Wasatch Front Regional MLS Listing Input Form

RES

Single Family, Condo, Mobile, Recreational, P.U.D.

Fields marked with an * are required

Property Location
Pricing Information
List Price* $ 

Previous MLS# _________________________

Address Information
Non-Standard Address (See Directions) o
House Number* 
Street Name or Number * 
Street Type
Unit Number 
Quadrant* o NW o NE 

o SW o SE 
Zip*
City* 
County*
State* 
Project / Subdivion 
Zoning 
HOA Information
HOA Fee / Month* 
HOA Contact 
HOA Contact Phone 
o Project Restrictions
o Senior Community
o Maintenance Fee

Short Sale*
o Not Short Sale
o Price Subject to 3rd Party Approval
o Price Previously Approved by 3rd Party
o Offer Under 3rd Party Review

School Information
School District* 
Elementary School* 
Junior High School* 
High School* 
Private School 
Other School 

Site Location

Tax / Parcel Information

o Assigned Parcel # OR* Taxes $ 
Tax Parcel Number* 

Style* o 2-Story

o Bungalow/Cottage

o Mobile

o Tri/Multi-Level

o A-Frame
o Cabin
o Rambler/Ranch
o Tudor

o Condo, High Rise

o Condo, Top Level

o Condo, Main Level o Condo, Middle Level

o Townhouse, Row-End o Townhouse, Row-Mid o See Remarks

Parking
Garage Parking Carport
Parking Capacity
R.V. Parking Height

BEDROOMS (MASTER)

Level 4

()

Level 3

()

Level 2

()

Level 1

()
()

(4th Floor)

(3rd Floor)

(2nd Floor)
(Main Floor)

Basement

o Voice o TDD

BATH
T H

Capacity 
R.V. Parking Length 

Lot Dimensions
Acres*
Frontage 
Frontage Facing o N o S o E o W o NE o SE o NW o SW
Side
Back 
o Irregular Shape
Deck
Patio 

o Basement
o Manufactured
o Split-Entry/Bi-Level
o Victorian

Basement Information
Basement Type* o None/Crawl Space o Daylight o Entrance
o Full o Partial o Shelf o Slab o Walkout o See Remarks
Basement Finished* 

Effective Year Built 

APPROXIMATE SQ FT

North / South
East / West

Construction Status* o Built/Standing o Under Construction o To Be Built

Water Shares 

o P.U.D.
Property Type* o Single Family o Condominium o Mobile (w/o land)

o Recreational o Townhouse
o Twin

Year Built*

oNoSoEoW
oNoSoEoW

FAMILY

DEN

FORMAL
LIVING ROOM

KITCHEN/DINING
B
F
S

LAUNDRY

FIREPLACE

Totals

(System Entered)

Listing Office Location

Listing Date*
Expiration Date* 
Owner Name 
o REO / Foreclosure / Bank Owned o HUD Owned o Owner / Agent
Contact Type o Agent o Owner o Secretary
Contact for Appointments & Access 
Contact Phone 1 
o Voice o TDD
Contact Phone 2 
o Voice o TDD
Listing Type* o EAL o ERS
Photo Instructions* o Please Take
o Under Construction

o I Will Provide
o To Be Built
Dual/VAR Rate* o Yes o No

Compensation Offered* BAC 

Possession 
o Publicly Searchable

Sellers Initials

Sellers Initials

REV 06/10 GSW

Date

Listing Agent Information

Agent Public ID*

BAC Based on* o Gross o NET

Co-Agent Public ID* 

Agent Name 
Co-Agent Name 
Office License ID# 
Office Name 

The information in gray will be supplied by the WFR Membership Database (Completion Optional)

Date
Form B - Res Page 1 of 4

Accessibility Features

Driveway / Access

Floor Coverings

Inclusions / Exclusions

o 32" wide doorways

o 36" wide hallways
o Access to elec. Outlets
o Audible alerts
o Ceiling lift system
o Elevator
o Frnt-cntrld stove / oven
o Fully accessible
o Grab bars
o Ground level
o Modified kitchen
o No-step entry
o Porch lift
o Ramp
o Roll-in shower
o Single level living
o Stair lift
o Universal design
o Visible alerts
o Visitable
o Wheelchair access
o See remarks

o Asphalt
o Circular
o Common Drive
o Concrete
o Dirt
o Gravel
o See Remarks

o Bamboo
o Carpet
o Cork
o Hardwood
o Laminate
o Linoleum
o Marble
o Natural Rock
o Slate
o Tile
o Travertine
o Vinyl
o See Remarks

Include Exclude

Recommended Maximum 8*

Recommended Maximum 2*

Environmental Certs
Recommended Maximum 3*

o Built Green
o Energy Star
o Home Energy Rating
o Leed
o See Remarks

Amenities

Exterior Special Features

o Cable Tv Available
o Cable Tv Wired
o Clubhouse
o Electric Dryer Hookup
o Exercise Room
o Gas Dryer Hookup
o Gated Community
o Home Warranty
o Park / Playground
o Sauna / Steam Room
o Swimming Pool
o Tennis Court
o Workshop
o See Remarks

o Atrium
o Attic Fan
o Awnings
o Balcony
o Barn
o Basement Entrance
o Bay Box Windows
o Deck, Covered
o Double Pane Windows
o Entry (Foyer)
o Greenhouse Windows
o Horse Property
o Out Buildings
o Outdoor Lighting
o Patio, Covered
o Porch, Open
o Porch, Screened
o Secured Building
o Secured Parking
o Skylights
o Sliding Glass Doors
o Stained Glass Windows
o Storm Doors
o Storm Windows
o Triple Pane Windows
o Walk Out
o See Remarks

Recommended Maximum 5*

Animals
Pick Only 1

o None
o Pets < 20 Lbs.
o Pets 20 - 75 Lbs.
o Pets > 75 Lbs.
o Livestock
o See Remarks

Sellers Initials
REV 06/10 GSW

Recommended Maximum 4*

o 2 Car Deep (Tandem)

o Attached
o Built-in
o Detached
o Extra Height
o Extra Length
o Extra Width
o Heated
o Opener
o Parking, Covered
o Parking, Uncovered
o RV Parking
o Storage Above
o Workbench
o Workshop
o See Remarks

Recommended Maximum 3*

o Central Air, Electric

o Central Air, Gas
o Evap. Cooler, Roof
o Evap. Cooler, Window
o Geothermal
o Heat Pump
o Natural Ventilation
o Refrig. Air, Window
o Seer 16 Or Higher
o Solar - Active
o Solar - Passive
o See Remarks

Recommended Maximum 2*

Garage / Parking

Exterior

o Aluminum / Vinyl
o Asbestos Shingles
o Asphalt Shingles
o Brick
o Cedar / Redwood
o Cement Board
o Cinder Block
o Clapboard / Masonite
o Composition
o Concrete / Glass
o Container
o Frame
o Insulated Concrete Forms
o Log
o Sips Panel
o Stone
o Straw Bale
o Stucco
o See Remarks

Air Conditioning

Recommended Maximum 3*

Heating

Recommended Maximum 3*

o 95% Efficiency Or Higher

o Electric
o Electric, Baseboard
o Electric, Radiant
o Forced Air
o Gas, Central
o Gas, Radiant
o Gas, Stove
o Geothermal
o Gravity Heater
o Heat Pump
o Heat Recovery
o Hot Water
o Hydronic
o Oil
o Propane
o Solar - Active
o Solar - Passive
o Space Heater
o Steam
o Wall Heater
o Wood Burning
o See Remarks

Recommended Maximum 10*

Date

Sellers Initials

Pick Up To 10*

o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o

o Alarm System
o Basketball Standard
o Ceiling Fan
o Compactor
o Dishwasher, Portable
o Dog Run
o Dryer
o Electric Air Cleaner
o Fireplace Equipment
o Fireplace Insert
o Freezer
o Gas Grill / Bbq
o Gazebo
o Hot Tub
o Humidifier
o Microwave
o Play Gym
o Projector
o Range
o Range Hood
o Refrigerator
o Satellite Equipment
o Satellite Dish
o Storage Sheds
o Swing Set
o Trampoline
o Tv Antenna
o Washer
o Water Softener, Own
o Water Softener, Rent
o Window Coverings
o Wood Stove
o Workbench
o See Remarks

Date
Form B - Res Page 2 of 4

Interior Special Features

Lot Facts

Show Instructions

Utilities

o Accessory Apartment
o Alarm, Fire
o Alarm, Security
o Bar, Dry
o Bar, Wet
o Basement Apartment
o Bath, Master
o Bath, Sep. Tub / Shower
o Central Vacuum
o Closet, Walk-in
o Den / Office
o Dishwasher, Built-in
o Disposal
o Floor Drains
o French Doors
o Gas Log
o Granite Countertops
o Great Room
o Instantaneous Hot Water
o Intercom
o Jetted Tub
o Kitchen, Second
o Kitchen, Updated
o Laundry Chute
o Low Voc Finishes
o Mother-in-law Apt.
o Oven, Double
o Oven, Gas
o Oven, Wall
o Range, Countertop
o Range, Down Vent
o Range, Gas
o Range / Oven, Built-in
o Range / Oven, Free Stdng.
o Silestone Countertops
o Theater Room
o Vaulted Ceilings
o See Remarks

o Additional Land Available

o Adjacent to Golf Course
o Corner Lot
o Cul-de-sac
o Curb & Gutter
o Drip Irrigation, Auto-full
o Drip Irrigation, Auto-part
o Drip Irrigation, Manual-full
o Drip Irrigation, Manual-part
o Fenced, Full
o Fenced, Part
o Greywater Collection
o Pervious Paving
o Private
o Rainwater Collection
o Road, Paved
o Road, Unpaved
o Secluded Yard
o Sidewalks
o Sprinkler, Auto-full
o Sprinkler, Auto-part
o Sprinkler, Manual-full
o Sprinkler, Manual-part
o Terrain, Flat
o Terrain, Grad Slope
o Terrain, Hilly
o Terrain, Mountain
o Terrain, Steep Slope
o View, Lake
o View, Mountain
o View, Valley
o Wooded
o See Remarks

o Agent Has Key

o Appt / Use Key Box
o Call / Use Key Box
o Call Agent / Appt
o Call Owner / Appt
o Call Tenant / Appt
o Key At List Office
o Key Box, Electronic
o Key Box, Mechanical
o Knock / Use Key Box
o Vacant
o See Agent Remarks

o Gas, Available
o Gas, Connected
o Gas, Not Available
o Gas, Not Connected
o Power, Available
o Power, Connected
o Power, Not Available
o Power, Not Connected
o Sewer, Available
o Sewer, Connected
o Sewer, Not Available
o Sewer, Not Connected
o Sewer, Private
o Sewer, Public
o Sewer, Septic Tank
o Water, Available
o Water, Connected
o Water, Not Available
o Water, Not Connected
o See Remarks

Recommended Maximum 10*

Landscaping

Recommended Maximum 5*

o Fruit Trees
o Landscaping, Full
o Landscaping, Part
o Mature Trees
o Pines
o Scrub Oak
o Stream
o Terraced Yard
o Vegetable Garden
o Waterfall
o Xeriscaped
o See Remarks

Sellers Initials
REV 06/10 GSW

Recommended Maximum 10*

Recommended Maximum 3*

Storage

Recommended Maximum 3*

o Basement
o Carport
o Garage
o Patio
o Shed
o See Remarks

Telecommunications
Recommended Maximum 4*

o Broadband Cable
o DSL
o Ethernet, Wired
o Fiber Optics
o Isdn
o Multiple Phone Lines
o T-1 Line
o Wireless Broadband
o See Remarks
Terms

Pool Features

Recommended Maximum 10*

Recommended Maximum 3*

o Assumption, Qualify
o Assumption, Simple
o Available T
o Rent
o Cash
o Commercial Fin. Req.
o Conventional
o Down Payment Assist.
o Exchange
$ Equity For Exchange Only
o Fha
o Lease Option
o Monthly
o Yearly
o Owner 2nd
o Seller Finance
o Seller Will Subordinate
o Va
o See Remarks

o Above Ground
o Concrete / Gunite
o Electronic Cover
o Fenced
o Fiberglass / Vinyl
o Heated
o In Ground
o Indoor
o With Spa
o See Remarks
Roof

Recommended Maximum 2*

o Aluminum
o Asbestos Shingles
o Asphalt Shingles
o Bitumen
o Composition
o Fiberglass
o Flat
o Metal
o Pitched
o Pvc
o Rolled-silver
o Rubber (Epdm)
o Stone
o Tar / Gravel
o Tile
o Wood Shake Shingles
o See Remarks
Date

Sellers Initials

Recommended Maximum 5*

Water

Recommended Maximum 3*

o Culinary
o Irrigation
o Irrigation, Pressure
o Private
o Rights, Owned
o Rights, Rented
o Secondary
o Shares
o Spring
o Well
o See Remarks
Window Coverings

Recommended Maximum 3*

o Blinds
o Draperies
o Full
o None
o Part
o Plantation Shutters
o Shades
o See Remarks
Zoning

Recommended Maximum 3*

o Agricultural
o Commercial
o Indust. / Manufact.
o Res. - Multi Family
o Res. - Single Family
o See Remarks

Date
Form B - Res Page 3 of 4

Remarks







Agent Remarks







Directions / Non-Standard Address







Exclusions Remarks







HOA Remarks








The Undersigned is the owner of the real property described in this Listing Input Form (Owner) and hereby acknowledges receipt of completed
copies of this document, (Form B, 4 pages) and the Exclusive Right to Sell Listing Agreement.
Owner acknowledges that Wasatch Front Regional Multiple Listing Service, Inc. (WFRMLS) maintains a multiple listing service database for brokers and agents, and others (the MLS Database), and a database of listings which is available to the public (the IDX Database). Owner consents
to WFRMLS including all of the information included in this Listing Input Form (the Listing) in the MLS Database and the IDX Database, and any
modifications of the MLS Database and IDX Database, the licensing of the MLS Database and IDX Database to any third party, disclosure and public
display of the Listing, and any other lawful use of the Listing by WFRMLS. Owner hereby irrevocably assigns and transfers to WFRMLS all right, title,
and interest in and to any copyright rights and other intellectual property rights, and any actions and causes of action related to the foregoing, and any
damages, profits and other recoveries related thereto, which Owner may have or acquire in and to the Listing and any and all photographs, images,
graphics, video recordings, virtual tours, drawings, written descriptions, remarks, narratives, pricing information, and other copyrightable elements
relating to the property that are associated with the Listing and any changes thereto (Listing Content).
Owner represents and warrants to WFRMLS that the information contained herein is correct and that the Listing, Listing Content, and the assignment
of rights to WFRMLS set forth above does not violate or infringe upon the rights, including any intellectual property rights, of any person or entity.
Owner agrees to indemnify and hold harmless WFRMLS against all damages, costs and liabilities, including reasonable attorney fees, arising from
any claim that the Listing, Listing Content, or any portion thereof infringes the rights of any third party.

Owners Signature
REV 06/10 GSW

Owners Signature
Form B - Res Page 4 of 4