San Bernardino County MLS Questionnaire

Once questionnaire is submitted we will review.

 We will call you with suggestions or questions.


 San Bernardino County Questionnaire

 (except) Big Bear, Lake Arrowhead, Hesperia, Apple Valley areas

Seller Information

Bold Green Fields are Required

Corporate Name
 Seller or Rep Name   Seller 2

Listing Address
 Listing City   Listing Zip Code   County 

Seller Email   
          Seller Phone             
Seller Work Phone  

Property Description

List Price            Last Date Listed in MLS

Bedrooms     Baths      Community         Closest Cross Street        

Driving Directions 

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

Estimated Yr Built           Source Of Year Built : Assessor Records     Builder Seller Estimate

Estimated SF Home  Home SF Source  Assessor Record   Builder    Seller Estimated

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

Senior Community - Yes       HOA Assoc -Yes     Seller Will Consider Lease - Yes   

Stories: One Level    Two Levels    Split Level    Top Level

Entry Location :   Ground Level- No Steps    Ground Level w/Steps Elevator to Entry

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

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


MOBILE / MANUFACTURED :  Single Wide   Double Wide   Triple Wide

 Park Type: Family    Senior   Park Name    Managers Name   

Manager Approval Mobile Home To Remain      Length    Width  

Make Model # New Mobile Home Spaces RV Parking Fee

# Uncovered Spaces   # of Carport Spaces    # of Sheds 

Skirt   NONE Aluminum   Block Cement Board   Concrete  Fiberglass Masonite Veneer   Vinyl

Space Rent Monthly  

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

Serial (U)    DOH1    Insignia /License 1 


Interior: Ceiling Fan(s) Kitchen Island  Ceramic Tile    Counter Granite Counter Remodeled KitchenOpen Floor Plan Balcony Pantry  Shower in Tub  Cathedral/Vaulted Ceiling Crown Molding Recessed Lighting Wainscoting  Wired for Data   Attic Fan Kitchen Opens to Family Room

Fireplace: None   In Living Rm    In Family/Great Rm  In Master Bedroom   Patio/Outside Kitchen  Bath 

Air Conditioning: None    Central    Ceiling Fan    Dual Units    Evaporative    Window/Wall SEER 16+

Forced Air   Floor Furnace    Heat Pump     Radiant    Wall Electric    Wall Gas
Disability Access: None    32+ Inch Doors    Low Bath Mirrors    Wheel Chair Accessible    Wheel Chair Ramps

Floors: Wall-Wall Carpet    Partially Carpeted    Ceramic Tile    Bamboo    Hardwood    Laminate    Marble
Raised Foundation    Sheet Vinyl    Stained Concrete    Travertine    Vinyl Tile

Appliances: 6 Burner  Built-in Elect Range  Built-in Gas Range Convection Oven  Dishwasher    Double Oven    Electric Oven  Electric Range   Electric Stove Energy Star Appliances   Energy Star Water Heater   Freestanding Range Garbage Disposal  Gas & Electric Range  Gas Oven   Gas Range   Gas Stove Built-in Microwave Range Hood Refrigerator Self Cleaning Oven   Water Softener OwnedLeased Water Purifier OwnedLeased

Eating Area: In Kitchen    Area    Breakfast Nook    Breakfast Counter/Bar    Formal Dining    Family Room   

Laundry: Area    Individual Room    Community    Inside    Closet    Garage    Outside 

Rooms:    All Bedrooms Down   All Bedrooms Up    Main Floor Master    Master Suite    Home Theater   
Basement    Bonus Room    Den/Office    Exercise Room    Great Room    Jack/Jill Bath    Loft
Media/Music Room    Rec Room    Separate Family Room    Utility Room    Walk-in Pantry    Workshop

Utilities: 220v Garage     Underground Utilities    Natural Gas    Water Meter    Propane

No Pool    Association Pool     Above Ground    Exercise    Fenced    Indoor    Infinity Pool
Pool Cover    Pool Sweep    Safety Fenced    Salt Water    Solar Heated Pool    Water Slide Waterfall

View:  None    Bay View   Catalina    Canyon View    City Lights    Desert    Golf Course   
    Ocean    Peek-A- Boo    Panoramic    Park or Green Belt

Doors: Double Entry Door  French Doors  Stained/Leaded Glass  Mirrored Closet Door Panel Door Sliding Glass  

Fencing:   No Yard    Wood    Block    Chain Link Front    Glass    Stucco Wall    Wrought Iron   

Security Features : Closed Circuit TV    Automatic Gate    Fire/Smoke Dect System    Gated Community
Security Lights  Gated W/ Guard Security System Carbon Monoxide Detectors  Fire Sprinklers Smoke Detectors

Garage: Attached  Detached 

# Garage Spaces   # Uncovered Spaces   # Remotes    # Carports Spaces   RV Access Size X 

Parking :    No Parking       Converted Garage     Garage Door Opener        Concrete Driveway     Direct  Garage Access Shared Driveway    Auto Driveway Gate    Assigned Parking   Community Garage  Parking Fee  Tandem Parking  Unassigned Parking    RV Covered Parking 

Spa: No Spa    Association Spa    Bath Tub    Private Spa    Above Ground    Fiberglass Gunite In Ground

Common Walls: None    1 Common Wall    2+ Common Walls    No One Above or Below    No One Above

Construction Materials: Stucco Stucco/Wood Aluminum Wood Block  Brick NES Insulation Blown Insulation

Roof : Composition Shingles   Concrete Shake   Spanish Tile   Concrete Tile  Wood Shakes  Wood Shingles
Tar and Gravel    Metal    Fire Retardant   Other

Foundation: Concrete Slab  Concrete Perimeter  Concrete Block    Raised Quake Bracing   Pillar Post Pier

Patio Type :Balcony  Brick  Concrete Slab Covered Deck Cabana Enclosed Roof Top Deck Arizona Room Porch Front   Porch Rear Screened Porch   Screened Patio

Lot Features: Alley Access  Alley Paved   Corner Lot  Cul-De-Sac   Steep Slope  Rolling Slope Green Belt
Horse Property    Horse Property Improved    Horse Property Unimproved    Golf Course Community    Lot Level
Flag Lot     Ocean Side of Freeway    Sprinklers None    Sprinklers Timer    Sprinkler System    Sprinkler Front
Sprinkler Back    Street Paved    Street Private    Street Public    Water Front    Zero Lot Line  

Structural Condition: No Additions/Alter    Updated/Remodeled    Additions/Alterations    Fixer
New Construction    Repairs Cosmetic    Repairs Major Needed    Under Construction

Sewer:  Sewer Connected    Sewer in Street Not Connected    Septic System

Water Source: District/Public    Private    Well

Style: Bungalow   Cape Cod   Contemporary  Craftsman  Mediterranean  Ranch  Spanish   Traditional   
Tudor    Victorian

Community Features: Sidewalks    Curbs    Gutters    Street Lighting    Storm Drains    Rural  

Disclosures: Trust Owned    CCR'S   Homeowner Assoc    Pet Restrictions Coastal Commission  Easements  Conditional Use Permit  In Flood Zone  Historical  City Inspection Required Rent Control Redevelopment Area    

Exterior Features: Barbecue Private    Koi Pond    Rain Gutters    Corral    Stable Kennel    Lighting

Other Structures : Guest House   Sports Court Private  Barn   Out Building   Gazebo  Green House Shed
Two on a Lot    Sauna Private    Shop

Window Features:  Double Pane Triple Pane Drapes/Curtains Blinds Shutters Skylights Garden Window

Land Fee/ Lease       Community /Complex Name    

Assessments : None    Unknown    Mello Roos    Sewer Assessment     Special Assessments   

School District

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

HOA Name   HOA Phone      

Association Amenities:   None     Pool   Spa     BBQ    Tennis     Sports Court      Gym / Ex Room    Clubhouse  Sauna   Playground  Pet Rules  On Site Security Paid  Sewer Paid   Trash Paid  Building/Grounds Paid    Maintenance Paid Guard 

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

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

Sign on Property: Yes    No

 Lock Box: MLS Rental Electronic Agent Lock Box -Yes     No- Lock Box          Other   

Lock Box Location:  Front Door (Preferred)  Front Gate     Gas Meter     Other     

Listing Price Includes:    None       Alarm System        Fireplace Equipment       Fireplace Screen        Fireplace Logs       Pool Equipment    Satellite Dish    Water Softener    Dryer    Washer  Exterior Lighting Other/See Remarks

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  

  $110.00 Realtor's Electronic Lock Box + $ 150.00 Refundable Deposit+ Shipping

Very Important.... More Realtor Showings
        Lock Box Can Be There When You Can't
        Free Email Report of ALL Showings w/ Agent Contact Info
        Shuts Itself Down AT Night For Maximum Protection
A MUST for Vacant Properties. No Waiting Around For Showing Appointments

Lock Box Rental Agreement

USPS Standard Ship Lock Box to Listing Address   
USPS Standard Ship to Credit Card Billing Address    
Ship To Work Address     Phone

                            As the Seller(s)  or Trustee Indicated in this Lock Box Agreement,
                                    Seller #1 Accepts the Above Terms and Conditions 
                                    Seller #2 Accepts the Above Terms and Conditions 
Note: Copy of Lock Box agreement is provided on the "Listing Confirmation" when listing is submitted

( No Checks Accepted)

I Authorize 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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