San Francisco Lot MLS Questionnaire

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San Francisco Lot 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

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

Property Subtype:
1 House on Lot 2 Houses on Lot   Condo

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 # 

  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 


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

Stucco  Stucco/Wood  Wood  Block Brick Vinyl    Sub-Floor: Slab     Raised 

Exterior :
Brick  Brick Veneer Shingle Siding Cement Siding Lap   Stone Stucco   Wood

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

1 Story     2 Story     3+ Story   

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

# Carport Spaces        Non-Garage Description: None   Attached   Detached

Baths Other: Double Sinks Outside Access Sauna Shower Stall Stone Tile Tub Tub Jetted Tub Sunken        Tub w/ Shower Over Window

Master Bedroom: B
alcony Closet Walk-in Gound Floor OutsideAccess Sitting Area Sitting Room Surround Sound Wet Bar

Master Bath: Bidet Double Sinks Multi Shower Heads Outside Access Sauna Shower Stall Sitting Area Stream Stone Tile Tub Tub Jetted Tub Sunken   Tub w/ Shower Over Window

Searchable Rooms:    Atrium Bedroom(s) Entry Level   Basement Full    Basement Partial  Bonus Room  Den/Office     Great Room Concept  Home Theater   Loft Master Bedroom (2)   Master Suite Media Room   Sun Room   
Wine Storage

Floors Covering: 
Carpet    Ceramic Tile    Laminate  Marble Linoleum/ Vinyl   Stone    Wood

220 Volt Hook-up Cabinets  Gas Hook-upGarage  Inside Area Inside Room Sink Stacked Only

reakfast Nook Dining Bar  Dining/Family Combo Dining/ Living Combo Formal Area Formal Room Space in Kitchen

Counter- CeramicTile   Granite    Laminate Stone Synthetic Island w/Sink   Pantry

Applicances: Compactor Cook Top Elect Cook Top Gas   Dishwasher   Disposal   Ice Maker Plumbed Micro Built-in Oven Double Oven Elect Built-in Oven Elect Freestanding   Oven Gas Built-In  Oven Gas Built-in Oven Self Clean    Range Elect Built-in   Range Elect Freestanding Range Gas Built-in Range Gas Freestanding Refrig Built-in Refrig Freestanding Wine Refrig

Fireplace #       
Fireplace Descript:  Circulating Dining Rm Double Sided Electric Family Rm  Gas Log Gas Piped   Kitchen Living Rm     
Master Suite   Outdoors 

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

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

Site:  Lake/River Access Level Lot Grade Varies Lot Sloped  Irregular Lot Split Possible Trees Few Trees Many View Local View Special Corner Lot  Cul-De-Sac   Dead End Gated Community Golf Course Lot Greenbelt Public Transport Nearby  Snow Line Above Snow Line Below

Road Description:
hip and Seal Gravel Maintenance Agreement Paved Private Public Maintained Uimproved

Recreational Parking:
Boat Storage   Plane Port Restrictions RV Access RV PossibleRV Storage

None Association Pool  Above Ground Built-In  Fenced  Fiberglass Heated   Indoors   Lap Pool  Pool/Spa Combo Water Solar Heated

Front Back  Dog Run  Fenced Back  Fenced Front   Low Maintenance

Sprinklers:  Auto Yes   Front   Rear 

Horse Property:
  Yes   Horse Amenities: 1-6 Stalls 7+ Stalls Arena Barn  Barn Amenities Boarding Facilities    Cross Fenced Hay Storage   Hot Walker Paddocks Palpation Chute Pasture Pasture Irrigated Riding Trail       Round Pen Shaving Bin Trailer Storage Wash Rack

None    Sidewalk /Curb /Gutters Street Light   Curbs   Curbs/Gutters  Sidewalks

BBQ Built-in Courtyard Covered  Courtyard UncoveredDeck Covered Deck Uncovered Fire Pit Outdoor Fireplace Outdoor Kitchen Outdoor Misting Sys Patio Covered Patio Enclosed Patio Uncovered Sauna Spa/Hot Tub Built-in Spa/Hot Tub Personal Steam Room Underground Tank Wet Bar Exterior Wet Bar Interior

Air Conditioning: 
None    Central    Heat Pump     Evaporative    Window/Wall Zoned/Area

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

Energy Features:
Attic Fans Ceiling Fans Dual Pane Full   Dual Pane Partial    Low Energy Glass Full Low Energy Glass Partial   Skylight   Skylight Tube Tankless Water Heater Triple Pane Full Triple Pane Partial Whole House Fan

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

220 volts 3 Phase 440 volts All Electric All Public   Natural Gas   Underground

Sewer Connected    Sewer Available    Septic System

Bonds /Assessments /Taxes:
Yes Unknown

Bonds /Assessments /Taxes: 19111915 Local Assessments Mello Roos Transfer Tax City Transfer Tax Privat

Property Disclosures:   
None    Association Docs  CLUE Report Available   Use Permit  CCR'S  Environmental  Management Approval
Age Exterior Alterations Guests Parking Pet Policy Retirement Community Signs Tree Ordinance

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

Notice of Default YES   Subject to Court / Lender Approval /Short Sale:  Yes  

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

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
Disability  Features: Doors Grab Bars Kitchen Cabinets Ramp    Shower

Remodeled/Updated:    YES    NO    Unknown
Bath: 0-5  yrs    6-10 yrs  11-15 yrs   Kitchen:  0-5  yrs    6-10 yrs  11-15 yrs  Bed: 0-5  yrs    6-10 yrs  11-15 yrs

Commission to Buyer's Agen
t %   or Fixed Dollar Commission   

Occupant : Owner Tenant    Vacant

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

Directions to Property

Manufactured / Modular / Mobile ONLY

Axles    Configuration: Single Wide Double Wide Triple Wide Quad Wide   Awning   Deck

Partial Expando
  Patio Room   Room Addition   Skirting

Dept of Housing #1
  Dept of Housing #2

 Dept of Housing #3

HCD413 Recorded
HCD413 Applied Length   Width


BL Skirting 
Aluminum Block Wood None

Space Rent Month Real Estate Included     # Sections 

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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