Land/Farm Worksheet - Columbus Board of Realtors

LAND/FARM WORK SHEET
or DATA CORRECTION FORM
Adopted by the Columbus & Central Ohio Regional Multiple Listing Service of the Columbus Board of REALTORS®, Inc.
CHECK ONLY ONE
□ If MLS is to Enter As A New Listing: Complete the Land/Farm Work Sheet, Listing Contract and Remarks and fax to (614) 416-0258.
□ If MLS is to Make Listing Data Corrections: Enter MLS #, street address then complete only those data fields you want MLS to change
and fax to (614) 416-0258.
MLS INFORMATION (Shaded Areas Must Be Completed)
PROPERTY TYPE (Limit 1) MLS #__ __ __ __ __ __ __ __ __
□ Development (DEV) □ Industrial Land (INL) □ Office Land (OFL) □ Residential Land (REL)
□ Farm Crops (FRM) □ Multi-Family Land (MLN) □ Other Land (OTH) □ Retail Land (RLN)
□ Farm Livestock (LIV) □ Multiple Use (MLU) □ Out Lot (LOT)
ADDITIONAL ACCEPTANCE CONDITIONS (No Limit)
□ Auction Absolute □ Auction Minimum Bid □ Auction Reserve □ Bank Owned/REO-Deed Recorded
□ Bank Owned/REO-Deed Not Recorded □ Court Approval □ Estate □ HUD □ Relo/Corp □ Short Sale □ VA □ None Known
List Price $__, __ __ __, __ __ __ ,__ __ __
IF NONE ENTER ‘0’
Street # __ __ __ __ __ __ __ __ __ Street Direction __ __
Street Name __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __
City (Mailing Address)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Zip Code __ __ __ __ __
Unit/Suite # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Complex Name (Please do not enter subdivision name here) __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Listing Agent Lic# __ __ __ __ __ __ __ __ __ __
Listing Agent Name
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __
Listing Agent Phone (__ __ __) __ __ __ - __ __ __ __
Listing Agent Ext __ __ __ __
List Agt Email __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Listing Office ID __ __ __ __ __ __ __ __
Listing Office Name
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Listing Office Phone (__ __ __) __ __ __ - __ __ __ __
County __ __ __
Tax District __ __ __ __
ENTER EXACTLY AS SHOWN ON AUDITOR’S RECORD
Parcel# __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Multiple Parcels (Y/N) ____
ENTER LOCATION WITHIN MUNICIPAL CORP LIMITS OR IF NONE ENTER TOWNSHIP
Corp Limit __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Township __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Between Street __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ &
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Additional Contact Info __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Showing Phone # (__ __ __) __ __ __ - __ __ __ __
Listing Agreement Type __ __ __ __ __ __
Sub Agency __ __ __ __ __
Buyer Brokerage/Tenant Rep __ __ __ __ __ VRC (Y/N) ____
List Date M __ M __ / __ D D __ / __ Y Y __ __ Y __ Y
Expire Date ONLY M __ M __ / __ D D __ / __ Y Y __ __ Y __ Y
Internet (Y/N) ____ Display Addr on Internet (Y/N) ____
Allow AVM (Y/N) ____
Allow Internet Comments (Y/N) ____
For Sale (Y/N) ___ Price Per Acre $ __, __ __ __, __ __ __ For Exchange (Y/N) ____ Mortgage Balance $ __ __ __, __ __ __, __ __ __
For Lease (Y/N) ___ Lease Price $ __, __ __ __, __ __ __ Per __ __ __ __
Tax Year __ __ __ __
Taxes (Yrly) $__, __ __ __ ,__ __ __
Tax Incentive __
Assessment __ __ __ __ __ __ __ __ __ __ __ __
Acreage __ ,__ __ __ . __ __
Minimum Acreage __ ,__ __ __ . __ __
Maximum Acreage __ ,__ __ __ . __ __
Previous Use __ __ __ __ __ __ __ __ __ __
Term Desired
Square Feet ATFLS __ __ __,__ __ __
Minimum SF Avail __ __ __,__ __ __
Max Contiguous SF Avail __ __ __,__ __ __
Lot Size (Front) __ __ __ x (Side) __ __ __
Tillable Acres __,__ __ __,__ __ __
Useable Acres __,__ __ __,__ __ __
Zoning __ __ __ __ __ __
Distance to Nearest Intersection __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Subdivision/Complex/Community __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
School District __ __ __ __ __ __ __ __ __ __ __ __ Traffic Count (Per Day) __ __ __,__ __ __ Road Frontage __ __ __ __ __
# of Dwellings __ __ # of Buildings __ __
Building Sq Ft __ __ __,__ __ __
Year Built __ __ __ __
Built Prior to 1978 (Y/N) ____ (Provide if Dwelling Entry)
Year Remodeled __ __ __ __
Possession __ __ __ __ __ __ __ __ __ __ __ __ __ __
Page 1 of 3 Broker - White Copy / Seller - Yellow Copy
REV 1/09/12

MLS #__ __ __ __ __ __ __ __ __ Street # __ __ __ __ __ __ __ __ __ Street Name __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
REMARKS WORK SHEET (For all listing categories) __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Adopted by the Columbus & Central Ohio Regional Multiple Listing Service of the Columbus Board of REALTORS®, Inc.
MLS INFORMATION (Shaded Areas Must Be Completed)
Property Description (320 Characters) __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Agent to Agent Remarks (820 Characters) __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Direct Negotiations with Seller Permitted (Y/N)
Contact Name (75 Characters) __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __
Contact Phone (25 Characters) __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Page 2 of 3
Broker - White Copy / Seller - Yellow Copy

MLS INFORMATION (Shaded Areas Must Be Completed)
FINANCIALS FOR YEAR OF: __ __ __ __
Gross Rental Income
Effective Income
MLS #__ __ __ __ __ __ __ __ __ Street # __ __ __ __ __ __ __ __ __ Street Name __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
LAND/FARM WORK SHEET (Continued)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Adopted by the Columbus & Central Ohio Regional Multiple Listing Service of the Columbus Board of REALTORS®, Inc.
$__ __ , __ __ __ , __ __ __
$__ __ , __ __ __ , __ __ __
Other Income
Vac & Cr Loss
Gross Op Income (Provide if For Sale)
$__ __ , __ __ __ , __ __ __
$__ __ , __ __ __ , __ __ __
$__ __ , __ __ __ , __ __ __
EXPENSES
R.E. Taxes
$__ __ , __ __ __ , __ __ __
Property Insurance
$__ __ , __ __ __ , __ __ __
Off-Site Management
$__ __ , __ __ __ , __ __ __
Expenses/Benefits
$__ __ , __ __ __ , __ __ __
Repairs & Maintenance
$__ __ , __ __ __ , __ __ __
Electricity Expense
$__ __ , __ __ __ , __ __ __
Accounting & Legal
$__ __ , __ __ __ , __ __ __
Advertising/License/Permits $__ __ , __ __ __ , __ __ __
Miscellaneous Expense
$__ __ , __ __ __ , __ __ __
TOTAL OP EXPENSES (Provide if For Sale) $__ __ __ , __ __ __ , __ __ __
Open House Date M __ M __ / __ D D __ / __ Y __ Y __ Y __ Y
Open House Time __ __ __ __ __ __ __ __ __ __ __ __
Tour Date M __ M __ / __ D D __ / __ Y __ Y __ Y __ Y
Tour Time __ __ __ __ __ __ __ __ __ __ __ __
EXPENSES
Personal Property Taxes
$__ __ , __ __ __ , __ __ __
Property Management
$__ __ , __ __ __ , __ __ __
Payroll - Onsite Personnel
$__ __ , __ __ __ , __ __ __
Taxes/Workman’s Compensation $__ __ , __ __ __ , __ __ __
Gas Expense
$__ __ , __ __ __ , __ __ __
Water Expense
$__ __ , __ __ __ , __ __ __
Leasing Commissions Expense $__ __ , __ __ __ , __ __ __
Supplies
$__ __ , __ __ __ , __ __ __
Contract Services Expense
$__ __ , __ __ __ , __ __ __
NET OP INCOME (Provide if For Sale) $__ __ __ , __ __ __ , __ __ __
Auction (Y/N) ___
Auction Date (Required if entered ‘Y’ in auction) __ M M __ / __ D D __ / __ Y __ Y __ Y __ Y
Deposit Required $__ __ __ , __ __ __
Conditions ___
PLEASE CAREFULLY MARK THE BOXES BESIDE EACH FEATURE THAT APPLIES (Shaded Areas Must Be Completed)
CONSTRUCTION (No Limit)
□ Block
□ Frame
□ Masonry
□ Metal
□ Pre-Engineered
□ Tilt-Up
□ Other
SERVICES AVAILABLE
(No Limit)
□ Electric
□ Gas
□ Sanitary Sewer
□ Storm Sewer
□ Water
□ Well
□ None
□ Other
OTHER CHANGES
Remarks
MISCELLANEOUS (No Limit)
□ EPA Study
□ Lake/Pond
□ Property Restriction
□ Public Transportation
□ Rail
□ Split Option Available
□ Stream
□ Survey
□ Tax Abatement
□ Trees
ALTERNATE USES ( No Limit)
□ Commercial
□ Industrial
□ Multi-Family
□ Office
□ Residential
□ EXTENSION THROUGH (MM/DD/YEAR) __ __ / __ __ / __ __ __ __
Status □ BACK ON MARKET (Broker/Authorized Signature Required)
(A)
NEW FINANCING (No Limit)
□ Assumable
□ Conventional
□ Land Contract
□ Owner
□ Other
□ USDA
THE ABOVE DATA IS SUBJECT TO ERRORS, OMISSIONS, OR REVISIONS AND IS NOT WARRANTED!
LAND/FARM WORK SHEET or DATA CORRECTION FORM
Adopted by the Columbus & Central Ohio Regional Multiple Listing Service of the Columbus Board of REALTORS ® , Inc.
Fax: (614) 416-0258
Signed this day of 20
Accepted
Brokerage
By
Salesperson
Page 3 of 3
MLS PRIMARY PHOTO
OPTIONS (Limit 1)
□ Print Without Photo
(waiver form required in MLS)
□ REALTOR ® to Provide
Photo (within allowable time)
Status
(T)
Status
(W)
Signature
of
Owner(s)
{
Broker - White Copy / Seller - Yellow Copy
□ WITHDRAWN TEMPORARILY FROM MLS - does not negate the provisions
of the Exclusive Listing Contract executed on _________________20______
□ WITHDRAWN AND RESCINDED FROM MLS - by separate agreement of the
parties (Broker/Authorized Signature Required)
Address
City State Zip
Telephone
CBR PRINTING SERVICES (No Limit)
*Prices subject to change without notice
□ No Printing Services Requested
□ 100 2-Color Fliers $10.87*
□ 200 2-Color Fliers $21.74*
□ 100 Blk/Wht Fliers $7.33*
□ 200 Blk/Wht Fliers $14.66*
□ 25 Color Fliers $10.87*
**Contact Print Shop for quote for these items
□ Just Listed Postcards**
□ Door Hangers**
□ Letterhead**
□ Envelopes**
□ Business Cards**
□ Magnetic Car Signs**
□ Contact Me
REV 1/09/12