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Property Location and Tax Information

Active ☐ Coming Soon ☐

*County:

Tax ID: Street # Direction *Street Name Suffix Post Dir

Other Tax ID:

Township: Unit # *Tax District/Municipality *State *Zip

*Property Type (Check One) *New Construction ☐Y ☐NN

Lifestyle Community

Single Family Descript Condominium Desc Farm Description If Yes, Builder: ☐ 55+ ☐ Social Clubs

☐ Single Family ☐ Attached ☐ Farm w/ House *Degree Complete (1) ☐ Boating ☐ Sports - Org

☐ Landominium /

Patio Home☐ Detached ☐ Farm w/o House ☐ To Be Built ☐ Fishing ☐ Tennis

☐ Townhouse ☐ Foundation ☐ Fitness ☐Walk/Run

Paths☐Mini Farm ☐ High Rise (4+) ☐ Drywall Complete ☐ Gated

☐ Golf Cart

(Street)

☐ Prefab / Modular /

Manufactured☐ Duplex ☐ Under Roof ☐Water

Features☐ Completed ☐ Golf Course

☐ Sports

☐ Other Complete Renovation ☐Y☐ N ☐ Racquetball

Year Renovated:

*Area: *SIC: *Lot Dim: x Zoning

Cross St/Intersection: Lot Size: ☐ Residential ☐ Agricultural

Public Transportation: *Year Built: or ☐ Multi Family ☐ Non-Conforming

*School District: ☐ New ☐Unknown ☐ Commercial ☐ Other (See Remarks)

Subdivision: ☐ Unzoned

*Semi Annual Taxes: $ *Directions (105 char):

*Assessment Amount: $

*Tax Abatement: ☐ Y ☐ N

If Yes*, Thru Payable Year:

Broker Information

*Listing Office ID: Co-Listing Office ID:

*Listing Agent ID: Co-Listing Agent ID:

*Listing Agent Name: Co-Listing Agent Name:

*Showing Instr ☐ Use Showing Link ☐ Call Appointment Ctr ☐ Call Seller/Tenant ☐ Call Listing Office ☐ Call Listing Agent

Opt Show Inst ☐ Accept Back Up ☐ Agt Present ☐ Comb Lockbox ☐ Elec Lockbox ☐ Keys at Office ☐ Vacant, Lockbox

Showing Instructions:

Contract Information *Agreement Type (Check ONE)

*List Date:**Expiration Date:

☐ ER – Exclusive Right ☐ EA- Exclusive Agency ☐ BE – Buyer Exclusion

*Expiration Date: ☐ ERV – ER VariableRate

☐ EAV – EA Variable Rate ☐ BEV – BE Variable Rate

*Showing Start Date (Coming Soon Only): *Property Ownership

*List Price: $ ☐ Consumer ☐ Corporate ☐ Lender

*Auction ☐Y ☐N If yes, Type: ☐Absolute ☐Reserve ☐ Builder/Developer ☐ Estate ☐ Government*Commission (Coop)

*Short Sale ☐Y ☐N *Avail for Lease ☐Y ☐N *Show Address on Internet ☐Y ☐N *Limited Service ☐Y ☐N*Allow on Internet ☐Y ☐N *Allow AVM on Internet ☐Y ☐N *Allow Blogging on Internet ☐Y ☐N *3rd Party Apprvl Req’d ☐Y ☐N

*Special Financing ☐Y ☐N ☐ Assumable ☐ Lease Option ☐ Owner Financing ☐ Other

☐ Land Contract ☐ Lease Purchase ☐ USDA/RDFinancing Remarks:

*Occupancy *Picture Provided By (Primary photo must be uploaded within 5 business days)

☐ At Closing ☐ Primary Photo Supplied ☐ Sketch/Plat Supplied

☐ Negotiable ☐ Land Logo ☐ Under Construction Logo

☐ Tenants’ Rights ☐ To Be Built Logo

RESIDENTIAL INPUT SHEET Revision Date: 09/22/17

=Energy Efficient/High Performance =Accessibility/Disability *=Required

MLS of Greater Cincinnati 14 Knollcrest Drive Cincinnati, OH 45237 513-761-8833 MLSDocs@cincymls.com

(% or $)

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Associations & Condominiums If multiple fees, add total and divide by 12 for total monthly amount

*HOA(s) ☐ Y ☐ N *Total Amount: $ *Fee Frequency: ☐ Monthly ☐ Quarterly ☐ Annually ☐ Other

Management Company: Phone Number:

Included in Association(s)

☐Association Dues ☐Heat ☐Sewer

☐Clubhouse ☐Landscaping-Community ☐Snow Removal

☐Doorman ☐Landscaping-Unit ☐Tennis

☐Electricity ☐Maintenance ☐Trash

☐Exercise Facility ☐Play Area ☐Walking Trails

☐Gas ☐Pool ☐Water

☐Golf ☐Professional Management ☐Other

☐Hazard Insurance ☐Security System

Condominium Features

Levels in Building (1-20) ☐Common Hallway Entry ☐Penthouse

Levels w/in Unit (1-4) ☐Direct Entry Garage–Building ☐Pets Allowed

Unit Entry Level* ☐Direct Entry Garage-Unit ☐Private Entry

Steps to Bldg Door (Up/Down) ☐Elevator – Within Building ☐Unit Entry Door Below Ground Level

Steps to Unit Door (Up/Down) ☐Elevator – Within Unit ☐Unit on Top Floor*Unit Entry: Lower Lev, Penthouse, 1-20 ☐Guest Quarters ☐Valet Parking

☐Laundry–Common Area ☐Wheel Chair Accessible Building

☐Laundry–in Unit ☐Wheel Chair Accessible Unit

Rooms and Dimensions

*Total Rooms # *Full Baths # Bath Level 1 Type ☐Full ☐Part Family Room ☐Y ☐N

*Bedrooms # *Half Baths # *Garage Spaces # Formal Dining Rm ☐Y ☐N

*Bedroom Level 1 ☐Y ☐N *Bathroom Level 1 ☐Y ☐N Carport Spaces # Fireplace ☐Y ☐N

Room Dimensions Level in Unit Room Dimensions Level in Unit

Entry X Master Bedroom X

Living Room X Bedroom 2 X Great Room X Bedroom 3 X Dining Room X Bedroom 4 X Kitchen X Bedroom 5 X Breakfast Room X Bathrooms Full / Partial Level in Unit

Study X Master Bathroom 1 ☐Full ☐Partial

Family Room X Bathroom 2 ☐Full ☐Partial

Recreation Room X Bathroom 3 ☐Full ☐Partial

Laundry Room X Bathroom 4 ☐Full ☐Partial

*Required Fields** *Required Fields** *Required Fields*

*Levels (1) *Basement (1) *Foundation (2) *Roof (2) *Gas (1) *Primary Water Source (1)

☐One ☐Full ☐Block ☐Asbestos ☐Metal ☐Natural ☐Public

☐1.5 ☐Partial ☐Poured ☐Built Up ☐Shingle ☐Propane ☐Cistern

☐Two ☐Crawl ☐Slab ☐Composition ☐Slate ☐None ☐Holding Tank/Municipal Source

☐Three+ ☐None ☐Stone Green Vegetative ☐Tile ☐At Street ☐Well

☐Multi/BiLev ☐Other ☐Membrane ☐Wood Shingle ☐None

☐TriLevel ☐At Street

☐QuadLevel

*Sewer (2) *Windows (5) *Fireplace (3)

☐Public ☐Ejector Pump ☐Aluminum Double Pane ☐Picture ☐Vinyl/Alum Clad ☐Brick ☐Insert

☐Septic ☐Grinder Pump ☐Awning ENERGY STAR ☐Slider ☐Wood ☐Ceramic ☐Marble

☐Aerobic ☐Bay/Bow ☐Garden ☐Storm ☐Other ☐Dummy ☐Stone

☐Private ☐Casement Gas Filled Tinted ☐Electric ☐Stove

☐At Street ☐Clerestory Insulated Triple Pane ☐Gas ☐Wood

☐None ☐Double Hung LowE ☐Vinyl ☐Inoperable

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*Architecture (2) *Construction (3)

☐Cabin/Rustic ☐Eclectic ☐Tract ☐Aluminum ☐Log ☐Stucco

☐Cape Cod ☐Historical ☐Traditional ☐Block ☐Shingle ☐Vinyl

☐Chalet ☐Italianate ☐Transitional ☐Brick SIP (Structural Insul Panels) ☐Wood

☐Colonial ☐Log ☐Tudor ☐Cedar ☐Stone ☐Other

☐Contemporary/Modern ☐Mission ☐Victorian EFIS (Exter Finish Insul Sys)

☐Craftsman/Bungalow ☐Ranch ☐Other ICF (Insulated Concrete Forms)

*Garage/Carport (4) *Other Parking (2) *Heating (5) *Cooling (5) *Water Heating (3)

☐Built-in ☐1 Assigned ☐Baseboard Mini-Split ☐Attic Fan ☐Electric

☐Carport-Attached ☐2 Assigned Dual Fuel ☐Oil Ceiling Fans ☐Gas

☐Carport-Detached ☐Driveway Ductless Program Thermstat ☐Central Air High Effic HeatPump

☐Front ☐Off Street ☐Electric Radiant Floor Dual Fuel High EfficientTank

☐Garage-Attached ☐On Street ENERGY STAR ☐Radiator Ductless On Demand Recirculation Loop ☐Garage-Detached ☐Valet ☐Forced Air Solar ENERGY STAR

☐Heated ☐Other ☐Gas ☐Steam Geothermal Power/Direct Vent

☐Oversized ☐None Gas Furnace EF Rated 95%+

Variable Speed HVAC Mini-Split ☐Propane

☐Rear ☐Wood SEER Rated 13-15 ☐Recirculation Loop

☐Shared Geothermal Zoned SEER Rated 16+ Solar Thermal

☐Side ☐Gravity ☐Other Variable Speed HVAC Tankless

☐Tandem ☐Heat Pump ☐None ☐Wall Unit ☐Other

☐None ☐Hot Water ☐Window Unit ☐None

☐None

Energy Efficient – High Performance Features (Optional)

Certifications (Must Upload Certification) Outdoor Water Indoor Air Quality Insulation Lighting

ENERGY STAR for Homes (EPA) Y N DroughtToler/NativeLndsc Air Cycler Basement Walls CFL EPA Indoor Air Plus Y N Permeable Hardscapes Auto ExhaustFans Crawl Space LED HERS Index: Y / N Rating # Rainwater Catchment Green Label Carpet Rim Joist Motion Sensor Home Energy Score (DOE) 1-10 ____ Smart Irrigation Sys HRV/ERV1 Roof/Attic R30-50

LEED for Homes (USGBC) ________ Indoor Water Low VOC Paints Roof/Attic R50+ Electric/Misc

Living Building Challenge Y N Dual Flush Toilets Slab(Edge/Under) Electric CarHookup

Passive House Y N LF/WS Faucets Wall R13-R19 Solar Photovoltaics

WaterSense New Home Y N LF/WS Showerheads 1Heat/Energy Recovery Ventilator

Wall R20+

Other Y N LF/WS Toilets

LF=Low Flow WS=WaterSense

#Optional Fields# #Optional Fields# #Optional Fields#

Entry/Foyer Living Room Great Room Dining Room Kitchen Study ☐Carpet ☐Bookcases ☐Bookcases ☐Built Ins ☐Butler’s Pantry ☐Quartz Ctr ☐Bookcases

☐Closet ☐Concrete Floor ☐Concrete Floor ☐Chair Rail ☐Concrete Floor ☐Skylight ☐Concrete Flr

☐Concrete Floor Cork/Bamboo Flr Cork/Bamboo Flr ☐Chandelier Cork/Bamboo Fl ☐Solid Surf Ctr Cork/Bamboo

Cork/Bamboo Fl ☐Dry Bar ☐Dry Bar ☐Concrete Floor ☐Counter Bar ☐Tile Floor ☐Fireplace

☐Double Doors ☐Fireplace ☐Fireplace Cork/Bamboo Fl ☐Eat In ☐Vinyl Floor ☐French Doors

☐Laminate Floor ☐Laminate Floor ☐Laminate Floor ☐Fireplace ☐Fireplace ☐Walkout ☐Laminate Flr

☐Marbl/Slate ☐Skylight ☐Skylight ☐French Doors ☐Galley ☐WindowTreat ☐Panel Walls

☐Open Foyer ☐Walkout ☐Walkout ☐Laminate Flr ☐Gourmet ☐Wood Cabints ☐Skylight

☐Tile Floor ☐Wet Bar ☐Wet Bar ☐Walkout ☐Island ☐Wood Floor ☐Walkout

☐Transom/Sidelit ☐Window Treat ☐Window Treat ☐Window Treat ☐Laminate Floor ☐Other ☐Wet/Dry Bar

☐Vinyl Floor ☐Wood Floor ☐Wood Floor ☐Wood Floor ☐Marb/Gran/Slte ☐Window Treat

☐Wood Floor ☐WW Carpet ☐WW Carpet ☐WW Carpet ☐Pantry ☐Wood Floor

☐Other ☐Other ☐Other ☐Other ☐Planning Desk ☐WW Carpet

Family Room Master Bedroom Master Bathroom ☐Bookcases ☐Laminate Flr ☐Wndw Treat ☐Bath Adjoins ☐Vaulted Ceil ☐Bidet ☐Heated Flr ☐Steam

☐Concrete Flr ☐Panel Walls ☐Wood Floor ☐Concrete Flr ☐Walkin Closet ☐Built-in Shower

Seat

Low Flow ☐Tile Floor

Cork/Bamboo ☐Skylight ☐WW Carpet Cork/Bamboo ☐Walkout ☐Marb/Gran /Slate

☐Tub

☐Dry Bar ☐Tile Floor ☐Other ☐Dressing Area ☐WindowTreat ☐Concrete Flr ☐Tub w/Shower

☐Fireplace ☐Walkout ☐Fireplace ☐Wood Floor Cork/Bamboo ☐Sauna ☐WhirlpoolTub

☐French Doors ☐Wet Bar ☐Sitting Room ☐WW Carpet ☐Double Shower ☐Shower ☐WindowTreat

☐Skylight ☐Other ☐Double Vanity ☐Skylight ☐Wood Floor

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Appliances Miscellaneous Mechanical Systems Outside Features ☐Convection

Oven

☐Microwave ☐220 Volt ☐Home Warrnty ☐Air Cleaner ☐Sump Pump

w/Battery

☐Balcony ☐Hot Tub

☐Oven/Range ☐Attic Storage ☐Laundry Chute Backup Genratr ☐BBQ Grill ☐Kitchen-Outdr

☐Dishwasher ☐Refrigerator Busline Near ☐Recessed Lights ☐Central Vac ☐Sump Pump

w/o Battery

☐Corner Lot ☐Patio

☐Double Oven ☐Trash Compactor

☐Cable ☐Relocation De-Humidifier ☐Covr Deck/Patio ☐Porch

☐Dryer ☐Ceiling Fan ☐Satellite ☐Fire Sprinkler ☐Water Softnr ☐Cul de sac ☐Ramp

☐Elect Cooktop ☐Warming

Drawer

CO Detector ☐Smoke Alarm ☐GarageDr Opnr ☐Other ☐Deck ☐Sprinklers

ENERGY STAR ☐Coin Laundry ☐Tech Wiring ☐Heat Detector ☐Enclosd Porch ☐Tennis Court

☐Garb Disposal ☐Washer ☐Condemned ☐Other ☐Humidifier ☐Entertain Ctr ☐Tiered Deck

☐Gas Cooktop

☐Hot Tap

☐Wine Cooler ☐Flood Plain ☐Intercom ☐Fire Pit ☐Wooded Lot

☐Other ☐Fountain Radon System ☐Fireplace ☐Yard Lights

☐Handyman ☐Security System ☐Flag Lot ☐Other

Fencing Pool Buildings Land Description View Access ☐Barbed Wire ☐Above Grnd ☐In-Ground ☐Barn ☐Under .5 Acre ☐ Consider

Dividing

☐City ☐City Street

☐Electric ☐Auto Cover ☐Indoor ☐Gazebo ☐.5-.9 Acre ☐Golf Course ☐County Road

☐Invisible ☐Cleaner ☐Lap Pool ☐Greenhouse ☐1-4.9 Acre ☐ No Deed

Restrictions

☐Lake/Pond ☐Easement Rd

☐Line ☐Diving Brd ☐Salt Water ☐Guest House ☐5-9.9 Acre ☐Park ☐Gravel Road

☐Metal ENERGY STAR Pump

☐Slide ☐Mobile Home ☐10-19 Acre ☐ ZoningDeed

Restrictions

☐River ☐Paved Road

☐Privacy Solar Cover ☐Pole Barn ☐20-49 Acre ☐Valley ☐Private Drive

☐Vinyl ☐Fiberglass Solar Heated ☐Pool House ☐50-99 Acre ☐ Other ☐Woods ☐State Hwy

☐Welded Wire ☐Gunite ☐Tile ☐Shed ☐Over 100 Acre ☐Other ☐US Highway

☐Wood ☐Heated ☐Vinyl ☐Stable ☐Other ☐Other ☐Workshop

Farm Type Farm Structures Trees Topography Documents Available

☐Cattle ☐Recreation ☐Cattle Barn ☐Silo ☐Cedar ☐Cleared ☐Accessibility ☐Site Plan

☐Crop ☐Sheep ☐Chicken Hse ☐Smoke Hse ☐Fruit ☐Lake/Pond ☐Aerial Photo ☐Soil Map

☐Dairy ☐Tobacco ☐Equestrian Arena

☐Stripping Rm ☐Hickory ☐Level ☐Bldg Restrict ☐Soil Survey

☐Hog ☐Tree ☐Tobacco Brn ☐Oak ☐Low ☐DeedRestric ☐Survey

☐Horse ☐Truck ☐Horse Barn ☐Tractor Barn ☐Pine ☐Pasture ☐Feasibility ☐Other

☐Orchard ☐Other ☐Milk Parlor ☐Workshop ☐Scrub ☐Rolled ☐Floor Plan

☐Poultry ☐Shed-Hay ☐Other ☐Timber-

Marketable

☐Sloped Green Cert

☐Shed-Misc ☐Steep ☐Plan/Plat

☐Wooded-Heavy ☐Stream/Crk

☐Wooded-Partl ☐Undeveloped

Marketing Remarks (350 Characters):

Agent Remarks (250 Characters):

Basement Features Inside Features Flex Rooms Smart Technology

☐Bath Rough-in ☐Part Finished ☐9ft+ Ceiling ☐MultiPanel Drs ☐3 Season ☐Guest Suite ☐ScreenPrch ☐Appliances

☐Concrete Flr ☐Unfinished ☐Beam Ceil ☐Natural

Woodwork

☐4 Season w/ Kitchen ☐Sitting Area ☐HVAC

☐Finished ☐Vinyl Floor ☐CathedralCeil ☐Atrium ☐Guest Suite ☐Solarium ☐Irrigation System

☐Fireplace ☐Walkout ☐CrownMlding ☐Skylight

☐Vaulted Ceil

☐Bedroom w/o Kitchen ☐Steam Rm ☐Lighting

☐Framed ☐WW Carpet ☐Elevator ☐Bonus Room ☐Loft ☐Wine Cellar ☐Safety

☐Glass Blk Win ☐Other ☐French Doors ☐Other ☐Exercise Rm ☐Media ☐Workshop ☐Security

☐Laminate Flr ☐Heated Floors ☐Game Room ☐Sauna ☐Other ☐Thermostat

☐Green House

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ACCESS/DISABILITY FEATURES

Accessibility /Disability Features ☐Yes ☐No

Outside Features Controls

Accessible garbage on accessible route Electric outlets 15” min height of operable parts Accessible mailbox: 48” max-15” min height on accessible route Light switch 48” max height of operable parts Curb cut-outs with non-slip textile feature Thermostat at 48” max height of operable parts Handrails Visual smoke alarm Wheelchair ramp or no step entry Voice command smoke alarm

Entrance Hallways Hearing Impaired

1/2” or less threshold height 36” wide hallway Closed Circuit TV for outdoor monitoring

32” door opening and open to full 90 Signal lights for emergencies

Lever door handles 36”x60” space at end of hall for right/left turns

TTY-Teletypewriter Services (text to phone-live transmitter)

Interior Doors Visually Impaired

31 5/8” min width Appliances front mount controls (no reach over) Mounted braille signage

Bathroom Kitchen

30”x48” clear floor space beyond door swing 40” between opposing counters/appliances

60” diameter for wheelchair to make 180 60” diameter for wheelchair to make 180 Accessible commode 17”—19” from top seat edge to floor Appliances with accessible controls Built-in shower seat Counter height 34” max Grab bars in bath Lever faucet handles Grab bars at toilet Roll under sink Lever faucet handles Under-sink exposed pipes wrapped to protect against heat and

impact of wheelchair users Roll-in shower Wall reinforced to add grab bars

Other

Chair lift Designated accessible van parking Property on ACCESS van route Deck-no step from door Elevator access Wheelchair accessible laundry area Deck-ramp Laundry with front loaders Designated accessible parking No step entry from garage to dwelling

Additional Comments/Notes