Lot/Land MLS Questionnaire

Once questionnaire is submitted we will review.

 We will call you with suggestions or questions.


Lot / Land Questionnaire

Seller Information

Bold Green Fields are Required

Corporate Name
 Seller or Rep Name   Seller 2

Listing Address
 Listing City   Listing Zip Code     County 

 APN # 

Seller Email   
          Seller Phone             
Seller Work Phone  

Property Description

List Price            Last Date Listed in MLS

Community         Closest Cross Street        

Driving Directions 

Property Type : Lot    Land   

Approx Lot / Land Size      Acres    Lot SF/Acres Source:  Assessor Record   Builder    Seller Estimated

Sale Type :   Standard      In Foreclosure    Notice of Default      Lender Owned        Short Pay / Subject to Appvl               Probate Listing    Auction   

Public Listing Remarks: Describe Lot/ Land & neighborhood. Example: View, Building Density, Zoning, Property Access, etc,   

Utilities: Electricity At Property       Electricity None    Natural Gas at Property    Natural Gas None 

Telephone At Property         Telephone None      Water Well     Water Meter    Propane

Community Features: Sidewalks    Curbs    Gutters    Street Lighting    Storm Drains    Rural Horse Trails

Lot Features: Access Seasonal Access Road Maintained Access Road Paved Access Road Unpaved                   Access Via City Street  Access Via Country Road Access Via County Road Access Via Highway Agricultural Agricultural Dairy Agricultural Other   Alley Access   Alley Paved   Bay Front Beach Access   Beach Front        Bluff Front Corner Lot Corners Established Creek-Stream on Lot   Cul-De-Sac  Gentle SlopeSteep Slope  Rolling Slope Green Belt Horse Property    Horse Property Improved    Horse Property Unimproved                              Golf Course Community  Lot Level  Private Road   Flag Lot    Tear Down    Street Paved  Street Private          Street Public    Water Front   Value in Land    Zero Lot Line

Sewer:  Sewer Connected    Sewer in Street Not Connected    Septic System   None

Water Source: District/Public    Private    Well

 Disclosures: Trust Owned CCR'S   Homeowner Assoc Coastal Commission  Easements  Conditional Use Permit  In Flood Zone  Historical  City Inspection Required Rent Control Redevelopment Area    Slide Zone         Manufactured Homes Allowed  Principle has RE License    Incorporated     Unicorporated    Enviromental Restrictions Open Space Restrictions    Private Transfer Taxes   Seismic Hazard   Soils Analysis Septic

View:  None    Bay View   Catalina    Canyon View    City Lights   CoastLine    Desert    Golf Course   
    Ocean    Peek-A- Boo    Panoramic    Park or Green Belt
Creek-Stream   Lake   Mountain       Trees-Woods    Valley    Vineyard

Assessments : None    Unknown    Mello Roos    Sewer Assessment     Special Assessments   

Additional Land Info : Cleared Soil Type    Current Geological Report    Ingress- Egress  Trees           Elevation Zone   Tract Number   Parcel Map Number                            Possible New Zone Tract Map Status     Fencing   Survey

Distance to: Water     Sewer    Gas     Electric     Phone Service

Water Well Yes  Land Fee/Lease  

HOA   HOA Homeowners Dues $/Month        2nd HOA Dues $/Month   

HOA Name   HOA Phone      

Selling Terms: CashConventional FHA VA Owner May Carry Short Sale/Lender Appvl Lease-Option     Exchange   Submit 

Commission to Buyer's Agent   %   or Fixed Dollar Commission     

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

Occupant :
Owner Tenant    Vacant

Showing Instructions :   Go Direct    Call First  Appointment Only

Sign on Property: Yes    No

 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
Free Internet Listing Distribution To Affiliated Real Estate MLS Sites
            Review of listing questionnaire

$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  


( 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

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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