(*) Asterisk are required fields
(**) (***) Conditionally Required
MLS Residential for Sale NORES MLS - Property Data Form
* List Price:
Offi
ce U
se: Property Address:
List Associate Name:
List Company Name:
Owner Name:
MLS # :
List Date:
Expire Date:
Owner Phone:
Property Information* Property Subtype:
HouseCondoTownhouseFactory BuiltPatio HomeHalf DuplexDuplex (MF)Triplex (MF)Quadplex (MF)Bulk
Verify the * List Price matches the List Agreement Price before
continuing. You cannot edit the "Original List Price" later.
* List Price * List Assoc. Number:
* List Office Number:
* List Date
* Expire Date
* House Num: Str. Dir. * Street / Road Name: * Str. Type Unit/Bld:
* County: * Subdivision or Condo Name / Unplatted: * Tax Parcel/Acct. Num:
MLS and Tax Information* City:
* Zip Code:
Zip + 4:
* Township:
* Range:
* Section:
* Legal Description:
Owner Name: Owner Phone:
Census Tract Number:
* # of Stories:
Yes No* Homestead:
* Year Built
* Year Built Source (1):AppraiserBuilderCourt HouseOwner
* School District Code:
* Grade School
Middle/Jr High
* High School
* Home SF #1
* Home SF Source #1:AppraiserBuilding PermitCourt HouseNot Reporting SF
Home SF #2:
** Home SF Source #2:AppraiserBuilding PermitCourt HouseNot Reporting SF
Home SF #3:
** Home SF Source #3:AppraiserBuilding PermitCourt HouseNot Reporting SF
(A601) Residential Property Data Form - October 2010Page 1 of 6
* Tax Amount:
* Tax Year:
* Lot SF:
House Size Range - Approx SF (1):
0 - 500
500-750
750-1000
1000-1250
1250-1500
1500-1750
1750-2000
2000-2250
2250-2500
2500-2750
2750-3000
3000-3250
3250-3500
3500-3750
3750-4000
4000-4250
4250-4500
4500-4750
4750-5000
5000-5250
5250-5500
5500-5750
5750-6000
6000 +
Broker and Disclosure Information* Internet List:
Yes No
* Address Public:Yes No
* Allow Comment / Review:Yes No
* Allow AVM:Yes No
* Flood Notice Required:
Yes No
* OREC Disclosure Type (1):DisclosureDisclaimerExempt
Exclusive Right to Sell (ERS)ERS with Reserved ProspectERS subject to Auction/BidERS with Variable RateExclusive AgencySales Fee Agreement
* Listing Agreement Type (1):
* Cooperating Broker Comp:
Yes No* Will Accept Delivery:
* Type of Broker:
Yes No* Limited Service:
Yes No* Occupied:
Key Box (KB)Floating KBCombo KBNone
* Keybox Type:
Call AgentCall OwnerCall TenantSee (R) Remarks
* Showing Contact:
Single PartyTransaction
Room Information (Count ONE Unit for MF)* # Bedrooms: * # Full Baths: * # Half Baths: # Rooms: * # Living Areas: * # Fireplaces: * Garage Capacity:
Room DescriptionsKitchen:
Level 1Level 2Breakfast NookCountryEat-inIslandMini-KitchenPantry
Den/Family Room:Level 1Level 2BasementBookcaseComboFireplaceSeparate
Living Room:ComboFireplaceFormalGreat RoomSunken
Office:Level 1Level 2BasementBookcaseClosetFireplaceOutside EntryPaneled
Dining Room:BreakfastCombo w/FamCombo w/LivFormalOther
Game/Rec. Room:Level 1Level 2BasementClosetFireplaceHome TheaterOver GarageWet Bar
Utility Room:Level 1Level 2BasementGarageInsideSeparateSink
Hobby Room:Level 1Level 2BasementGreenhouseSewingWorkshopOther
Basement:NoneFinishedFullPartialUnfinishedWalk-out
**Master or 1st BR (7):Level 1Level 2BasementNo BathPrivate BathDressSeparate ClosetWalk-in Closet
Master Bath:BathtubDouble SinkFireplaceFull BathHalf BathSep. ShowerShower OnlyWhirlpool
Hall Bath:BathtubDouble SinkFireplaceFull BathHalf BathSep. ShowerShower OnlyWhirlpool
**2nd Bedroom:Level 1Level 2BasementNo BathPrivate BathPullman BathWalk-in Closet
**3rd Bedroom:Level 1Level 2BasementNo BathPrivate BathPullman BathWalk-in Closet
**4th Bedroom:Level 1Level 2BasementNo BathPrivate BathPullman BathWalk-in Closet
Addl. Rm 1:BasementLevel 1Level 2FloridaLibraryQuartersExcerciseMud Room
WorkroomStorm/SafeAtticIn-Law PlanMaidSplit Bed rmMusic
Addl. Rm 2:BasementLevel 1Level 2FloridaLibraryQuartersExcerciseMud Room
WorkroomStorm/SafeAtticIn-Law PlanMaidSplit Bed rmMusic
(A601) Residential Property Data Form - October 2010Page 2 of 6
Finance / Warranty Information* Short Sale:
Yes No* Corporate/Relocation:
Yes No* Lender Owned:
Yes No* Assumable Loan:
Yes NoAdj. Rate Mortgage:
Yes No
Loan Interest Rate:
PITI:
Loan Type:
Years Remaining:
Non-Qualifying:Yes No
Loan Balance:
Lender Name:
* Finance Options:NoneConventionalFHALease PurchaseOwner Carry 1stOwner Carry 2ndSpecialState BondTradeVAOther
* Warranty (2):NoneAs Is (Present Condition)1 Year - by Builder1 Year - by SellerNormal Working OrderSpecial Builder WarrantyOther
* PossessionAt ClosingNegotiableSubject to Lease
Home Owners Association (HOA) Information
** Required if subtype =CONDO
** Percent Interest:
Yes No** Conversion
Yes No
** Refusal
Yes No** Pets Allowed
** Condo Fee Includes:NoneCable TVElectricExterior MaintenanceGasTrashWater / SewerOtherTradeVAOther
*** Required if HOA Mandatory=Yes
Yes No
* HOA Mandatory:
*** HOA Fee:
*** HOA Fee Schedule:MonthlyQuarterlySemi-AnnualAnnual
*** HOA Amenities:
NoneBusiness CenterClubroomCourtesy PatrolCovered ParkingFitness CenterGated AccessGolf Course
StablesSpaPool AvailablePet AmenitiesParkLaundry FacilitiesHOA Voluntary
Tennis CourtTrailsValet ParkingOther
Construction Features* Style (1):
BungalowCabinColonialContemporaryCountry FrenchEnglishFrenchLogRanch
OtherVictorianSplit LevelSpanish
* Direction House Faces (1):NNESSE
ENWWSW
Under Construction (1):Under ConstructionNew Construction - Finished
* Construction (1):BlockConcreteManufactured (post 1976 )Mobile Home (pre 1976)ModularPanelizedPre-cut (Log / Kit)SteelWood FrameOther
* Foundation:Full BasementPartial BasementPermanently Affixed (mfg or mobile)Crawl SpaceSlabTie Down (mfg or mobile)
* Exterior Siding:NoneAluminumAsbestosFull BrickHardy PlankLogMasonite
Partial Brick
OtherVinylStuccoStoneSteelShake
* Roof Material (1):Asphalt / FiberglassMetalShakeSlateTar / GravelTileWood ShinglesOther
* Exterior Features:NoneBuilt-in GrillCabanaDecorative LightsDog RunExt Fireplace/PitGazeboGutters
Storm CellarSprinkler SystemSidewalkProf. LandscapedOutdoor KitchenHot Tub / SpaHorse Permitted
Tennis CourtOther
(A601) Residential Property Data Form - October 2010Page 3 of 6
Construction Features - cont'd* Patio / Deck:
NoneArborBalconyCovered PatioCovered PorchDeckEnclosed PatioEnclosed Porch
OtherPorchPergolaPatio
Yes No* Handicap Accessible:
** Accessibility Amenities:32" or 36" Doors38" or 46" HallsBath ModifiedElevator/Chair LiftHandicap ParkingKitchen ModifiedLevel EntryRamped Main Level
OtherRoll-in Shower
* Interior Features:None9' + Ceiling HeightCable TV WiredCentral VacuumDry BarFloored AtticHot TubIntercom
Security System OwnedSecurity System LeasedSauna / SteamSatellite Dish WiredPullman BathInternet WiredInternal Expansion Area
Smoke DetectorVaulted CeilingWet BarOther
** Interior Fireplace Description:Blower / HeatilatorDecorative / Non-functionalGas LogsGas StarterGlass DoorsInsert UnitWood BurningWood StoveOther
** Garage Description:AttachedCar Entry- RearCar Entry - SideCarportDetachedElectric Overhead DoorLiving QuartersPorte-cochere
OtherWorkshopWork AreaTandemStorageShelvesRV / Boat Parking
* Counter Top Material:NoneBrickButcher-blockCeramicConcreteCopperGraniteLaminate
OtherWoodStainless StealSoap StoneMarble
* Flooring:NoneCarpetConcreteLaminatePlywood/CompositionSome HardwoodTileVinyl
OtherWoodWood Veneer
Area / Land FeaturesLakes & Rivers (1):Arkansas RiverBirch LakeCanadian RiverCedar LakeClaremore LakeCopan LakeDeep Fork RiverDripping Springs LakeEufaula LakeFort Gibson LakeFouche Maline RiverGrand LakeGrand RiverHeyburn LakeHudson LakeIllinois RiverKerr LakeKeystone LakeMcAlester LakeMurray LakeNeosho RiverNorth Canadian RiverOkmulgee LakeOologah LakePoteau RiverSahoma LakeSardis LakeSkiatook LakeTenkiller LakeTexhoma LakeVerdigris RiverWebbers Falls ReservoirWister LakeOther
** Distance to Lake/River (1):FrontageLess than 1 MileLess than 5 MilesLess than 10 Miles
** Lake/Water Amenities (4):Adjoins Corp PropertyBluffBoat LiftBoat DockBoat HouseDock Approved CoveLake/Riverfront AccessLake/Riverfront No Access
OtherWinter ViewWater AccessSummer ViewSand BeachRamp AvailableMarina Available
Mineral Rights (2):NoneAvailableIncludedNot IncludedPartialOther
Yes No* Senior Living (55+ Approved:
* Fence:NoneBarbedChain LinkCross FencedDecorative
PartialHog WireFullElectric Gate
Pipe FencingPrivacySplit RailVinylOther
* Pool on Premises (1):NoneAbove GroundIngroundIndoor
** Pool Description:FiberglassGuniteLinerOther
* Lot Description:NoneAddl Land AvailableAddl ResidenceCorner LotCul-de-sacFarm and RanchGolf Course FrontageMature TreesPondSpring / CreekView (see Remarks)WoodedZero Lot LineOther
* Additional Buildings:NoneBarnShed2nd GarageShopStableStorageOther
(A601) Residential Property Data Form - October 2010Page 4 of 6
Energy / Utility Features* Heat Source (1):
NoneElectricGasGas / ElectricPropane - LeasedPropane - OwnedSolarWoodOther
* Heating System:None2 Units3 + UnitsBaseboardCentralFloor FurnaceHeat Pump/GeothermalHot Air Gravity
OtherZonedSteamSpace HeaterRadiant
* Cooling:NoneCentral ACWindow ACHeat Pump/GeothermalEvaporative Solar CoolingHumidifierElectric Air FilterZoned
Other3 + Units2 Units
* Water Source (2):CityPrivateRuralSpringWellOther
* Sewer (1):NoneAerobicCityLagoonPrivateRuralSeptic TankOther
* Hot Water:NoneElectricGasSolar w/Electric BackupTankless2 + ZonedOther
* Windows (7):AluminumBay / BowedCasementSkylightVinylWoodOther
* Energy Features:NoneAttic Exhaust FanAttic Vent - ElectricAttic Vent - TurboCeiling FansExtra InsulationInsulated DoorsInsulated Windows
OtherVent RidgeStorm WindowsStorm DoorsSolar TubesSolar FeaturesProgrammable Thermostat
* Utility Connections Available:NoneCable TVElectricGasGenerator - FixedGenerator ReadyPhoneUnknown
OtherWater
* Appliance Connections:NoneDryer - 220 ElectricDryer - GasElectricGasHot Water - ElectricHot Water - GasIce Maker
OtherWasherTelephoneRange - GasRange - ElectricOven - GasOven - Electric
* Appliances Included:NoneCompactorDishwasherDisposalDryerFreezerIcemakerIndoor Grill
OtherWater SoftenerWasherRefrigeratorRange / OvenMicrowave
* Range Description (1):NoneBuilt-inCooktopDrop-inStoveSingleOtherWoodOther
* Oven Description (2):NoneBuilt-inConvectionDoubleSingleOther
Green Rating & Features
Yes No* Green Certified:
** Rating Organization:Energy StarHERSLEEDNAHBOther Rating Organization
*** Energy Star Rated:AppliancesSkylightsWindowsHVACWater HeaterLighting
*** HERS Rated (1): 0 - 85 86 - 100100 +
*** LEED Rated (1):Certified: 45-59 pointsSilver: 60-74 pointsGold: 75-89 pointsPlatinum: 90-136 points
*** NAHB Rated (1):BronzeSilverGoldEmerald
*** Other Rating Org:
(A601) Residential Property Data Form - October 2010Page 5 of 6
Listing Comments
Public Remarks: (255 char)
REALTOR Remarks: (255 char)
* Directions: (255 char)
Broker DefinedUser 1: User 2: User 3:
Signatures
Seller Sign and Date Seller Sign and Date
Seller Sign and Date Seller Sign and Date
Listing Associate Printed Name Listing Company Printed Name
Listing Associate Sign and Date Company MLS Participant Authorized Signature and Date
(A601) Residential Property Data Form - October 2010Page 6 of 6