The MLS Residential Questionnaire

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Counties:  Monterey, San Benito, Santa Clara, Santa Cruz, San Mateo

The MLS Residential 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

Bedrooms     Baths      Neighborhood     Closest Cross Street    

Estimated SF Home      Estimated Yr Built     

Home SF Source:  
Assessor Record   Builder    Seller Estimated Appraiser

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

Elementary School District Jr High School District SR High School District

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

Directions to Property

Special Listing Conditions:  None Auction  Court Confirmation New Subdivison  Notice of Default  Short Sale

Subtype Description :
Attached Detached Modular Manufactured Mobile Townhouse
Planned Unit Development   Zero Lot Line Tract Semi-Custom Custom Fixer Retirement Comunity  Ranchette/Country Historical Preserve

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 # 

  Park Home Site Description: Condo Park  Cooperative Park Lease Land  Space Owned Unit my be Leased

  # 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)    HCD Number       DOH1    Insignia /License 1 


Fireplace #        
Disability  Features:
None Doors Grab Bars Kitchen Cabinets Ramp    Shower

Bath Type:
Bidet Double Sinks Dual Flush ToiletGranite Jack & Jill  Marble  Outside AccessSauna 
Shower and Tub  Skylight  Split Bath  Stall Shower  Steam Shower StoneSunken Tub  Tile  Tub Tub w/Jets  Updated Bath(s)

None    Central    Heat Pump     Evaporative    Whole House Fan  Window/Wall  Zoned/Area

Breakfast Bar  Breakfast Nook  Breakfast Room Dining "L"  Dining Area Dining in Family Rm
Dining in Living Room Eat in Kitchen   Formal Dining Room  No Formal Dining Room  Skylight(s)

Family Room:
Kitchen/ Family Room Combo  No Family Room Separate Family Room

Floors Covering:  Carpet Concrete  Granite  Hardwood Ceramic Tile    Laminate  Marble Linoleum/ Vinyl
 Slate  Stone  

Heating :
None Central   Common  Floor Furnace Heat Pump  Radiant  Wall Stove Wood Stove Pellet

Interior Amenities: 
Air Purifer High Ceiling Open Beam Ceiling Security Gate Skylight(s) Valuted Ceilings
Video/Audio Systems Walk-In Closet  Wet Bar

Kitchen: 220V Wiring   Built-in BBQ  Cooktop Electric Cooktop Gas Counter Tile Counter Formica  Counter Granite 
Counter Marble Counter Solid Surface/Corian  Counter Stone  Counter Synthetic  Dishwasher Dual Fuel Exhaust Fan
Disposal  Hood Over Range  Hookups Gas Island   Island Sink Micro Built-in NO Appliances Built-In Oven 
Double Oven Oven Electric  Oven Gas  Oven Self Cleaning Range Oven  Oven Range Built-in Oven Range Electric
Oven Range Gas Pantry Refrig Freestanding Skylight(s) Compactor   Wine Refrig

Laundry: NONE Community  Dryer Hook-up Electric Hook-up Gas   Hook-up Washer/Dryer Tub/Sink Washer

Other Rooms:    Artist Studio   Atrium   Attic Basement Finished    Basement Unfinished  Bonus Room  Den/Office
Formal Entry Great Room Concept  Guest House  In-Law Suite Laundry Room Loft Media /Home Theater
Safe/Panic Room Wine Cellar/ Storage  Workshop

Security Features: NONE   Closed Circuit Monitoring (24 Hrs)  Controlled / Secured  Access Fire Alarm Fire Escape  Fire Sprinkles Fire Supression Sys Panic Alarm Secured Garage/Parking Security AlarmSecurity Building Security Fence
Security Gate w/ Guard Security Guard Securiy Lights Security Service Video/Audio System  Security Bars

Pool:  Yes  
Horse Property:  Yes    # Garage Spaces      # Carport Spaces       # Open Parking Spaces

Parking Features  No Garage Assigned  Attached  Detached Common Parking Area Covered Parking
Electric Car Hook Up Electric Gate  Garage Door Opener Golf Cart Guest / Visitor Parking  Leased Parking
Lighted Parking Area No Parking Off-Site Parking Off- Street Parking Parking Restrictions 
Room for Oversize Vehicles Tandem Parking 
Uncoverd Parking  Valet Parking  Workshop in Garage

Utilities: Individual Electric Meter Individual Gas Meter  Master Meter Natural Gas All Public  

Water: NONE Irrigation Water Available    Private / Mutual   Public District WellWater Treatment System

Sewer:  Sewer Connected    Sewer Available    Septic System

Contruction:  Wood  Block Brick Vinyl  Steel Frame

Energy Features: NONE  Attic Fans Ceiling Insulation Dual Pane Full   Energy Star Appliances   Energy Star HVACEnergy Star Lighting Low Flow Shower   Low Flow Toilet Passive Solar Skylight  Smart Home System Solar Heating
Solar Heating Pool  Tankless Water Heater Triple Pane Windows Whole House Fan

Exterior Amenities : NONE Backyard Balcony/Patio BBQ Area Courtyard Deck Dog Run/Kennel  Drought Tolerant Plants Fenced Fire Pit  Gazebo  Gray Water System  Low Maintenance Outdoor Fireplace Outdoor Kitchen Outdoor Misting System Porch Enclosed Sprinklers- Auto  Sprinklers- Lawn Storage Shed  Tennis Court(s)

Fence: NONE Barbed Wire  Chain Link  Complete Perimeter Cross Fenced Electrified Fenced Back  Fenced Front Gate Horse Fencing Partial Cross Fenced Wood

Foundation: Brick Brick/ Motar Perimeter Capped Brick  Combination Concrete Block Concrete Grid Concrete Perimeter  Concrete Slab Crawl Space Foundation Moisture Barrier Masonary Perimeter  Post/Post/ Piers Post & Beam Post & Pier Quake Bracing Raised  Reinforced Concrete Sealed Crawspace Steel Frame Unreinforced Masonary  Wood Frame

Lot Description:  Corner Marked Yes Flag Lot Gently Sloped  Hillside  Hilly  Level  Mostly Level
Grade Rolling  Side Slope  Sloped Down  Sloped Up Steep Grade Varies  Pie Shaped Possible Lot Split Private/ Secluded  Regular Surveyed Views Vineyard Zero Lot Line

Other Structutes: NONE Cabana Green House Guest House Gym Kennel/ Dog Run Mobile Home  Non Conforning  Out Building Pergola Sauna Shed Tennis / Racquetball WorkShop Zoned for 2nd Unit

2nd Stucture Size  2nd Sturcture Description

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

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

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

 HOA: Yes  HOA Homeowners Dues $/Month   Other Fees/Dues $/Month      CCR's  Yes

Mello Roos Fee        HOA Name       HOA Phone

Community/ Subdivision Name   

Community/Complex Features:  Spa     BBQ   Tennis  Gym / Ex Room Clubhouse  Sauna   Dog Park Common Laundry  Golf Course Park Community Security Gate Concierge

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

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

Commission to Buyer's Agent %   or Fixed Dollar Commission   

Disclosures Hazard: None    Earthquake Disclosure   Fault Zone Fire Zone Flood Zone: Yes Flood Hazard Disclosure Flood Insurance Required  Flood Plain Hazard Waste Area  Natural Hazard Disclosure Hillside Seismic Zone Coastal Zone Special Hazard Zone  Special Studies Zone

Disclosures Other: None Access Easement Required  Agent Has Not inspected Property Coastal Jurusdiction Common Ownership of Amenities Corporate Ownership Easement(s) Fixer/ Handyman Special Historical  In Foreclosure  Leased  Land Mello Roos   Pending Litigation Rent Control  Rental Restrictions  Retrofit Required Subject to 1031 ExchangeTree Ordinance Unreinforced Masonary 

TIC Tenants In Common: Yes

Occupant : Owner Tenant    Vacant

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

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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