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FOR SALE BY OWNER
MULTIPLE LISTING SERVICE
PROPERTY PROFILE
ON-LINE DATA ENTRY FORMAT

Step 1. Complete the following information and send it to us directly by clicking "Submit" at the end.

Step 2. Return here to obtain a copy of the Listing Agreement in either Acrobat Reader or Word.   

Illinois Residents: Use this Listing Agreement in either Acrobat Reader or Word.  

Florida Residents: Use this Property Profile instead.

Massachusetts Residents: Use this Property Profile instead.

Step 3. E-mail to fsbo@4salemls.com a picture of your home. If you need to mail it, send us an email and we will provide you with the mailing address.  
WE DO NOT DISCRIMINATE ON THE BASIS OF RACE, RELIGION, COLOR, SEX, CREED, AGE, MARITAL STATUS, DISABILITY, MILITARY STATUS OR ANY OTHER BASIS PROHIBITED BY STATE OR FEDERAL LAW AND ABIDE BY ALL FAIR HOUSING LAWS. YOU MUST DO THE SAME. YOU MUST ALSO DELIVER TO PROSPECTIVE BUYERS (1) A PROPERTY DISCLOSURE STATEMENT AS WELL AS (2) A LEAD PAINT DISCLOSURE IF HOME WAS BUILT BEFORE 1978. BOTH ARE AVAILABLE AT OUR WEBSITE.

After we post your listing we will (1) make the changes you direct and (2) refer calls to you. We are not otherwise acting as your agent or in any other capacity. Thus you agree to handle showings and pay any broker who brings you a purchaser (which unless you indicate otherwise includes those who viewed your home before the date of this agreement) the commission indicated below. You indemnify us if any listing information is inaccurate, the buyer’s broker does not receive the commission due or you violate applicable law. You are free to sell the home yourself at anytime. We have no control over and do not screen those who view listed properties. When you sign a contract and again when you close you shall within 24 hours of each event supply us in writing with the (a) contract date, (b) closing date and (c) sales price. If you fail to do so we will be fined and you agree to reimburse us for such fines. We will then either assert a lien at closing or charge your credit card for the amount of the fines. KEEP A COPY OF THIS CONTRACT. YOUR TRANSMISSION OF THIS CONTRACT AND THE INFORMATION ON THE FOLLOWING PAGES  CONSTITUTES YOUR ELECTRONIC SIGNATURE AND IS BINDING UPON YOU. 
General Information
Owners Names
Months Listing Needed
Listing Price
Address of Homeon Sale
City, State, Zip Code
County
Phone # for Broker Calls
Other Phone #s
E-mail
Directions to Home
Township
Subdivision
Model

 Waterfront: Yes or No    Built Before 1978  Yes or No  Year Built

# Rooms (exclude baths)  # Bedrooms   # Bathrooms    Master Bath:  Yes or No   

# Fireplaces     Basement:  Yes or No      Basement Bath: Yes or No    

Property Tax Information

Permanent (Property) Index Number     New Construction:   Yes or No   

Real Estate Taxes Tax Year   

Tax Exemptions (homeowner, senior):    

Special Assess, if any Regular Assess, if any Frequency (monthly, etc):  

What Does Monthly Assess Cover   Lot Dimensions
Complete Following for Condos and Townhomes
No. of Units in Bldg. Your Unit No.   Your Floor No.
 % Ownership   Dogs OK: Yes or No    Cats OK: Yes or No   

On-Site Management: Yes or No        Self-Management: Yes or No  

Days Required for Board Approval of Unit Sales

Does Price Include Parking Spaces: Yes or No        How Many

If not, Are Parking Spaces Sold Separately: Yes or No    

Are Parking Spaces Leased: Yes or No    What is Monthly Fee

Are Parking Spaces Assigned: Yes or No     How Many

Information for Vacant Land Only
Actual Zoning              Current Use               Road Surface  

Utilities to Site       Frontage/Access

Room Information

Living Room
Dimensions Floor Level Floor Covering  

Dining Room
Dimensions Floor Level Floor Covering  

Kitchen
Dimensions Floor Level Floor Covering  

Family Room
Dimensions Floor Level Floor Covering  

Master Bedroom
Dimensions Floor Level Floor Covering  

Bedroom #2
Dimensions Floor Level Floor Covering  

Bedroom #3
Dimensions Floor Level Floor Covering  

Bedroom #4
Dimensions Floor Level Floor Covering  

Bedroom #5
Dimensions Floor Level Floor Covering  

Bedroom #6
Dimensions Floor Level Floor Covering  

Additional Room #1:

Choose from the following: Recreation Room, Sunroom, Enclosed Porch, Den, Office, Study, Great Room, 1st Floor Laundry, Exercise Room, Foyer, Darkroom, Enclosed Balcony, Second Kitchen, Loft, Workshop, Utility Room, Library, Maid's Room
Dimensions   Floor Level         Floor Covering  

Additional Room #2:
           Choose from the rooms mentioned above:

Dimensions Floor Level           Floor Covering 

Additional Room #3:
Choose from the rooms mentioned above:             

Dimensions Floor Level          Floor Covering  

Additional Room #4:
            Choose from the rooms mentioned above:

Dimensions Floor Level          Floor Covering  

Additional Room #5:
            Choose from the rooms mentioned above:

Dimensions Floor Level          Floor Covering  

Schools and Broker Information

    Grammar Name       Grammar District  Jnr High Name   Jnr High District

High School Name   High School District    Is Owner a Real Estate Agent?

Commission You Will Pay a Buyer's Broker            

Highlights of Home (345 Characters--About 60 words )

Other Information (For This Section Click On Applicable Boxes) 

Air Conditioning

                       Air Conditioning    Central     Partial     Space Pac    
1 Window Unit    2 Window Units   3+ Window Units        Zoned         
Amenities  

Amenities Clubhouse Park/Playground Indoor Pool Outdoor Pool Horsebarn Pond/Lake Water Rights Tennis Court Water Edge Horse Trail Dock   

Amenities (For Condos/Townhomes Only)

Condo/Townhome Amenities Bike Room Door Person Coin Laundry Commissary Elevator Storage Health Club On Site-Mgr Party Room Sundeck Indoor Pool Outdoor Pool Receiving Room Restaurant Sauna Service Elevator Valet/Cleaner Whirlpool Tennis Court
Appliances  

Double Oven Oven/Range Microwave Dishwasher Dishwasher-Portable Refrigerator Separate Freezer Washer Dryer Disposal Compactor Indoor Grill Outdoor Grill 

Attic Information  

Attic Finished Unfinished Full Partial Drop-Down Door Stairs

Basement Information  

Basement Full Partial Walkout Finished Unfinished Crawl Slab Cellar English Sub-Basement Exterior Access

Bath Information  

Master Full   Master Half   Shared Master   Whirlpool   Sauna   Separate Shower Steam Shower   Double Sink

Driveway Information  

Driveway Brick Concrete Asphalt Gravel Dirt Shared Off Alley Side Drive Heated Circular 

Electrical System  

Circuit Breakers Fuses 60 Amp 100 Amp 150 Amp 200+Amp

Equipment  

Humidifier   Water Softener-Owned   Water Softener-Leased   Central Vac   TV-Cable TV-Dish    TV-Antenna    TV-Rotor    Security System    Intercom    Fire Sprinklers CO Detector    Ceiling Fan    Attic Exhaust Fan    Whole House Fan    Sump Pump(s) Lawn Sprinkler   Air Cleaner   Air Exchanger

Features

Deck Patio Screened Porch Vaulted/Cathedral Ceiling Skylight Balcony Porch Gazebo Storage Shed Greenhouse Dog Run Hot Tub Dry Bar Wet Bar 

Kitchen Information  

Kitchen   Eat-in Breakfast Bar   Eat-in Table   Galley Kitchen   Island   Butler Pantry Closet Pantry Walk-in Pantry

Exterior Construction  

Brick Aluminum Siding Cedar Frame Block Dryvit Glass Log Masonite Shakes Stucco Stone Marble/Granite Concrete Other

Foundation

Foundation Concrete Block Mixed Wood Pillars Reinforced Caisson Stone

Fireplace Information

Indicate Location(s)

Wood Burning Attached Door/Screen Electric Gas Starter Gas Logs

Heating System

Gas    Forced Air    Electric   Oil   Radiant   Radiator    Hot Water/Steam
Space Heaters   Solar   Zoned

Water Source   

Public   Private Company   Community Well     Private Well    Private Company Well      Shared Well

Sanitation  

Mechanical Septic     Private Septic     Shared Septic     Public Sewer     Storm Sewer Holding Tanks     Overhead Sewer

Improvements  

Paved Street Curbs/Gutters Sidewalks Street Lights Gated Entrance 

Exclusions and Transportation  

Exceptions Exclusions Home Warranty School Bus Service Commuter Bus Service Commuter Train Service

Exclusions: The following personal property is excluded from sale 

Exceptions: No commission payable for these prior home viewers 

Lot Information

Beach Channel Front Corner Cul-de-sac Fenced Yard Horses Allowed Irregular Lake Front Professionally Landscaped
Roof and Style Information  

Asphalt/Glass Shingles   Asphalt/Glass Rolled    Tar   Flat   Metal   Rubber   Slate Other

Number of Stories       Style of Home

Time of Possession  

Closing Immediate Negotiable Prior to Closing Tenant's Rights Harvest Rights 
Garage and Parking Information

None Garage Spaces No. of Cars

Door Opener   Automatic Door Opener   Off Alley   Heated   Attached   Detached   Valet Parking   Guest Parking   Parking Fee   Permit Parking   Apron   Street Entry Side Drive Street Parking  

Other Matters

Lockbox
I wish a lockbox. Please ship it to me ($100, $25 refund on return)  

                                                   Feature Your Home On Our Website
                   I want my home featured in your Gallery of Homes       
                   I want my website linked to your website                  
                   I want my MLS listing linked to your website            

The fee for these services is $100 per service. If a broker brings you a buyer, $100 is deducted  from its commission for each service at closing and credited to you so you receive the services for free. Since these amounts are advanced by you, they are included in your payment.

Premium Realtor.com Listing
If you want a premium listing on realtor.com rather than the one you get with our service for free the charge is $199 (remember that your listing appears on realtor.com in any event). The Premium Listing includes six photos, the “Showcase” designation, your entire property description up to 2,500 characters (not just two sentences) and a link to your own personal contact information (name, phone, fax, email, website, etc.) for the public and consumers. Without the Premium Listing this information is not available on any website. 

I want the Premium realtor.com Listing ($199 fee)

                                                                      Virtual Tours
I want my listing to include a virtual tour on the MLS ($100 extra)
I want my listing to include a virtual tour on the MLS and realtor.com ($150 extra)     

 
           This is how I found your FSBO service.

The parties have agreed to conduct this transaction via the Internet.  Type owner(s)' name(s) HERE to confirm electronic signature to the Listing Agreement appearing at  Listing Agreement 

I AGREE

 

   

(All Payments are by Credit Card Or Cash Unless Prior Arrangements Are Made)
 ONLY PERSONAL ACCOUNTS ALLOWED

Type of Card (MasterCard or Visa only):  
Exact Name as Shown on Card:                
Address Statements are Received:             
Zip Code Statements are Received:           
Card Number:                                                               
Expiration Date: Month  Year
CVV Code (last 3 typed numbers on back of card) 

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