FLORIDA - RENTAL COMMERCIAL PROPERTY
 MULTIPLE LISTING SERVICE
DATA FORM
FAX BACK TOLL FREE 877-471-8143 OR 954-252-4172

I wil send the signed listing agreement by:              US Mail             FAX

MLS listing period:           3 Months            4 Months           5 Months          6 Months     1 YEAR   

Minimum Rental Period (months)______________ Maximum Rental Period (months)____________________
                                     
Owners Full Name
: __________________________________________               ___________________

2nd Owners Full Name:__________________________________________________________________

Street Address of Property For Sale:

Street:_______________________________________     City:__________________________________

Unit #:_______           State:                                          _ ____       Zip:_____________________________

Mailing Address:
Street:_______________________________________     City:__________________________________

Unit #:_______           State:                                          _ ____       Zip:_____________________________

FLORIDA COUNTY WHERE PROPERTY IS LOCATED:___________________________________

Daytime Phone:                        ____________        Evening Phone:     _______                                 __       

Do you want both phone numbers on the MLS:       Yes     Just the day #      Just the night #       Other

EMAIL ADDRESS:___________________________________________________________________

FAX NUMBER:______________________________________     

Complex Name:_____________________________________________________________________    
Tax ID#                      ___     ___  
  Taxes $                     Tax Year                        Year Built____ ______

LEGAL DESCRIPTION:

_______                   ___                 __                              ______________________________________

                          ___                                                           ______________________________________

Lot Dimensions (Start with street frontage and move clockwise seperating dimensions with an X:____________
____________________________________________________________________________________

Current Zoning:__________________       Number of Floors:__________     Maximum Available Parking:___
Gross Leasable Area____________________       Minimum Space Available_________________________
Maximum Contigious Space_____________ _        Ceiling Height________      Gross Rental Rate_________
Are there any Anchor Tenants______________________________________________________________
Total # of Spaces Available in complex___________________
  Total # of Entrances to complex__________

PROPERTY DESCRIPTION (REMARKS) (up to 300 characters):

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

DIRECTIONS: (from a major road or intersection):

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

Amount of commission being offered to real estate agents:    2%   2.5%   3%   3.5%   4%  4.5%__5%  5.5%  6% 
If single amount of commission rather than a percentage please enter here:_______________________________

CHECK ALL OFF THE FOLLOWING THAT APPLY TO YOUR PROPERTY



TYPE OF BUSINESS PROPERTY: 
_____Automotive Service 
_____Educational 
_____Food Service 
_____Hotel/Motel
_____Industrial 
_____Land/Lot Only 
_____Medical/Dental
____Mobile Home Park
_____Office Building
_____Religious
_____Recreational/Resort
_____Retail Store
_____Warehouse
_____Wholesale
_____Commercial Farm
_____Building Supplie
_____ Manufacturing
____Marina
_____Other

BUILDING FEATURES: 
_____Security System
_____Sprinkler System
_____Loading Dock
_____Freight Elevator
_____Conveyor
_____Truck Scales
_____Security Fenced
_____Partially Fenced
_____Boiler
_____Rail
_______Lifts
_____Delivery Door
_____Display Window
_____Fixtures/Furniture
_____Additional Buildings
_____Billboard
_____Passenger Elevator
_____Equipment
_____Public Transportation
_____Industrial Outside Storage
_____Simi Turning Available
____Other

LOT DESCRIPTION/LOCATION: 
______Less than ½ acre 
_____½ - ¾ acre 
______¾-1 acre 
_____1-2 acre 
_____2-5 acre 
_____5-10 acre 
_____10-20 acre 
_____20-50 acre 
_____50-100 acre 
_____100+Acres

_____Corner Lot

_____Inside Lot
_____Industrial Park
_____Business Park
_____Shopping Center
_____Office Center
_____Freestanding
_____Inside City Limits
_____Other


 
CONSTRUCTION: 
_____Block
_____Brick
_____Frame
_____Steel/Metal
_____Stucco Unspecified
_____Stucco EIFS
_____Stucco Real
_____Precast Concrete
_____Front / Other
_____Steel and Glass
_____Precast Stone
_____Other
DOCUMENTS AVAILABLE: 
_____Copy of Lease
_____Enviornmental Study
_____Floor Plan
_____Legal Description
_____Plot Plan / Survey
_____Profit & Loss Statement
_____Cash Flow Analysis
_____Demographic Study
_____Topography Survey
_____Site Plan
_____Soil Survey
_____Soil Analysis
_____Perc Test
_____Aerial Photo

_____Other 
FARM / BUILDINGS: 
_____House
_____Garage
_____Barn
_____Feed Barn
_____Tractor Shed
_____Packing Shed
_____Chicken House
_____Hay Shed
_____Work Shop
_____Smoke House
_____Stables
_____Other

COOLING: 
_____Central A/C 
_____No A/C 
_____Window Unit
_____Wall Unit
_____Office Area Only
_____Humidity Control
_____Cooling Towers
_____Fans
_____Zoned
_____Other A/C 
HEATING: 
_____Electric
_____Gas
_____Solar
_____Oil
_____Propane
_____Baseboard
_____Central
_____Common
_____Floor Furnace
_____Forced Air
_____Heat Pump
_____Space Heater
_____Zoned/Dual
_____No Heating
_____Office Only
UTILITIES AVAILABLE: 
_____ Electricity
_____Natural Gas
_____ Propane
_____ Septic
_____ Sewer Available
_____ Well
_____ Water
_____ Cable TV
_____ Telephone
_____ Rail

____Underground Utilities
____High Speed Computer Access
____3 Phase Electricity
____Other 
____None
UTILITY SERVICES INCLUDED:
____Electricity,____Natural Gas,
____Propane, ____Water, ____Sewer,
____Water Individual Meter, ____Cable TV,
____High Speed Computer Access,
____Maintenance Service,____Pest Control,
____Security Service, ____Trash Collection,
Other:_____________________________
___________________________________

LEASE TERMS: 
_____Deposit Required
_______Buildout Allowance
_____Credit Report Required
______ Finance Statements Required
_____Triple Net Lease
_____Modified Gross lease
_____Federal Land Bank
_____Other
POSSESSION DATE: 
_____At Lease Signing
_____Negotiable
_____30 Days after Signing
_____Other


RENT INCLUDES: 
_____Buildings/Business/Land
_____Building and Land
_____Equipment
_____Furnishings
_____Land Only
_____Secretarial Services
_____Other
FLOOR TYPE: 
_____Concrete Slab/Grade
_____Reinforced Concrete
_____Concrete Structural
_____Vinyl/Vinyl Tile
_____Carpet
_____Ceramic Tile
_____Wood
_____Brick
_____Other

ROOF TYPE: 
_____Composition
_____Wood Shingle
_____Tile
_____Slate
_____Metal/Steel
_____Tar/Gravel
_____Concrete
_____Other

SPECIAL FEATURES: 
_____Franchise
_____Historical
_____Other
________________________ 
______________________
_____________________
_____________________
ROAD FRONTAGE: 
_____County / City Road
_____Dirt Road
_____Easement
_____Gravel
_____Interestate Service Road
_____Pavement
_____Private Road
_____State Highway
_____US Highway
_____None
_____Other

PARKING:
____Paved Lot
____Covered Parking
____Paid Parking
____Underground Parking
____Lot Security

BUILDING SQUARE FEET:
_____Under 2000
_____2,000-5,000
_____10,000-20,000
_____20,000-50,000
_____50,000-100,000
_____100,000-200,000
_____200,000 Plus
COMMENTS:________________
__________________________
__________________________
__________________________

SHOWING INSTRUCTIONS: 
_____Caution Alarm
_____Caution Guard Dog
_____Courtesy Call, Leave Message
_____Vacant

Owner/Seller understands and agrees that all the information above will be listed on the Multiple Listing Service and will be provided to agents who may represent other parties. Owner/Seller hereby waives any claims arising out of disclosure of such information to other parties.

Owner(s) agree(s) above information is true and correct to the best of his/her knowledge.

NAME  ______________________________________________  {Signature} ____________________________________________________

NAME  ______________________________________________  {Signature} ____________________________________________________

DATE____________________
   

 Fax to 877-471-8143 (toll free) or 954-252-4172
Realty-Mart America

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