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** Indicates a Required Field o □ [G] = Green Fields
LISTING TAB- LISTING INFORMATION**Entered Where
Office
Association
Range Price Y/N
**Listing Type Exclusive Agency
L.S. / Exclusive Agency
Sold Data / Entry Only
Exclusive Right to Sell
Limited Service
L.S. / Exclusive Right To SellExclusive Right to LSE
**Availability (5) For Lease For Sale For Sublease
Pre Leasing Pre Sales Under Construction
**Office Primary Board ID Bartow Central Pasco DeSoto East Pasco
East Polk Englewood Lake and Sumter Lake Wales
Lakeland Manatee Orlando Regional Osceola
Other Pinellas Suncoast Port Charlotte Sarasota
Tampa Venice West Pasco West Volusia
**Special Sale Provision
REO / Bank Owned
Short Sale
None
**Special Listing Type
Street Dir Pre **Street Name Street Type Street Dir Post
Unit Number **City **State **Zip Zip + 4
**County Floors #
LISTING TAB-AUCTION**Auction*
LISTING TAB-FINANCIAL INFORMATION
Page 1
Annual Expense
Net Operating Income
Annual TTL Scheduled IncomeNet Operating Income Type Actual
Yes No
**List Date
Indicates a Single Choice Field Indicates a Multiple Choice Field
Seller Represented
Seller Not Represented
**List Price**Expiration DateYes No
Representation
Vrange List Low Price
Lease Rate
For Exchange
Lease Purchase
Exclusion
Not Applicable/Other
Variable Commission
LISTING TAB-ADDRESS
**Street Number
Actual Projected
Lease Terms (5)
1 to 2 Years
Absolute Gross
Limited Pets
Modified Gross
Sale / Leaseback
Gross Lease
Annual Rate Increase
Purchase Option
Tenant Pays
No Pets
3 to 5 Years
Absolute (Triple) Net
Month to Month
Net Net
Tenant Pays
Net Lease
Improvement Allowance
Pass Throughs
Pet Deposit
Tenant Pays Sewer
6 + Years
Renewal Option
Monthly Pet Fee
Tenant Pays Electric
Tenant Pays TrashParking Fee Association Fee
Tenant Pays Water
Rent Concession
Multifamily Office Retail/Commercial Vacant Land
EXTERIOR TAB-EXTERIOR
Existing Lease Buyout Allow
Yes No
Operating Expenses
Activity Core/Center Airport
Corner Lot Cul-de-sac
Historic District In City Limits
Near Golf Course Neighborhood
Oversized Lot Railroad
Seaport Shopping Center
Suburb Turn Around
Beach Area
Expressway
Industrial Condo
On Bus Line
Retail Condo
Central Business District
Flood Zone
Industrial Park
Other
Commerce Park
Flood Insurance Required
Inside Lot
Out Parcel
Special Taxing District
Undeveloped
Street Paved
Waterfront
Riparian Rights Rural
Strip Center
Zoned for Horses
**Exterior Construction (5)Brick Combination Concrete block Curtain Wall
Metal Modular Precast Concrete
Stone Stucco
Other
Tilt UpSiding
Metal
Industrial
**Location (10)
Property Use
Use Code
Financing Terms
Block
Frame
**Property Style (5)
Page 2
Acreage/Ranch/Grove Aeronautical Agricultural Apartments Automotive
Bar/Club Beauty/Barber Business Opportunity Business Opp. No/RE Business Opp. w/RE
Car Wash Churches Cold Storage Construction Service Community Shopping Center
Day Care Distribution Distributor Routine Ven Executive Suites Fashion / Specialty
Flex Space Food/Drink Sell/Service Free Standing General Commercial Grocery
Group Housing/ACLF Heavy Weight Sales Serv Industrial Manufacturing Light Items Sales Only
Marine/Marina Medical Offices Mini-Warehouse Mixed Use Mobile Home/RV Park
Motel/Hotel Neighborhood Center Net Leased Office Office/Warehouse
Other Outlet Center Outside Storage Only Personal Services Power Center
Recreation Regional Mall Research & Development Restaurants/Bars Retail
School/Institute Self-storage Service/Fueling Station Showroom/Office Single Family Home
Special Purpose Strip Center Subdivided Vacant Land Theatre Theme / Festival
Townhouse Vehicle Repair Vehicle Related Vehicle Sales Warehouse-storage
Warehouse Wholesale
Door Height Door Width Eaves Height
Adjoining Property (14)
Church Commercial Hotel/Motel
Industrial
Natural State Professional Office Railroad
Residential
Airport
Multi Family
School Undeveloped Vacant Waterway
Accessory Buildings (8)
Containers
Garage Maintenance
Modular Security Trailer
Annex
Utility Workshop
Transportation Alley City County
Easement Frontage Interstate
Navigational Canal Private Seaport
Shared State highway Unpaved
Waterway
Parking (3)1 to 5 Spaces
Access (15)
19 to 30 Spaces
Common Curb Parking
No Parkingon Site Other
Over 30Spaces
Valet Off Site
Valet on Site
Flag Lot
Railroad
US Highway
Airport
6 to 12 Spaces
13 to 18 Spaces
Miscellaneous(25)
Sidewalks Sprinkler System Storage Building
Clear Span Columns Common LightingCable
Dumpsters DSL Elevator Extra Storage
Freight Elevator FurnishedFire Alarm Irrigation
Janitorial Services Loading Dock
Owner Management
Medical DisposalLit Signs on Site
Other Outside Storage Overhead Doors
Parking Lot Reserve Possible TDU Professional Mgmt Railroad Siding
Railroad Siding Nearby Ramp Security Gate Security Lighting
Security System
T/1 Truck Doors Truck Well
Miscellaneous 2 (25)
High Bays Kitchen Facility
Reception Restrooms - Public
Seating Smoke Alarms
Waiting Room Curbs/Gutters
Fencing Fire Hydrant
Gas HC Ramp
Loft Retention Areas
Scales Wooded/Trees
Overhead Crane
Restrooms - Private
TV Surveillance
Drainage Ditch
Fuel Tanks
Kitchen
Satellite Dish
Intercom
Restrooms - Handicapped
Service Stations
Compressor
Fiber Optic
Grease Trap
Propane Tank
Trash Pickup
Conveyor System
Easements
Electric Lines
Ingress/Egress Other
Pipelines
Preservation Water Rights**Roof (3)
Built up - T&G
ConcreteCurve/Arc/Round
Flat
Massard Metal
Other Rolled
Shingle
Steel/Bar/Joist Tile
Wood Frame
Environmental
Prescriptive Rightof Way
Built up - foam/other
Gable/Hip
Shed
**Road Frontage
County Road Divided Highways
Interchange Interstate
Main ThoroughfareOther
Private State Road
Turn Lanes US Highway
Garage Door Height
Road Frontage Ft
LAND AND TAX TAB-LEGAL **Tax Year **Year Built Additional Tax IDs Millage Rate
**Zoning Alt Key/Folio **Section **Township **Range Subdivision Number **Block/Parcel
**Lot # **Legal Description **Plat Book/Page Additional Parcel Y/N
Yes No
Deed Restrictions Y/N
**Tax ID **Taxes
Complex/Development NameYes No
Complex/Community Name/NCCB
Page 3
LAND AND TAX TAB-LOT AND BUILDING INFORMATION
**Lot Dimensions **Lot Size (Square Feet)* **Lot Size (Acres)* Flex Space Sq FtOffice/ Retail Space Sq Ft
**Total AcreageUp to 10,889 Sq. Ft. 1/2 acre to 1 acre Two + to Five acres
10 to less than 20 50 to less than 100 200 to less than 500
Non-Applicable
One+ to Two acres
100 to less than 200
Zero Lot Line
5 to less than 10 20 to less than 50
500+ acres
1/4 Acre to 21,779 Sq. Ft.
LAND AND TAX TAB-PARCELUnits Future Land Use **New Construction Y/N Construction Status Projected Completion Date
Yes No Completed Pre-Construction Under Construction
**Property Status (1)
Existing Proposed Under Construction Under Renovation
Total Number of Bldg
INTERIOR TAB-INTERIOR INFORMATION
Sq Ft Heated **Sq Ft SourceBuilder Owner Provided
**Net Leasable Sq FtAppraisal Measured Public Records
**Sq Ft Gross
**Utilities (10)
City Water Electric Emergency Power Gas-LP
None Other Private Utilities Private Water
Public Utilities Public Water Sewers Nearby Solar
Telephone Nearby Water Nearby
**Air Conditioning (2)A/C - Office Only Central No Air Wall Units/Window Zoned/Multiple
BB/HS Internet Capable Electrical Nearby
Gas-Natural Private Sewer
Public Sewer Septic Tank
Telephone Well + Pump
Electrical Services (5)
220v Power
440v Power Separate Meters 0-100 Amps 101-200 Amps
3 Phase Generator Other
**Heating and Fuel (6)
Fuel - Electric Exhaust Fans
Heat Pump Other
Radiant / Ceiling
Wall Furnace Zoned / Multiple
110v Power Over 200 Amps
Central Central Building Central Individual Fuel - Gas Bottled
Fuel - Gas Natural Fuel - Oil Heat Recovery Unit No Heat
Partial Radiant / Baseboards Space Heater Wall Units / Window Units
Reverse Cycle
Solar
Ceiling Height
8 to 9 Feet
10 to 15 Feet
16 to 22 Feet
23 + Feet
Freezer Space Y/N
Yes No
Yes No
**Floor Coverings (6) Ceiling Type (5)
Carpeted
Epoxy
Tile
Concrete
Laminate
Vinyl
Wood
Acoustical Drywall Insulation/Vinyl None Plaster
Converted Residence Y/N
INTERIOR TAB-SPACE
Class of Space Space Type
SubLet
# of Add Parcels # of Hotel/Motel Rms
# of Restrooms # of Offices
New ReLet
# of Conference/Meeting Rooms
# of Bays(Dock High) # of Bays(Grade Level)
WATER/GREEN TAB-WATER INFORMATION
Water Access Y/N
Yes NoWater Access (10)
Beach – Private Beach – Public Canal – Freshwater
Canal – Saltwater Gulf/Ocean Gulf/Ocean to Bay
Lagoon Lake Limited Access Marina
River
Ba/Harbor Beach – Access Deeded
Creek Intracoastal Waterway
Lake – Chain of Lakes
Pond
Water View Y/N
Water View (10)
Bay/Harbor – Partial Beach
Gulf/Ocean – Full Gulf/Ocean – Partial
Lagoon Lake Pond River
Yes No
Bay/Harbor – Full Creek
Intracoastal Waterway
Marina
Canal
Gulf/Ocean to Bay Lake – Chain of Lakes
Water Frontage Y/N
Yes No
Water Extras Y/N
Yes No
Water Frontage (10)
Beach – Private Beach – Public Creek
Gulf/Ocean Lagoon Lake
Pond River
Bay/Harbor Canal – Saltwater
Intracoastal Waterway
Marina
Canal – Freshwater
Gulf/Ocean to Bay Lake – Chain of Lakes
**Front Footage
Page 4
Boathouse
Fishing Pier
Seawall – Other
Boat Ramp – PrivateDock – Slip Deeded Off-Site
Lift Boats-None Allowed
Skiing Allowed
Davits Dock – Slip Deeded On-Site
Private Lake Dues Required Seawall – Concrete
Water Extras (10)
Riprap Sailboat Water
Dock – Slip 1st Come
Lock
Bridges - No Fixed
WATER/GREEN TAB-GREEN INFORMATIONGreen Certifications (G) (4)
Green Site Improvements (G) (7)
Green Energy Features (G) (9)
FGBC Green Certified Building
Energy MonitoringSystem
LEED Certified Building
Bike Rack
Energy StarAppliances
Energy Star Registered
Geothermal HVAC
Florida Certified Yard
Other-Specify in Remarks
Parking-Fuel Efficient/Hybrids
Florida Green Lodging
Onsite Shower Brownfield Redevelop. Site
Florida Friendly Landscape
Parking-Car Pooling Vehicles
Building Orientation
Ext. Light-Dark Sky Compliant
Green Roof Hydro Power Insulated Windows
LED Lighting Low E Windows Radiant Barrier Reflective Roofing Material
Solar Contr. Interior Lighting Solar Contr. Window Shading
Solar Power - Leased Solar Power - Owned Solar Water Heater Sprayfoam Insulation T-5 Fluorescent Lighting Wind Turbines
Green Water Features (G) (15)
Indoor Air Quality (G) (6)
GreyWater System Low Flow/Dual FlushToilets
Low Flow Urinals
Low Flow Faucets - SensorsCistern Drip Irrigation
Irrig. System-Reclaimed Water Irrigation-None
Irrig. System-Drip/Microheads
Irrig. System-RainwaterPonds
No/Low VOC Paint No/Low VOC Floors No Smoking-Interior BuildingAir Filters MERV 10+ Janitor Closet NegPressurized
No/Low VOC Cabinets/Counters
OWNER TAB-OWNER
Owner Name Owner Phone
Property Manager Property Mgr Phone
Prop Mgr Alternate Phone
**Ownership
Condo
Corporation Franchise
Partnership
Other Sole Proprietor
Fannie Mae Secured
Yes No
COMMUNITY TAB-CONDO INFORMATION COMMUNITY TAB-PETS
Condo Environment Y/N Condo Fees Condo Fees Term
Annual Monthly Quarterly Semi Annual
Pets Allowed Y/N Pet Restrictions Y/N
Yes No Yes No Yes No
REALTOR TAB-REALTOR
Realtor Information (25)
Agent / Owner Assumable Mortgage Brochure AvailableConfidentiality Letter Required
Corner Unit Corp Owned Relo
Covered Parking Deed Restrictions End Unit Environmental Report Fannie Mae Approved PilotFixer-Upper
Floodway Floor Plan Available Handyman Special In-Law Quarters Land Lease Lease Restrictions
Mature Landscaping Mtge - Owner Will Hold Needs TLC No Sign Oak Trees Owner Motivated
Owner Will Assist w/ Closing Costs
Owner Will Consider Exchange
Owner Will Consider Financing
Potential For Zone Change
Short Term Rental Allowed Survey
Sold As-Is
Survey Available Bring Paint Brush
Realtor Info (Confidential) (7)Disclosures (3)
Lead Paint Other
Superfund None
Bonus to Selling office Bonus to Lease office Contract for Deed Go To Site In Foreclosure
Lease Available Owner Occupied Pet on Premises Pre Foreclosure Tenant Approval
Tenant Occupied Vacant Variable Rate Commission
REALTOR TAB-AGENT/OFFICE **Agent Name Agent Email Agent Home Page
Agent Direct Phone Agent Pager/Cell Agent Fax List Agent 2 ID
List Agent 2 name List Agent 2 Email List Agent 2 Phone Team Name
**Office ID **Office Name Office Phone Agent Office Ext.
Office Fax List Office 2 IDList Office 2 Name
REALTOR TAB-COMPENSATION**Single Agent Comp **Non Rep Comp **Trans Broker CompBonus Y/N
Yes NoBonus Amount Bonus Expiration Date
**Agent ID
Bridges
Page 5
REALTOR TAB-SHOWING INFORMATIONCall Center Phone Number Showing Time Showing Time Secure Remarks
REALTOR TAB-IDX/VOW
**Internet Y/N **Show Prop on Address on Internet Y/N **IDX Y/N **Realtor.com Y/N Third Party Y/N
REALTOR TAB-MARKETING LINKS AND INFORMATION
**Create Automatic Virtual Tour Y/N Virtual Tour Link Virtual Tour Link 2 Web Link 1 Web Link 2
Set Appointment View Instructions
Call Listing Agent Call Agent 2 Contact Call Center Do Not Contact Tenants Call Prop Mgmt Office
**Showing Instructions (16)
Key/Agent Key-Listing Broker Office Locked Gate Other Use Request Showing ButtonGuard Dog
Yes No Yes No Yes No Yes No Yes No
Yes No
Appointment Only
**Public Remarks
Realtor Only Remarks
**Driving Directions
The Owner has reviewed the foregoing information contained in this Data Entry Form and acknowledges the information to be true and correct to the best knowledge of the owner.
The Owner agrees to indemnify and hold harmless the My Florida Regional Multiple Listing Service (MFRMLS), the Originating Board, and their employees, the Listing Broker and licensees, the Selling Broker and licensees, and all other cooperating Brokers and licensees against any and all claims or liability (including attorney’s fees) arising from any breach of warranty by Owner or from any incorrect information supplied by Owner or from any facts concerning the Property which was known or reasonably should have been known to Owner but not disclosed by Owner.
At the request of the Listing Broker, unless otherwise properly indicated on this Data Entry form, MFRMLS will electronically transmit information about Owner’s property to Internet web sites to aid in the marketing of the Property for sale.
MFRMLS shall retain and make available all such data and photographs to all its participants for an indefinite period.
MFRMLS assumes no responsibility or liability to Owner for errors or omissions on this Data Entry Form or in the MFRMLS computer system.
The Owner hereby authorizes Listing Broker to file this Data Entry form with the MFRMLS and the Owner will provide timely notice of all status changes.
DATE OWNER SIGNATURE OWNER SIGNATURE
DATE BROKER