Detached Form

Northern Illinois Home Builder’s Realty, Inc.
Single Family Detached Home (New Proposed or Under Construction)

*** ALL ITEMS IN BOLDFACE PRINT ARE MANDATORY ITEMS AND MUST BE COMPLETED ***

Listing Date: Expiration Date of Listing: Listing Price:

Mailing Address:

(House #, Compass Point, Street Name, City, State, Zip)

Directions:

(Directions should be explicit and clear.)

Check here if you want the MLS to take a photo of the listed property for display in the MLS Book and MLS Computer. (There is no charge for MLS picture to be taken at time of listing. A charge of $6 to $10 for pictures taken by MLS at later date.)

If you do not wish to have the MLS take a picture of the listed property, check here if you are supplying a rendering or a picture of a similar home. (If you are supplying a rendering or a photo of a similar home, it must be included with this form.)

Check here if you would like to order a Virtual Tour? (You will be contacted by the vendor if you wish to consider a virtual tour.)

County: Township: Water Frontage: Check box if yes

Ownership of Home will be conveyed as (check one):

Condominium Fee Simple Fee Simple w/H.O. Association

Subdivision: Within Corporate Limits of:

(Write unincorporated if applicable)

Built in what year? Model: Acreage:

Lot Dimensions:

Total # of Rooms: Total # of Bedrooms: # of Bathrooms: full half

Master bedroom bath? Yes # of Fireplaces: Basement?Yes Bath in Basement? Yes

Parking in: Garage Parking Lot If in Garage, # of Car Garage: Special Assessments? Yes

Property Identification Number (PIN#): Multiple PIN #s? Yes

Lowest "R" Values of Insulation: Walls Ceiling

Is this home? completed and ready for occupancy under construction proposed construction

Approximate Square Footage of Home:

New Construction? Yes Estimated Date of Occupancy

Assessments or Association Dues $ per: year month quarter voluntary

ALL ROOMS LISTED MUST INCLUDE SIZE, FLOOR LEVEL AND FLOORING INFORMATION

Window

Room Room Size Level Flooring Treatments

Name of Grade School: and Grade School District #:

Name of Junior High School: and Jr. High District #:

Name of High School: and High School District #:

Showing Instructions:

What compensation do you authorize for a selling agent? $ or % of full sale price

Do you want a keybox (lockbox) placed on the home? Yes When?

Remarks or Supplemental Description:

Owner of Record:

Name Contact Person: Title :

Builder's Name:

Builder's Company:

Address: Phone: Fax:

If a cooperating broker must reach you to present an offer and no one is available at the preceding telephone number, at what telephone number or pager number may you be reached?

Phone: Pager:

The above information is true and accurate. If any of the above information changes, I agree to notify Northern Illinois Home Builder's Realty. If the Multiple Listing Service of Northern Illinois Imposes a fine on NIHBR because of inaccurate information supplied by Builder or as a result of Builder's failure to report the acceptance of a sales contract or the closing of the property within 24 hours or occurrence, Builders agrees to pay such fine.

Agree Do not Agree

Please mark the appropriate features under each category of information. Those categories that are preceded by asterisks (****) are mandatory MLS fields and must be complete by marking the appropriate features under that category. Those categories that are not preceded by asterisks are optional categories of information and do not have to be filled in. However, the more information you provide about the features of your home, the easier it will be for Realtors to promote your home in a knowledgeable and professional manner.

****AGE****

A=0-5 years

H=New

K=Proposed Construction

L=Under Construction

N=Will Build to Suit

AMENITIES

Club House

Park/Playground

Pool

Tennis Courts

Horse-Community Barn

Horse-Riding Area

Horse-Riding Trails

Landing Strip

Pond/Lake

Dock-Community

Water Rights

****INFORMATION****

C=Home Warranty

F=School Bus Service

G=Commuter Bus

H=Commuter Train

OPTIONS FOR NEW CONSTRUCTION (Available at Additional Cost)

A=Air Purified/Humidifier

B=Appliance Package/Allowance

C=Basement/lower level exterior exit

D=Basement/lower level finished

E=Basement/lower level stubd in bath

F=Central Air

G=Central Air Ready

H=Deck/Patio/Screened Porch

I=Electrical Allowance

J=Energy Efficient Package

K=Exterior Brick/Cedar

L=Fireplace

M=Basement

N=Garage

O=Hardwood/Ceramic Floors

P=Hot Tub/Pool

Q=Landscaping

R=Oak Trim/Oak Staircase

S=Roof Cedar/Shakes/Tile

T=Skylights

U=Upgrade Carpet/Pad/Vinyl

V=Upgrade Interior/Exterior Doors

W=Vaulted/Cathedral Ceiling

X=Vinyl-Clad Windows

Y=Whirlpool Tub

Z=Other

****TYPE****

A=1 Story

B=1.5 Story

C=2 Stories

D=3 Stories

E=4+ Stories

F=Coach House

G=Earth

H=Hillside

I=Raised Ranch

J=Split Level

K=Split Level/Sub

L=Other

****LOT SIZE****

A=Less than .25 acre

B=.25 - .49 acre

C=.50 - .99 acre

D=1.0 - 1.99 acres

E=2.0 - 4.99 acres

F=5.0 - 9.99 acres

G=10+ acres

FOUNDATION

A=Block

B=Brick

C=Concrete

D=Pillars

E=Reinforced Caisson

F=Stone

G=Wood

H=Other

STYLE

A=American 4-Sq.

B=Bi-Level

C=Brownstone

D=Bungalow

E=Cape Cod

F=Colonial

G=Contemporary

H=Cottage

I=English

J=Farmhouse

K=French Provincial

L=Georgian

M=Greystone

N=Log

O=Mediterranean/Spanish

P=Prairie

Q=Quad Level

R=Queen Anne

S=Ranch

T=Row House

U=Step Ranch

V=Traditional

W=Tri-Level

X=Tudor

Y=Victorian

Z=Other

IMPROVEMENTS-OTHER

A=Curbs & Gutters

B=Gated Entry

C=Sidewalks

D=Street Lights

E=Streets Paved

F=Other

****EXTERIOR****

A=Aluminum/Vinyl/Steel Siding

B=Brick

C=Cedar

D=Frame

E=Block

F=Dryvit Type

G=Glass

H=Log

I=Masonite

J=Shakes

K=Stucco

L=Stone

M=Marble/Granite

N=Concrete

O=Asbestos Siding

P=Limestone

Q=Slate

R=Other

S=Clad Trim

ROOF

A=Asphalt/Glass (Rolled)

B=Asphalt/Glass (Shingles)

C=Metal

D=Rubber

E=Slate

F=Tar & Gravel

G=Tile

H=Wood Shakes/Shingles

I=Other

LOT DESCRIPTION

A=Beach

B=Chain of Lakes Frontage

C=Channel Front

D=Common Grounds

E=Corner

F=Cul-De-Sac

G=Dimensions to Center of Road

H=Fenced Yard

I=Forest Preserve Adjacent

J=Golf Course Lot

K=Horses Allowed

L=Irregular

M=Lake Front

N=Landscaped Professionally

O=Legal Non-Conforming

P=Paddock

Q=Park Adjacent

R=Pond

S=River Front

T=Stream

U=Water View

W=Wooded

****GARAGE****

A=Attached

B=Detached

C=1 car garage

D= 1.5 car garage

E=2 car garage

F=2.5 car garage

G=3 car garage

H= 3+ car garage

M=Garage Door Opener (auto)

N=Transmitters

O=Carport

P=Heated

Q=Leased

R=Owned

S=Underground

U=None

DRIVEWAY

A=Asphalt

B=Brick

C=Concrete

D=Dirt

E=Gravel

F=Circular

G=Shared

H=Off Alley

I=Side Drive

J=Heated

K=Other

****AIR CONDITIONING****

A=Central Air

B=Partial

C=Space Pat

D=1 window/wall unit

E=2 window/wall unit

G=3+ window/wall unit

H=Zoned

I=None

****IMPROVEMENTS WATER****

A=Lake Michigan

B=Public

C=Private Company

D=Well - Community

E=Well - Private

F=Well - Private Company

G=Well - Shared

H=Other

****IMPROVEMENTS SEWER****

A=Septic - Mechanical

B=Septic - Private

C=Septic - Shared

D=Sewer - Public

E=Sewer - Storm

F=Holding Tank(s)

G=Overhead Sewers

H=Other

ELECTRICITY

A=Circuit Breakers

B=Fuses

C=200 Amp Service

D=150 Amp Service

E=100 Amp Service

****HEAT/FUEL****

A=Gas

B=Electric

C=Oil

D=Propane

E=Solar

F=Forced Air

G=Hot Water/Steam

H=Baseboard

I=Radiant

J=Gravity Air

K=Heat Pump

L=Radiators

M=Space Heaters

N=2+ Sep. Heating Systems

O=Individual Controls

P=Zoned

Q=Others

R=None

EQUIPMENT

A=Humidifier

B=Water Softener - Owned

C=Water Softener - Rented

D=Central Vacuum

E=TV - Cable

F=TV-Dish

G= TV Antenna

H=TV Rotor

I=Security System

J=Intercom

K=Fire Sprinklers

L=CO Detectors

M=Ceiling Fan

N=Fan - Attic Exhaust

O=Fan - Whole House

P=Sump Pump

Q=Sprinkler - Lawn

R=Air Cleaner

****BASEMENT****

A=Full

B=Partial

C=Walkout

D=Finished

E=Partially Finished

F=Unfinished

G=Crawl

H=Cellar

I=English

J=Sub-Basement

K=Slab

L=Exterior Access

M=Other

N=None

ATTIC

A=Dormer

B=Finished

C=Full

E=Interior Stair

F=Pull Down Stair

G=Unfinished

****BATH****

A=Master Bath - Full

B=Master Bath - Half

C=Shared Master Bath

D=Whirlpool

E=Separate Shower

F=Handicap Shower

G=Steam Shower

H=Double Sink

I=Bidet

DINING ROOM

A=Separate

B=Combined with Family Room

C=Combined with Living Room

D=L Shaped

KITCHEN

A=Eating Area - Breakfast Bar

B=Eating Area - Table Space

C=Galley

D=Island

E=Pantry - Butler

F=Pantry - Closet

G=Pantry - Walk - In

FIREPLACES

A=Location - Family Room

B=Location - Living Room

C=Location - Master Bedroom

D=Location - Basement

E=Location - Other

F=See Through/Multi-Sided

G=Wood Burning

H=Wood Burning Stove

I=Attached Fireplace

Doors/Screen

J=Electric

K=Gas Logs

L=Gas Starter

M=Heatilator Type System

N=Includes Accessories

O=Portable/Ventless

P=Decorative Only

Q=Foundation Only

FEATURES

A=Handicapped Access

B=Handicapped Equipped

C=Deck

D=Patio

E=Porched-Screened

F=Vaulted/Cathedral Ceiling

G=Skylights

H=Balcony

I=Porch

J=Gazebo

K=Greenhouse

L=Storage Shed

M=Dog Run/Invisible Fence

N=Horse Barn/Pole Barn

O=Tennis Courts

P=Boat Dock/Mooring

Q=Pool - Above Ground

R=Pool - In Ground

S=Pool - Indoors

T=Hot Tub

U=Sauna/Steam Room

V=Bar-Dry

W=Bar-Wet

X=Roof Deck

APPLIANCES

A=Oven - Double

B=Oven - Range

C=Microwave

D=Dishwasher

E=Dishwasher - Portable

F=Refrigerator

G=Refrigerator - Bar

H=Freezer

I=Washer

J=Dryer

K=Disposal

L=Compactor - Trash

M=Grill - Indoor

N=Grill - Outdoor

OTHER ROOMS

A=1st Floor Bedroom

B=Darkroom

C=Den/Office/Study

D=Enclosed Balcony

E=Exercise Room

F=Family Room

G=Gallery/Foyer

H=Great Room

I=In-Law Arrangement

J=Kitchen - Second

K=Library

L=Loft

M=Maid's Room

N=Porch - Enclosed

O=Porch - Screened

P=Recreation

Q=Sitting Room

R=Sunroom/Florida Room

T=Utility/Laundry 1st Floor

U=Utility/Laundry 2nd Floor

V=Workshop

****MONTHLY ASSESSMENT INCLUDED****

A=Heat

B=Air Conditioning

C=Water

D=Electric

E=Gas

F=Parking

G=Tax

H=Common

I=Security

J=Security System

K=Doorman

L=TV/Cable

M=Club House

N=Exercise Facilities

O=Pool

P=Exterior Maintenance

Q=Lawn Care

R=Scavenger

S=Snow Removal

T=Lake Rights

U=Other

V=None

****POSSESSION****

A=Closing

B=Immediate

D=Negotiable

E=Prior to Closing

F=Specific Date

H=Other

TERMS

A=Conventional

B=FHA

C=VA

D=Assumption-Conventional

H=Contract (Articles) for Deed

I=Builder May Help/Assist

J=Purchase Money Mortgage

L=Rent w/Option

O=Cash Only

P=Other

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