Kingsdale Gyno Form PDF Details

In the complex landscape of real estate, the Kingsdale Gyno form emerges as a pivotal document for listing properties across various categories such as Single Family, Condo, Mobile, Recreational, and P.U.D. Residences. This comprehensive form, required by the Wasatch Front Regional MLS, stands out by mandating detailed property and seller information alongside an assortment of specific attributes related to the site location, construction status, and zoning, to name a few. Among its requirements, the form underscores the indispensability of certain fields - notably, pricing information, property type, location specifics, and detailed descriptions of the property's features including basement info, parking capacity, and even the minutiae of environmental certifications and available utilities. Furthermore, it prescribes a segment that focuses on the home's accessibility features, catering to a broad demographic by including options for visible alerts, wheelchair access, and single-level living among others. In addition, the form serves a dual purpose by acting as a conduit for the property owner's consent, allowing the MLS to disseminate the listing across its expansive network, thereby highlighting its legal ramifications. The inclusion of explicit consent for the MLS to include the listing in its database, coupled with the assignment of copyright rights to the MLS for any listing content, underscores the legal intricacies inherent in real estate listings and the importance of accurate, comprehensive disclosure on the part of the property owner.

QuestionAnswer
Form NameKingsdale Gyno Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other nameswasatch front form printable, wasatch front b res, HOA, MLS

Form Preview Example

Wasatch Front Regional MLS Listing Input Form

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

ReS

Fields marked with an * are requiredPrevious MLS# _________________________

PRoPeRty LocatIon

Pricing Information

address Information

 

 

 

 

 

 

 

List Price* $

Non-Standard Address (See Directions) o

 

 

 

 

 

 

 

 

 

House Number*

 

 

 

 

 

o N o S o E o W

Short Sale*

Street Name or Number *

 

 

 

 

 

o N o S o E o W

o Not Short Sale

Street Type

 

Unit Number

 

o Price Subject to 3rd Party Approval

Quadrant* o NW o NE

 

 

 

 

 

 

North / South

o Price Previously Approved by 3rd Party

 

 

 

 

o SW o SE

 

 

 

 

 

 

 

East / West

o Offer Under 3rd Party Review

Zip*

 

City*

 

 

 

County*

 

State*

 

 

 

Project / Subdivion

 

 

 

 

 

 

 

 

 

 

Zoning

 

 

 

 

 

 

 

 

School Information

Hoa Information

 

School District*

 

HOA Fee / Month*

 

 

Elementary School*

 

HOA Contact

 

 

Junior High School*

 

HOA Contact Phone

 

o Voice o TDD

High School*

 

o Project Restrictions

 

Private School

 

o Senior Community

 

Other School

 

o Maintenance Fee

 

SIte LocatIon

tax / Parcel Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

o Assigned Parcel #

OR*

Taxes $

 

 

 

 

 

 

 

 

 

 

 

 

Water Shares

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tax Parcel Number*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parking

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o P.U.D.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Garage Parking Carport

 

 

 

 

 

 

 

 

 

 

Capacity

 

 

 

 

 

 

Property Type* o Single Family

o Condominium

o Mobile (w/o land)

Parking Capacity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o Recreational

o Townhouse

o Twin

 

 

R.V. Parking Height

 

 

 

 

 

 

 

 

 

 

 

R.V. Parking Length

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Style* o 2-Story

 

o A-Frame

o Basement

 

 

Lot Dimensions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o Bungalow/Cottage

o Cabin

o Manufactured

 

 

Acres*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Frontage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o Mobile

 

o Rambler/Ranch

o Split-Entry/Bi-Level

Frontage Facing o N o S o E o W o NE o SE o NW o SW

o Tri/Multi-Level

 

o Tudor

o Victorian

 

 

Side

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Back

 

 

 

 

 

 

 

 

o Irregular Shape

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o Condo, High Rise

o Condo, Main Level

o Condo, Middle Level

Deck

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Patio

 

 

 

 

 

 

 

Basement Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o Condo, Top Level

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

Basement Type* o None/Crawl Space

o Daylight o Entrance

 

 

o Full o Partial o Shelf

o Slab

o Walkout o See Remarks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year Built*

 

 

 

 

 

Effective Year Built

 

 

 

Basement Finished*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROXIMATE SQ FT

BEDROOMS (MASTER)

 

 

 

BATH

 

FAMILY

 

DEN

 

 

 

FORMAL

 

 

KITCHEN/DINING

 

LAUNDRY

FIREPLACE

 

 

 

F T H

 

 

 

 

LIVING ROOM

K

 

 

B

 

 

 

F

 

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEVEL 4

 

 

 

 

 

 

 

 

 

 

 

 

( )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4th Floor)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEVEL 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3rd Floor)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEVEL 2

 

 

 

 

 

 

 

 

 

 

 

 

( )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2nd Floor)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEVEL 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Main Floor)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BASEMENT

 

 

 

 

 

 

 

 

 

 

 

 

( )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTALS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(System Entered)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIStIng oFFIce LocatIon

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Listing Date*

 

 

 

 

 

 

 

 

Expiration Date*

 

 

 

Compensation Offered* BAC

 

 

 

 

 

 

 

BAC Based on* o Gross o NET

Owner Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Possession

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o REO / Foreclosure / Bank Owned

o HUD Owned

o Owner / Agent

 

 

o Publicly Searchable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact Type o Agent

o Owner o Secretary

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact for Appointments & Access

 

 

 

 

 

 

 

 

 

Listing agent Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact Phone 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o Voice o TDD

Agent Public ID*

 

 

 

 

 

 

 

 

 

 

Co-Agent Public ID*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact Phone 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o Voice o TDD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Agent Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Listing Type* o EAL

o ERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Co-Agent Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Photo Instructions* o Under Construction o I Will Provide

 

 

Ofice License ID#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o To Be Built

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ofice Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dual/VAR Rate* o Yes o No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

Seller’s Initials

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

Seller’s Initials

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

REV 06/11 GSW

FORM B - RES PAGE 1 OF 4

accessibility Features

Recommended Maximum 8*

o 32" wide doorways o 36" wide hallways

o Access to elec. Outlets o Audible alerts

o Ceiling lift system

oElevator

oFrnt-cntrld stove / oven

oFully accessible

oGrab bars

oGround level

oModiied kitchen

oNo-step entry

oPorch lift

oRamp

oRoll-in shower

oSingle level living

oStair lift

oUniversal design

oVisible alerts

oVisitable

oWheelchair access

oSee remarks

air conditioning

Recommended Maximum 2*

o Central Air, Electric

o Central Air, Gas

o Evap. Cooler, Roof

o Evap. Cooler, Window

oGeothermal

oHeat Pump

oNatural Ventilation

oRefrig. Air, Window

oSeer 16 Or Higher

oSolar - Active

oSolar - Passive

oSee Remarks

amenities

Recommended Maximum 5*

o Cable TV Available o Cable TV Wired

oClubhouse

oElectric Dryer Hookup

oExercise Room

oGas Dryer Hookup

oGated Community

oHome Warranty

oPark / Playground

oSauna / Steam Room

oSwimming Pool

oTennis Court

oWorkshop

oSee Remarks

animals

Pick Only 1

oNone

oPets < 20 Lbs.

oPets 20 - 75 Lbs.

oPets > 75 Lbs.

oLivestock

oSee Remarks

Seller’s Initials

Driveway / access

Recommended Maximum 2*

oAsphalt

oCircular

oCommon Drive

oConcrete

oDirt

oGravel

oSee Remarks

environmental certs

Recommended Maximum 3*

o Built Green

o Energy Star

o Home Energy Rating

oLeed

oSee Remarks

exterior

Recommended Maximum 3*

o Aluminum / Vinyl

o Asbestos Shingles

o Asphalt Shingles

oBrick

oCedar / Redwood

oCement Board

oCinder Block

oClapboard / Masonite

oComposition

oConcrete / Glass

oContainer

oFrame

oInsulated Concrete Forms

oLog

oSips Panel

oStone

oStraw Bale

oStucco

oSee Remarks

exterior Special Features

Recommended Maximum 10*

oAtrium

oAttic Fan

oAwnings

oBalcony

oBarn

oBasement Entrance

oBay Box Windows

oDeck, Covered

oDouble Pane Windows

oEntry (Foyer)

oGreenhouse Windows

oHorse Property

oOut Buildings

oOutdoor Lighting

oPatio, Covered

oPorch, Open

oPorch, Screened

oSecured Building

oSecured Parking

oSkylights

oSliding Glass Doors

oStained Glass Windows

oStorm Doors

oStorm Windows

oTriple Pane Windows

oWalk Out

oSee Remarks

Date

Floor coverings

Recommended Maximum 3*

oBamboo

oCarpet

oCork

oHardwood

oLaminate

oLinoleum

oMarble

oNatural Rock

oSlate

oTile

oTravertine

oVinyl

oSee Remarks

garage / Parking

Recommended Maximum 4*

o 2 Car Deep (Tandem)

oAttached

oBuilt-in

oDetached

oExtra Height

oExtra Length

oExtra Width

oHeated

oOpener

oParking, Covered

oParking, Uncovered

oRV Parking

oStorage Above

oWorkbench

oWorkshop

oSee Remarks

Heating

Recommended Maximum 3*

o95% Eficiency Or Higher

oElectric

oElectric, Baseboard

oElectric, Radiant

oForced Air

oGas, Central

oGas, Radiant

oGas, Stove

oGeothermal

oGravity Heater

oHeat Pump

oHeat Recovery

oHot Water

oHydronic

oOil

oPropane

oSolar - Active

oSolar - Passive

oSpace Heater

oSteam

oWall Heater

oWood Burning

oSee Remarks

Seller’s Initials

Inclusions / exclusions

Pick Up To 10*

Include Exclude

oo Alarm System

oo Basketball Standard

oo Ceiling Fan

oo Compactor

oo Dishwasher, Portable

oo Dog Run

oo Dryer

oo Electric Air Cleaner

oo Fireplace Equipment

oo Fireplace Insert

oo Freezer

oo Gas Grill / BBQ

oo Gazebo

oo Hot Tub

oo Humidiier

oo Microwave

oo Play Gym

oo Projector

oo Range

oo Range Hood

oo Refrigerator

oo Satellite Equipment

oo Satellite Dish

oo Storage Sheds

oo Swing Set

oo Trampoline

oo TV Antenna

oo Washer

oo Water Softener, Own

oo Water Softener, Rent

oo Window Coverings

oo Wood Stove

oo Workbench

oo See Remarks

Date

REV 06/11 GSW

FORM B - RES PAGE 2 OF 4

Interior Special Features

Lot Facts

Recommended Maximum 10*

Recommended Maximum 10*

o Accessory Apartment

o Additional Land Available

o Alarm, Fire

o Adjacent to Golf Course

o Alarm, Security

o Corner Lot

o Bar, Dry

o Cul-de-sac

o Bar, Wet

o Curb & Gutter

o Basement Apartment

o Drip Irrigation, Auto-full

o Bath, Master

o Drip Irrigation, Auto-part

o Bath, Sep. Tub / Shower

o Drip Irrigation, Manual-full

o Central Vacuum

o Drip Irrigation, Manual-part

o Closet, Walk-in

o Fenced, Full

o Den / Ofice

o Fenced, Part

o Dishwasher, Built-in

o Greywater Collection

o Disposal

o Pervious Paving

o Floor Drains

o Private

o French Doors

o Rainwater Collection

o Gas Log

o Road, Paved

o Granite Countertops

o Road, Unpaved

o Great Room

o Secluded Yard

o Instantaneous Hot Water

o Sidewalks

o Intercom

o Sprinkler, Auto-full

o Jetted Tub

o Sprinkler, Auto-part

o Kitchen, Second

o Sprinkler, Manual-full

o Kitchen, Updated

o Sprinkler, Manual-part

o Laundry Chute

o Terrain, Flat

o Low Voc Finishes

o Terrain, Grad Slope

o Mother-in-law Apt.

o Terrain, Hilly

o Oven, Double

o Terrain, Mountain

o Oven, Gas

o Terrain, Steep Slope

o Oven, Wall

o View, Lake

o Range, Countertop

o View, Mountain

o Range, Down Vent

o View, Valley

o Range, Gas

o Wooded

o Range / Oven, Built-in

o See Remarks

o Range / Oven, Free Stdng.

 

 

o Silestone Countertops

Pool Features

o Theater Room

Recommended Maximum 3*

o Above Ground

o Vaulted Ceilings

o Concrete / Gunite

o See Remarks

o Electronic Cover

 

 

Landscaping

o Fenced

o Fiberglass / Vinyl

Recommended Maximum 5*

o Fruit Trees

o Heated

o Landscaping, Full

o In Ground

o Landscaping, Part

o Indoor

o Mature Trees

o With Spa

o Pines

o See Remarks

o Scrub Oak

 

 

o Stream

Roof

o Terraced Yard

Recommended Maximum 2*

o Aluminum

o Vegetable Garden

o Asbestos Shingles

o Waterfall

o Asphalt Shingles

o Xeriscaped

o Bitumen

o See Remarks

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

Seller’s Initials

 

Date

 

Show Instructions

Recommended Maximum 3*

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

oKey At List Ofice

oKey Box, Electronic

oKey Box, Mechanical

oKnock / Use Key Box

oVacant

oSee Agent Remarks

Storage

Recommended Maximum 3*

oBasement

oCarport

oGarage

oPatio

oShed

oSee Remarks

telecommunications

Recommended Maximum 4*

o Broadband Cable

oDSL

oEthernet, Wired

oFiber Optics

oISDN

oMultiple Phone Lines

oT-1 Line

oWireless Broadband

oSee Remarks

terms

Recommended Maximum 10*

o Assumption, Qualify

o Assumption, Simple

o Available T

oRent

oCash

oCommercial Fin. Req.

oConventional

oDown Payment Assist.

oExchange

$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

Seller’s Initials

Utilities

Recommended Maximum 5*

o Gas, Available

o Gas, Connected

o Gas, Not Available

o Gas, Not Connected

oPower, Available

oPower, Connected

oPower, Not Available

oPower, Not Connected

oSewer, Available

oSewer, Connected

oSewer, Not Available

oSewer, Not Connected

oSewer, Private

oSewer, Public

oSewer, Septic Tank

oWater, Available

oWater, Connected

oWater, Not Available

oWater, Not Connected

oSee Remarks

Water

Recommended Maximum 3*

oCulinary

oIrrigation

oIrrigation, Pressure

oPrivate

oRights, Owned

oRights, Rented

oSecondary

oShares

oSpring

oWell

oSee Remarks

Window coverings

Recommended Maximum 3*

oBlinds

oDraperies

oFull

oNone

oPart

oPlantation Shutters

oShades

oSee Remarks

Zoning

Recommended Maximum 3*

oAgricultural

oCommercial

oIndust. / Manufact.

oRes. - Multi Family

oRes. - Single Family

oSee Remarks

Date

REV 06/11 GSW

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 bro- kers 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 modiications 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, proits 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.

Owner’s Signature

Owner’s Signature

REV 06/11 GSW

FORM B - RES PAGE 4 OF 4