Tub w/Jets

220V Wiring   Breakfast Area  Breakfast Room Built-In Oven  Refrig Built-in   Counter Tile  Counter Laminate  Counter Composite  Counter Stone Slab  Counter Stone Tile  Counter Wood  Self Clean Oven   Cooktop Stove Dishwasher  Disposal  Double Oven Electric Range Gas Range Hood Over Range  Island Micro Built-in Pantry Refrig Freestanding Remodeled Skylight(s) Compactor

Dining: Dining Area  Dining/Family Combo Dining/ Living Combo Formal Skylight(s)

Living Room: Catheral Ceiling  Deck Attached Fireplace  Great Room  Open Beam  Skylight(s) Sunken

Family Room:
Catheral Ceiling  Deck Attached Fireplace  Great Room  Open Beam  Skylight(s) Sunken

Atrium Attic    Basement Full    Basement Partial  Bonus Room  Converted Garage Den/StudyEntertainment/Media  Guest Suite Library Office Rec Room Storage Room   Studio Sun Room   
Wine Storage Workshop

Heating :
None Central  Base Board   Floor Furnace Heat Pump  Radiant  Wall Stove Wood Stove Pellet
Fireplace Insert

Air Conditioning: 
None  Attic Fan Central Heat Pump  Evaporative  Whole House Fan Window/Wall Zoned/Area

Energy Saving:
Ceiling Insulation Dual Panel Windows Low E Windows  Floor Insulation    Low Flow Shower 
Low Flow Toilet Wall Insulation  Partial Insulation

220 Volt Hook-up Electric  Gas  In Basement In Closet In Garage  In Kitchen  Laundry Room Sink

Other Structures:
 None Arena Barn w/Electricty Barn w/Water  Barn(s)  Cabana Caves(s) Corrals Gazebo  Greenhouse Kennel  Out Building(s) Paddock Pens  Pool House  Shed(s) Stable Stall(s) Storage Facility  Tack Room Workshop Zoned 2nd Unit

Air Purifier  Awning  Bay Windows  Cathedral Ceilings  Cental Vacuum  Deck(s)  Entry Gate  Formal Entry Greenhouse Window  Intercom  Open Beam Ceiling  Skylight(s) Storm Window Water Softner Wet Bar Window Covers Incl Window Screens

Yard/ Grounds:
NONE Adjacent Golf Course  Covered Patio(s) Decks(s) Dog Run  Enclosed Patio(s)
Landscape Front  Landscape Rear   Patio(s)   Sprinkler Automatic   Sprinkler Manual

Lot Description: 
Upslope  Level Downslope Corner Lot Court  Cul-De-Sac Flag Lot Irregular
Zero Lot Line Private Regular  Rolling Steep Hill Secluded

Fencing: Barbed Wire Chain Link  Complete Complete Cross  Electric  Partial  Partial Cross Perimeter
Wood Board

Drive/Sidewalk:   Gravel Maintenance Agreement Paved Drive Paved Sidewalk Shared Driveway Unpaved

Roof: Composition Shingles   Concrete Tile  Spanish Clay Tile    Wood  Wood Shingles  Shake
Tar and Gravel   Rolled / Hot Mop      Metal   

Foundation: Slab  Pillar/Post  Concrete Perimeter Piling Combo

Special Zones:    None   Flood Zone Natural Hazard Disclosure Seismic Zone  Fire Zone Coastal Zone

Water Source:
Irrigation Connected Meter On Property Private District   Public District Well

Sewer:  Sewer Connected    Sewer Available    Septic System       Solar Equipment Lease: Yes

Utilities: Cable TV Availlable   DSL Available  Electric   Natural Gas  

Selling Terms: Cash    Conventional  FHA     VA     Owner May Carry     Submit     Lease-Option

Accessiblity:  Features: Doors Grab Bars Kitchen Cabinets Ramp    Shower

Complex Features:  Spa     BBQ   Tennis  Gym / Ex Room Clubhouse  Sauna  Common Laundry
 Golf Course Park

HOA Fees Includes:
Association Mgmt Cable/TV Service    Common Area Maintenance    Electricity     Exterior Building Maintenance  Gas    Limited Insurance    Roof Maintenance    Sewer    Pool Trash Pick Up    Water

Restrictions: Board Approval Pet Restrictions Seniors  Exterior Alterations

Sales Conditions:
NONE   In Foreclosure  Notice Of Default  Offer AS IS   REO   Short Sale  VA  Repo

Security Features:
Carbon Monoxide Detector Fire Alarm Fire Supression Sys  On Site Guard  Gate Unguarded    Secured Access  Security Patrol Security System Owned Security System Leased Smoke Detector Video System Security Bars

Showing Instructions: Appointment Only    Lock Box Vacant    Go Direct    Subject to Inspection    Call First

Primary Phone # for Agent to Contact Seller           2nd # if Desired 

Listing Price Excludes   

Special Listing Requests / Questions / Instructions   

Exclusive Agency Authorization and Right to Sell (Seller Not Obligated to Pay Commission UNLESS Buyer uses Real Estate Agent)

Extra Fees occur for service beyond the scope of initially listing the property on mls. i.e Requested call/text/email/written responses by lender, escrow/title companies, buyer/agent, transaction coordinators, seller or seller partners, etc. per listing agreement section 13 Duties and Fees

As the Seller(s) or Trustee Indicated in this Listing Agreement ,
                                        Seller #1 Accepts the Above Terms and Conditions 

                                        Seller #2 Accepts the Above Terms and Conditions 
Note: Copy of listing agreement is provided on the "Form Confirmation" when listing is submitted

Selected Services:

  $ 285.00 MLS Listing Fee Includes:
You are prepared for a sale with or without Realtor
California Required Transaction -Disclosure Forms
            Sample Purchase Agreement Forms
            Ready-To-Use Counter-Offer Forms
            Free Success Tip and Suggestions
            Free Internet Listing Distribution To Affiliated Real Estate MLS Sites

$25.00 Professional FOR SALE Yard Sign
(Side Sided)(No Phone #) + Shipping/Handling
$40.00 Professional FOR SALE Yard Sign
(Double Sided) (No Phone #) + Shipping/Handling
Add $10.00 Vinyl Numbers
(Single Side)
Add $20.00 Vinyl Numbers
(Double Side)
     Very Important... Does Not Mention "For sale By Owner" = More Agent Showings
         3 Color High Visibility Sign
        Standard 18" X 24" Size                           
        Double Sided Sign = Higher Visibility
        Heavy Duty Display Stake
    MLS For Sale Sign  

Payment ( No Checks Accepted)

I Authorize MLS-Listing.Com to charge My Credit Card for the MLS-Listing.Com Fee, Late Fees / Fines or Listing Changes.
Personal Credit Card ( No Business or Corporate Credit Cards)


Credit Card Billing Address     City     State / Zip   

Name on Card        I'm Authorized to charge on this card  Yes

Please Review Questionnaire BEFORE you submit
Once you submit you CAN NOT GO BACK and edit your info
Please Review Questionnaire BEFORE you submit
Once you submit you CAN NOT GO BACK and edit your info

Fill -in "Type the Text" Box using the number or text indicated in picture above "Type the Text" Box.
This will authorize the questionnaire for submission




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