1. real estate

Fax Cover Sheet for REIN Document Manager Inbox
User Name: Debbie Crevier-Kent
Office: Cottage Street Realty, LLC
Fax Number: (866)921-0082
Instructions:
Use this cover sheet to send documents to Debbie Crevier-Kent’s Document Inbox. You can
also email the document to [email protected].
If sending multiple documents
[email protected]
use this cover page as a separator between each document.
Comments:
PLEASE READ - IMPORTANT
The RED fields MUST be filled in or signed prior to sending
back to us. You can also digitally sign these documents. Not sure how - click
here - http://www.youtube.com/watch?v=tjThKppi_iw
Then simply hit the SAVE AS PDF to save a copy on your computer and then (if
you have OUTLOOK) hit the SUBMIT BUTTON TO SEND BACK TO US or If
you Do Not have OUTLOOK, you may attach the pdf to an e-mail and send
back to [email protected]
OR if Faxing back - you must use this cover sheet as the first page of all faxes
you send to us or we will not get the fax.
ATTENTION HOMESELLER:
tenant finds you without the help of a
Thank you for choosing our exciting Flat Fee MLS program. If a buyer
Realtor, you pay no commission!! IfIf aa Realtor
sells
your
home,
you
pay will
a 1-3%
theagent
selling
Realtor brings your tenant, then you
pay acommission
set amount totothat
(10-25%
is recommmended).
agent
(3%
is recommended). Retain the right to sell
rent your house "By Owner" AND get the exposure of the
MLS all at the same time! We will actively market your home on Realtor.com, Zillow, Trulia in addition to
hundreds of nationally syndicated sites.
Attached you will find the Paperwork which is required to put a house on the MLS. Fill out all that you can
and then feel free to give us a call or shoot us an e-mail with the items you are unsure about. Please be
sure whoever is on your deed, signs this paperwork. Anything regarding rentals or leasing does not
apply unless you are renting your property. You do not need to fill out your mortgage info or tax info
either.
Once we receive the paperwork back, we will load you up to the MLS within 1-2 Business Days. You may
fill out the paperwork on the computer and then simply hit "SAVE AS A PDF" to save a copy on your
computer and then attach it to an e-mail to return to us. Or you may scan in the paperwork (as a PDF
only) to e-mail it back to us or you may Fax it using the attached cover sheet with fax number on it
(Cover sheet must be first page of fax so computer knows which agent to sent it to) or you may drop it off
to the For Sale By Owner Office.
Once your listing has been entered, an e-mail will be sent to your provided email address to proof the
listing. You have 24 hours to review for any errors we may have made inputting your listing, free of
charge, unless you signed up for unlimited changes. All Corrections must be contained in ONE e-mail.
PLEASE NOTE: This is a review period and NOT an opportunity to make additions or changes to the
originally submitted listing data, but rather to ensure the accuracy of the information submitted.
BE SURE to E-MAIL or FAX BACK this ENTIRE packet signed to get started.
The Seller Understands:
A commission will be paid to the selling agent not the listing agent– per the attached listing agreement.
Price changes are free – any other changes $15 each.
We strongly recommend lockboxes and open houses.
Realtor.com Showcase is strongly recommended if it is not included in your package.
Listing can be cancelled anytime during business hrs after return of rental items but there are no refunds.
All general (not support) MLS questions will be answered via e-mail - unless your pck inc assistance opt.
All leads from our office are sent via e-mail - check your e-mail frequently
All offers are sent via e-mail - check your e-mail frequently
All Sales are Final – There are no Refunds.
Some packages include all the below “Add-On Options”. Some clients prefer to pick the options they
want with their basic package. All general (not support) MLS questions will be answered via e-mail.
Phone support is available as an option. Assistance Option/Phone support is provided with certain
packages .We strongly suggest the Assistance Option Contract/Phone Support if you are new to this
process and think you will need help throughout the transaction.
Signs and lockbox must be returned prior to closing, expiration or cancellation. If you request
pick-up of signs/lockbox - min 1 week notice required and you forfeit your deposit.
Add-On Options: See Credit Card form for pricing and descriptions of options on the next page.
Seller:________________________________________________
Date:_________________
For Sale By Owner & Cottage Street Realty – [email protected] – 540-582-5777
Add-On Options Descriptions:
Lockboxes
You have your choice of a Realtor or Combo lockbox. See FAQ's for more details. A Lockbox is one of the most
important factors when selling your home in the MLS. Without a lockbox - understand you are eliminating about 50%
of agents. When a buyer is in an agent's office – most times – they are ready to hit the road and start looking. An
agent does not want to wait for you to get home so they can show your home. They want to show it when the buyer
is ready & they are in your area. The fewer obstacles you put up when selling your home, the faster your home will
sell. Make it convenient for an agent to show your home & sell your home. Seller must return Lockbox prior to
Ad/MLS expiration, cancellation or close date. If seller requests us to pick up lockbox/signs (not available in all
areas), seller forfeits deposits. Combo boxes are also available - you can give out combo to control when someone
is entering your home. Sorry Richmond CVR MLS does not allow combo boxes.
Home Warranty
Most sellers are offering it and we strongly recommend it. It covers the heating, ac, plumbing, appliances and
electrical for the buyer for one year. If something breaks down - the home warranty company will repair or replace
whatever is necessary and the buyer just pays a small deductable.
Extra Pictures
Remember, a picture says a thousand words so more is better. If a Buyer doesn't see pictures of all rooms
of your home on the website, they will assume something is wrong with it and that is why there are so few
pictures. Most of our clients average, around 15 – 20 pictures – some do the max the MLS allows. Don’t
waste your valuable time showing your home to people that don’t even like the inside. Let them see it online.
If they come to take a look after they have previewed all your pictures – you know they are truly interested in
possibly purchasing your home.
CMA/Comps
All too often, sellers will spend money marketing their home – but don’t take the time to figure out the correct
price for their home for sale. For a small fee – we will run comps (CMA – comparable market analysis) for
you so you can see what is active in your neighborhood (your competition), in addition to homes that are
under contract, sold, expired and withdrawn. Obviously the expired properties and withdrawn properties for
sale didn’t work. You want to pay close attention to the properties that have sold and are under contract
(especially the ones similar to your property for sale).
For Sale By Owner or Cottage Street Realty Professional Yard Signs
Give the buyer peace of mind knowing that you are using a professional For Sale By Owner Company. Remember
this is the largest purchase of their life and they are not going to want you to be writing their contract, etc. Sign Panels
are provided. In addition, Professional Post and Frame Signs are available for rent. You may pick up sign or you may
request
delivery - alloworatour
least
5 business
for signs
to beOnly).
delivered/mailed. Prior to ad expiration/cancellation
at our Fredericksburg
Virginia
Beachdays
Location
(By Appt
or sale, seller must return all signs/lockboxes. If seller requests us to pick signs up (min 1 wk notice required and not
available in all areas) - seller forfeits deposits. Sign/Lockbox deposits are refunded within 6 wks.
MLS Contract Assistance and Business Hour Support -- is available for only $475.
Compare to other companies that charge $2500 for the same service. We help you through the difficulty of
understanding complexities of offers presented to you. We assist you with the details of your real estate transaction &
advise whether to accept, reject, or counter offer sales contracts presented to you by selling agents. We guide you
through the home inspection process, buyer's qualifications & settlement details. Remember this is the largest
purchase of the purchaser’s life & the purchaser does not want you to write their contract, etc. Don’t scare them
away – tell them you have professionals ready to help.
MLS Contract Assistance and Business & After Hour Support -- is available for only $975.
As part of FSBO's commitment to our customers, we are offering this extended unlimited support plan to our
customers as an option when our retail offices are closed. You will be given direct access to the private cell phone
number of your personal consultant (see attached FSBO After-Hours Customer Consultation form) to sign up.
Cottage Street Realty, LLC
Computer generated using AutoContract™ v6.02 software, from AutoRealty, LLC, 1060 W. Pipeline, Suite 101, Hurst, TX 76053, (800) 322-1178
72411132leaseagreement.000.Esf
printed 07-24-2008
✔
✔
If you are not sure what Dual and Designated agency is - see our website FAQs for full explanation
Computer generated using AutoContract™ v6.02 software, from AutoRealty, LLC, 1060 W. Pipeline, Suite 101, Hurst, TX 76053, (800) 322-1178
72411132leaseagreement.000.Esf
printed 07-24-2008
N/A
90
B) The Listing Agent has been paid a flat fee for services and it is non-refundable.
Computer generated using AutoContract™ v6.02 software, from AutoRealty, LLC, 1060 W. Pipeline, Suite 101, Hurst, TX 76053, (800) 322-1178
N/A
N/A
72411132leaseagreement.000.Esf
printed 07-24-2008
ALL RED FIELDS MUST BE FILLED IN BEFORE SUBMITTING - IF THEY ARE NOT FILLED IN WE WILL HAVE TO RETURN THE PAPERWORK TO YOU - AS THEY ARE REQUIRED FIELDS.
Computer generated using AutoContract™ v6.02 software, from AutoRealty, LLC, 1060 W. Pipeline, Suite 101, Hurst, TX 76053, (800) 322-1178
✔
✔
Cottage Street Realty, LLC
Digitally signed by dk
DN: cn=dk, o=Cottage Street Realty,
LLC, ou, [email protected],
c=US
Date: 2013.03.06 19:28:57 -05'00'
Debbie Crevier-Kent
757-301-1764
[email protected]
72411132leaseagreement.000.Esf
printed 07-24-2008
CENTRAL VIRGINIA REGIONAL MLS
RENTAL DATA INPUT FORM
PAGE 1
All Red Fields
Are Required
- If not
complete
weREQUIRED
will have to return to you.
SHADING
INDICATES
THE
FIELD-IS
__/__/____
__/__/____
LIST AGENT
LIST OFFICE
___________
EXPIRATION DATE
LIST DATE
7 4 7 1 5
CODE: _______________
C S T R 0 1
CODE: _______________
LIST AGENT
LIST OFFICE
RENTAL PRICE
Debbie
Crevier-Kent
NAME: ____________________________________________________
Cottage Street Realty LLC
NAME: ____________________________________________________
CO-LIST AGENT CODE: ____________ CO-LIST AGENT NAME: _________________________________________________
Condo/Townhouse
T
(CIRCLE
PARTMENT CONDO
/TOWNHOUSE DUPLEX
HOUSE QUAD T
RIPLEX
House
Apartment
Duplex
IsYPE
Your
Home:ONE): A
LEASE TERMS: ___ MONTH ___ OTHER ___YEAR
Quad
Triplex
APPLICATION FEE AMOUNT PER APPLICANT: $______ DEPOSIT: $_________
APPLICATION FEE DESCRIPTION: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
REQ’D IF APPL FEE AMOUNT > $0
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (50 CHARACTERS)
GOVERNMENT ASSISTANCE SUBSIDY ACCEPTED: __ YES __ NO
OCCUPANCY DATE: __________________
AREA: _____
COUNTY/CITY: _________________________________________
STREET #: __________ STREET DIRECTION (CIRCLE ONE): EAST NORTH NORTHEAST NORTHWEST SOUTH SOUTHEAST SOUTHWEST
WEST
SFull
TREET
NAME: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Property
Address __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (64 CHARACTERS)
STREET EXT: _____ STATE: _____ ZIP: __________ ZIP +4: __________ UNIT # __________
MAP BOOK (CIRCLE ONE): CVRMLS CHESTERFIELD NONE PETERSBURG RICHMOND SOUTHSIDE VIRGINIA STATE WILLIAMSBURG
SENIOR REAL ESTATE SPECIALISTS
MAP BOOK COORDINATES: ___________________
ACRES _____________
SUBDIVISION: ______________________________________________________________________________________
NEIGHBORHOOD: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (25 CHARACTERS)
ELEMENTARY SCHOOL: ______________________________
MIDDLE SCHOOL: __________________________________
HIGH SCHOOL: ___________________________________
OTHER SCHOOL: ___________________________________
DIRECTIONS: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Directions
__ __ __ __ __to__My
__ Home:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (215 CHARACTERS)
ASSOCIATION: ___ YES ___ NO
REFERRAL FEE $___________
REFERRAL FEE % __________
CHOOSE EITHER DOLLAR OR PERCENTAGE
REQUIRED IF ASSOCIATION = YES
MEMBERSHIP REQ’D: __ YES __ NO FEE $ _____________
FEE PERIOD: __ MONTHLY __ QUARTERLY __ YEARLY
FEE PAID BY (CIRCLE ONE)
OWNER TENANT
SNo
HOWING
INSTRUCTIONS
(CIRCLE ONE): LB CALL AGENT
LBLB
CALL
LB CALL OWNER
LB Call
Tenant
CallTENANT
Tenant LB GO DIRECT
NO LB CALL AGENT NO LB
ALL
TENANT NO LB GO DIRECT NO LB CALL OWNER
No LB Call Owner
LB C
Go
Direct
LB__
Call
ADDITIONAL SHOWING INSTRUCTIONS: __ __ __ __ __ __ __ __
__Owner
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (60 CHARACTERS)
LOCKBOX: __ YES __ NO
LOCKBOX TYPE: ___ COMBO BOX ___ SUPRA IBOX
OWNER/AGENT ___ YES ___ NO
REQ’D IF LOCKBOX = YES
*** ALL INFORMATION DEEMED RELIABLE BUT NOT GUARANTEED ***
REVISION DATE 11/14/11
This form was produced by Debbie Crevier-Kent. CVR MLS forms may be used only by members in good standing of the
Central Virginia Regional MLS.
CENTRAL VIRGINIA REGIONAL MLS
RENTAL DATA INPUT FORM
PAGE 2
SHADING
INDICATES
FIELD IS-REQUIRED
All Red Fields Are
Required
- If notTHE
complete
we will have to return to you.
FIN SQFT: _______
# ROOMS: _______
# BEDROOMS: _______
GARAGE: __ YES __ NO # CARS (CIRCLE ONE): 1 1.5 2 2.5 3 4+
REQ’D IF GARAGE = YES
#FP: _____
POOL: __ YES __ NO
# FULL/HALF BATHS: _______
# ASSIGNED SPACES: _______
PETS: __ YES __ NO __ CONDITIONAL
SMOKING: __YES __NO
# LEVELS: _______
BASEMENT: __ YES __ NO
FURNISHED: __YES __NO
YEAR BUILT: _______ YEAR BUILT DESCRIPTION: __ACTUAL __APPROXIMATE __HISTORIC __MIXED __NEW __RENOVATED
__TO BE BUILT __UNDER CONSTRUCTION __UNKNOWN
REMARKS (800 CHARACTERS)
_ _ _ _ _ _ _ _ _ABOUT
_ _ _ _ MY
___
__________________________________
DESCRIPTION
HOME:
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
AGENT ONLY COMMENTS (510 CHARACTERS)
__
_ _ _ _contact
_ _ _ _owner
_ _ _ _for_ info
_ _ _and
_ _questions
_ _ _ _ _ _at_________________________________.
_______________________
Please
__________________________________________________
_ _ _ _ _ _ _ _ _ _All
_ _information
_ _ _ _ _ _was
_ _ _provided
_ _ _ _ _by_ owner,
_ _ _ _ please
_ _ _ _ verify
_ _ _ _info.
___________
_ _ _ _ _ _ _ _ _ _E-mail
____
____
_ _ _ _ _ _ _ _ _ _ _ _ and
_ _ _to_ seller
____
all_offers
[email protected]
at:_ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _____________________________________.
_____________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__ __ __ __ __ __ __ __ __ __
*** ALL INFORMATION DEEMED RELIABLE BUT NOT GUARANTEED ***
REVISION DATE 11/14/11
This form was produced by Debbie Crevier-Kent. CVR MLS forms may be used only by members in good standing of the
Central Virginia Regional MLS.
IMPORTANT: The number next to the heading of each group states how many you can check off under that group.
PLEASE do not check off more as the system will only load the the amount it is allowed.
CENTRAL VIRGINIA REGIONAL MLS
RENTAL DATA INPUT FORM
PAGE 3
All Red Fields Are
Required
- If not complete
- we
will have to return to you.
SHADING
INDICATES
THE FIELD IS
REQUIRED
PARKING (3 MAX)
ASSIGNED
CARPORT
CIRCULAR DRIVE
COMMON DRIVE
COVERED
DOUBLE WIDTH
IN ALLEY
NO PARKING
OFF STREET
ON STREET
PAVED DRIVEWAY
UNDERGROUND
UNPAVED DRIVEWAY
VALET
VISITOR
REQ’D IF GARAGE = YES
GARAGE TYPE (6 MAX)
APARTMENT
ATTACHED
AUTO DOOR OPENER
DETACHED
DIRECT ENTRY
FINISHED
HEATED
NO GARAGE
OTHER
OVERSIZED
STORAGE ABOVE
UNFINISHED
WORKSHOP
STYLE (2 MAX)
2-STORY
A-FRAME
CAPE
COLONIAL
CONTEMPORARY
COTTAGE/BUNGALOW
CUSTOM
DUTCH COLONIAL
FARM HOUSE
GENTLEMAN FARM
GREEN CERT HOME
HI-RISE
LOG
LOW-RISE
MEDITERRANEAN/
SPANISH
MID-RISE
MOBILE HOME
MODULAR
OTHER
(CONT NEXT COLUMN)
PATIO HOME
RANCH
ROWHOUSE
SALTBOX
SPLIT FOYER
TRANSITIONAL
TRI/QUAD LEVEL
TUDOR
WATER/SEWER (2 MAX)
COMMUNITY SEWER
COMMUNITY WELL
OTHER
PUBLIC SEWER
PUBLIC WELL
SEPTIC
WELL
HEAT FUEL (3 MAX)
COAL
ELECTRIC
GEOTHERMAL
MULTI-FUEL SYSTEM
NATURAL GAS
NONE
OIL
OTHER
PROPANE GAS
SOLAR
WOOD
INTERIOR (10 MAX)
1ST FLOOR BEDROOM
1ST FLOOR BEDROOM W/
FULL BATH
1ST FLOOR MASTER BED
ROOM
9FT + CEILINGS
ATRIUM
BAY/BOW WINDOW
BEAMED CEILING
BREAKFAST NOOK
BREEZEWAY
BUILT-IN CABINET/BOOK-
AMENITY (10 MAX)
ASSOCIATION
BASKETBALL
CITY VIEW
CLUBHOUSE
HEATING (3 MAX)
CASES
COMMON AREA
2 ZONED HEAT
BUTLERS PANTRY
COMMON LAUNDRY
3 OR MORE ZONES
CABLE TV
COMMUNITY ROOM
BASEBOARD
CATHEDRAL CEILING
CONTROLLED ACCESS
CENTRAL BOILER
CEILING FAN
DECK
COAL STOVE
CENTER HALL
DOCK
ELECTRIC
DINING AREA
ELEVATOR
FLOOR FURNACE
DOUBLE VANITY
EXERCISE ROOM
FORCED HOT AIR
DRYER HOOKUP
EXTRA STORAGE
GEOTHERMAL
DSL
FENCED COMPLEX
HEAT PUMP
EAT-IN KITCHEN
GATED COMMUNITY
HOT WATER
FIRE SPRINKLER
GOLF COURSE
HOT WATER COIL
FIREPLACE INSERT
HOT TUB
OTHER
FORMAL DINING ROOM
INTERCOM
RADIANT
FRENCH DOORS
JOGGING PATH
RADIATOR
HOT TUB
KIDDIE POOL
SPACE HEATER
HOUSEKEEPERS QUARTERS
LANDSCAPING
STEAM
INTERNAL BALCONY
LIFEGUARD
TIMER THERMOSTAT
INTERNET READY
LOCKED STORAGE
WALL FURNACE
ISLAND
MARINA
JETTED TUB
NONE
LOFT
C
OOLING (3 MAX)
FLOORING (4 MAX)
OFFSITE VEHICLE STORAGE
MBR BATH
2
Z
ONED A/C
CARPET - PART
ON BUS LINE
PANTRY
3
O
R MORE ZONES
CARPET - W/W
PLAYGROUND
RECESSED LIGHTING
C
ENTRAL AIR
CONCRETE
PROFESSIONAL MANAGEMENT
Central
Cooling
UnitUNIT ROUGH-IN BATH
C
ENTRAL
C
OOLING
GRANITE
PUTTING GREEN
SATELLITE DISH
ELECTRIC
LAMINATE
RESIDENT MANAGER
SECURITY SYSTEM
G
AS A/C
LINOLUEM
ROAD MAINTENANCE
SEPARATE SUITE
G
EOTHERMAL
MARBLE
SAUNA
SKYLIGHT
H
EAT PUMP
SLATE
SECURITY GUARD
I
NDIVIDUALWall
W
ALL
U
NITS STACK WASHER/DRYER
Individual
Units
TILE
STREET LIGHTS
HOOKUP
INDV’L WINDOW UNITS
TILE-CERAMIC
TENNIS COURT
STEAM SHOWER
N
ONE
VINYL
WATER VIEW
SUNKEN TUB
OTHER
WOOD
TRACK LIGHTING
TIMER THERMOSTAT
WOOD PARQUET
TRAY CEILING
WHOLE HOUSE FAN
WOOD - PART
WALK-IN CLOSET
IMPORTANT:
WASHER HOOKUP
The number next to the heading of each group
WET BAR
states how many you can check off under that
WINDOW TREATMENT
group. PLEASE do not check off more as the
WORKSHOP
SIDING (3 MAX)
ALUMINUM
ASBESTOS
ASPHALT
BLOCK
BRICK
BRICK VENEER
CEDAR
CEDAR SHAKE
CEMENT LAPBOX
CLAPBOARD
HARDBOARD
HARDIPLANK
GLASS
LOG
OTHER
REDWOOD
SHINGLE
STEEL
STONE
STUCCO
SYNTH STUCCO
T111
VINYL
WOOD
system will only load the the amount it is allowed.
*** ALL INFORMATION DEEMED RELIABLE BUT NOT GUARANTEED ***
REVISION DATE 11/14/11
This form was produced by Debbie Crevier-Kent. CVR MLS forms may be used only by members in good standing of the
Central Virginia Regional MLS.
CENTRAL VIRGINIA REGIONAL MLS
RENTAL DATA INPUT FORM
PAGE 4
SHADING
INDICATES
FIELD IS
REQUIRED
All Red Fields Are
Required
- If not THE
complete
- we
will have to return to you.
APPL/EQUIP (15 MAX)
ATTIC FAN
CENTRAL VAC
COMPACTOR
COUNTERTOP RANGE
DISHWASHER
DISPOSAL
DOUBLE OVEN
DOWNDRAFT RANGE
DROP-IN RANGE
DRYER
ELECTRIC AIR CLN
ELECTRIC COOKING
EXHAUST FAN
FREEZER
GAS COOKING
GAS GRILL
HUMIDIFER
ICE MAKER
INTERCOM
MICROWAVE
(CONTINUED NEXT COLUMN)
OVEN
REFRIGERATOR
SATELLITE DISH
SELF/CON CLEAN
SMOKE ALARM
STACK WASHER/DRYER
STOVE
STOVE HOOD
SUMP PUMP
WALL OVEN
WASHER
WATER PURIFIER
WATER SOFTENER
RENT INCLUDES (13 MAX)
CABLE
ELECTRICITY
GAS
HEAT
INTERNET
NONE
PARKING
PHONE
SATELLITE
SEWER
TRASH PICKUP
WATER
YARD MAINTENANCE
IMPORTANT:
The number next to the heading of each
group states how many you can check off
under that group. PLEASE do not check off
more as the system will only load the the
amount it is allowed.
RENTAL RESTRICTIONS: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
(150 CHARACTERS)
VIRTUAL TOUR LINK: _________________________________________________________________________________
ADDITIONAL VIRTUAL TOUR LINK: ________________________________________________________________________
FIN SQFT INCLUDES: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
(150 CHARACTERS)
INTERNET DISPLAY: __YES __NO ADDRESS DISPLAY: __YES __NO COMMENTS/REVIEWS: __YES __NO
AVM: __YES __NO
PLEASE NOTE IF INTERNET DISPLAY = NO, THEN ADDRESS DISPLAY, COMMENTS/REVIEWS, AND AVM WILL AUTOMATICALLY BE NO
PLEASE UNDERSTAND:
YOU HAVE THE OPTION OF SELECTING "YES" FOR ALL OR "NO" FOR ALL.
IF YOU SELECT NO - YOUR LISTING WILL NOT LOAD UP TO ANY OF THE
WEBSITES. (WE STRONGLY ENCOURAGE YOU SELECT "YES". SOME FOLKS
WORRY ABOUT THE (AVM) - BUT THAT IS ALL IT IS - IS A QUESTIMATE FROM
SITES LIKE ZILLOW. MOST BUYERS KNOW THE FIGURES ARE NOT ACCURATE.
ALL BUYER'S LENDERS WILL ORDER AN APPRAISAL TO VERIFY THE PRICE YOU
ARE ASKING IS CORRECT.
*** ALL INFORMATION DEEMED RELIABLE BUT NOT GUARANTEED ***
REVISION DATE 11/14/11
This form was produced by Debbie Crevier-Kent. CVR MLS forms may be used only by members in good standing of the
Central Virginia Regional MLS.
CENTRAL VIRGINIA REGIONAL MLS®
DISCLOSURE OF INFORMATION AND ACKNOWLEDGMENT
LEAD-BASED PAINT AND/OR LEAD-BASED PAINT HAZARDS
(Lease)
Property Address:_________________________________________________________________________________
Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards
Lead Warning Statement
Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if
not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the
dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention.
Lessor’s Disclosure
(a) Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below):
(i) ______ Known lead-based paint and/or lead-based paint hazards are present in the housing (explain).
_______________________________________________________________________________________
_______________________________________________________________________________________
(ii) _____ Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the
housing.
(b) Records and reports available to the lessor (check (i) or (ii) below):
(i) ______ Lessor has provided the lessee with all available records and reports pertaining to
lead-based paint and/or lead-based paint hazards in the housing (list documents below).
_______________________________________________________________________________________
_______________________________________________________________________________________
(ii) _____ Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the
housing.
Lessee’s Acknowledgment (initial)
(c) ________ Lessee has received copies of all information listed above.
(d) ________ Lessee has received the pamphlet Protect Your Family from Lead in Your Home.
Agent’s Acknowledgment (initial)
DK
(e) ________
Agent has informed the lessor of the lessor’s obligations under 42 U.S.C. 4852d and is aware of his/her
responsibility to ensure compliance.
Certification of Accuracy
The following parties have reviewed the information above and certify, to the best of their knowledge, that
the information they have provided is true and accurate.
_______________________________________________
___________________________________________
Lessor
Lessor
Date
Date
________________________________________________
_____________________________________________
Lessee
Lessee
Date
Date
Digitally signed by dk
DN: cn=dk, o=Cottage Street Realty, LLC, ou,
[email protected], c=US
Date: 2013.03.06 19:28:39 -05'00'
________________________________________________
______________________________________________
Agent Debbie
Agent
Crevier-Kent
Date
Form #8167 Rev. 6/1/07
This form was produced by Debbie Crevier-Kent. CVR MLS forms may be used only by members in good standing of
the Central Virginia Regional MLS.
Date
Fill this page out if you have not paid already or if you want to order additional items. We only accept Mastercard and Visa.
SAVE AS PDF
CREDIT CARD PAYMENT AUTHORIZATION
SUBMIT
Please Complete & E-Mail Back Or Fax using the Attached Fax Cover Sheet as top page of fax!!
I, __________________________do hereby authorize For Sale By Owner (CSR) to place the amount of
$____________ + 5% Virginia Sales Tax on my Visa / Mastercard to add the below service(s) to my account:
I understand if my package includes a sign/lockbox, deposit & shipping willl be added to the cost listed below
unless I prefer to pick up items.
CHECK PACKAGE SELECTION
____FSBO Economy, ____Realtor’s Only Listing, ____Works, ____Whole Enchilada
____1 Month, ____Basic MLS, ____Supreme, ____Enchilada or ____No Money Up Front (3.5% due at closing),
Circle The Options You Want Below - if you plan doesn’t already include it.
$50 COMBO Lockbox (+ $100 Refundable Deposit + $10.00 Shipping)
$50 REALTOR Lockbox (+ $100 Refundable Deposit + $10.00 Shipping)
$50 Realtor.com Showcase Listing (all pics rather than just 4 pics, open hses & full narrative loaded)
OR #___pics x $5 = ______ $5 per extra pic over pkg limit. A Picture says a 1000 words (all sites but Realtor.com)
$45 Unlimited Changes - Price changes are free (ONLY AVAILABLE WHEN FIRST PLACING ORDER)
3 for $30
$15 Open House listing (3 for $30 if dates are given all at one time) Dates/Tim
es:_____________________________
OPEN HOUSE DATES AND TIMES:
$35 Comps/CMA
$15 Basic Sign - (Pick-up only Sterling, VA Beach and Fredericksburg)
$30 Frame Sign - (+$10 Deposit) - (Pick up only Sterling, VA Beach & Fredericksburg)
$65 Post Sign – (+$20 Refundable Deposit + $40 Shipping) (Pick-up only Sterling and Fredericksburg)
$22 Brochure Box or $11 Brochure Tube (Pick-up only Sterling, VA Beach and Fredericksburg)
$11 Basic Directional Signs ($22 Deluxe, $11 Basic, $3 Economy) (Pick up only Fredericksburg, Sterling)
$7 Rider Inserts - _____________________ list which one you want (Shipping Free with Post Sign Rental)
$7 St. Joseph (to be buried next to your sign)
$12 Home Sales Kit Book - This comprehensive guide to selling a home.
$395 Home Warranty ($75 up front – balance due at closing)
$475 Assistance Option – Business Hour Phone Support, Contract Review or Prepare/Paperwork/Negotiation
Assistance/Guidance all the way to closing from 9-5 pm Monday-Friday.
$975 Assistance Option – Business & After Hr Phone Support, Contract Review or Prepare/Paperwork/Negotiation
Assistance/Guidance all the way to closing from 9 am - 7 pm Everyday
LIST ANY OTHER OPTIONS - ______________________________________________________
My charge card # is ______________________________________
VISA OR MASTERCARD ONLY PLEASE
__________ _______________
Exp Date
3 Digit # on Back
CREDIT CARD Billing Address ________________________________________
City, State, Zip _____________________________________________________
My Authorization Signature: _________________________________ I understand there are NO Refunds.
Signs and Lockboxes are due back upon Listing Expiration/Cancellation - before listing can be cancelled.
**IMPORTANT**
All Listings/Changes are up and running within 1-2 business days. Business days are M-F 9-5 pm.
I understand ALL Signs/Lockbox are rentals & I must return them via mail to a For Sale By Owner drop off location before Closing, Cancellation or MLS expiration IN CLEAN, REUSABLE CONDITION. Cancellation cannot take effect until return of items. If I request signs/lockbox be picked up - I forfeit my deposit (min 1 wk notice for pick up & not available in all areas). Refunds take 2-4 wks.
I am required to send Debbie w/Cottage Street Realty (CSR) / FSBO a full copy of my ratified contract within 12 hrs of ratification. On
Settlement Day, I will provide CSR my Fully Signed HUD-1 within 12 hrs of signing to meet the requirements of the MLS Rules. Should
I fail to provide the contract and the HUD within 12 hours of occurance, I understand that CSR will get fined & then I will be responsible
for that fine – which is typically $500-$1000.