Single Family Data Input Form * Required

Standard MLS #: NEW LISTING *Status: _____________________________________ Class: SINGLE FAMILY *Price: ___________________________ *Listing Date: __________________ *Expiration Date: __________________ *Address: #______ Dir: ___ ___________________________________________________________ Unit/Apt: _____ Alt. Street Name: __________________________________________________________________________________ *City/Town/Village (Tax): ____________________________________________________________________________ *City/Town (Mail): _________________________________________________________________________________ *County:_______________________________________________*ST: ____ *Zip: ______________________________ *Sub Area: ________________________________________________________________________________________

Listing Agent Detail *Listing Office: __________________________________ *Listing Agent: ______________________________________ Listing Office 2: __________________________________ Listing Agent 2: _____________________________________ List Team: _______________________________________

Commission Detail *Buyer Agency: ___________________ *Broker Agency: ___________________ *Sub Agency: ____________________ Split Commission: _______________ Split Commission Desc: ________________________________________________

Marketing Detail Unbranded Virtual Tour: _____________________________________________________________________________ Branded Virtual Tour: ________________________________________________________________________________ *IDX Include: □ Yes □ No □ Yes-Without Address *Internet/www: □ Yes Without Address □ Yes With Address □ No

Property Detail Locale/Subdivision: _________________________________________________________________________________ *New Construction: □ Yes □ No □ Spec Home Available <60 days *Year Built: _______________________________ Model: ____________________________________________________________________________________________ *Ttl Rooms: ________ *Total Beds: ________ *Baths~Full: ________ *Baths~Partial: _______ *Garage Spaces: _______ *Ttl Fin SQFT: _______* Above Ground SQFT: _________ *AGSF Desc: □ Actual □ Estimated AGSF Source: □ Agent Measured □ Builder Plans □ Other □ re/Insight/Public Info □ Appraiser □ CRS □ Owner □ Tax Bill Below Ground SQFT: ______________ *Off Street Parking: □ No □ Yes # Off Street parking Spc: ___________ Total Fireplaces: _______ Total Woodstoves: _______ Zoning: ______________________________________________ Deed Restrictions: □ No □ Unknown □ Yes *Lot Size: ____________________ *Main Road Frontage: ______________________ Acres: _____________________ Fuel Cost: ___________________ Body of Water: _________________________________________________________ *Handicap Access: □ No □ See Remarks □ Yes Survey: □ Call LBO/LAG □ No □ Yes Prior Listing: □ No □ Yes

Parcel/Tax/HOA APN: ______________________________________ Tax Database ID: ______________________________________ Tax ID: ___________________________ FIPS Code: _________________ *SWIS Code: ________________________ *Tax ID Section: __________ *Tax ID Block: __________ *Tax ID Lot: __________ Tax ID See Remarks: □ No □ Yes *NYS Assessment: ________________________________ *Total Taxes: _______________________ *Total Taxes Desc: □ Actual □ Estimated □ see Remarks □ with Excep General Taxes:______________________ General Taxes Desc: □ Actual □ Estimated □ see Remarks □ with Excep School Taxes:_______________________ School Taxes Desc: □ Actual □ Estimated □ see Remarks □ with Excep Village Taxes:_______________________ Village Taxes Desc: □ Actual □ Estimated □ see Remarks □ with Excep Special Assessment:_________________Special Assessment Desc: : □ Actual □ Estimated □ see Remarks □ with Excep *HOA: □ No □ Yes HOA Fee: _______________ HOA Frequency: □ Annually □ Monthly □ Quarterly □ Semi-Annual *Owner Name: ____________________________________________________________________________________ Owner Name 2: ___________________________________________________________________________________

Robert PiazzaNorthern Star Realty

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Y or N and name

Fill out only highlighted sections

Schools *School District: ___________________________________________________________________________________ High School: _________________________________ Elementary School: _____________________________________

Directions & Remarks *Directions:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Agent to Agent Remarks (Private): ______________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________ *Public Remarks: ____________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Financial Assumable Mortgage: □ Yes □ No Assumable Balance: ___________________________ Assumable Rate: ________________________________ Assumable Rate Desc: □ Adjustable □ Fixed

Contract & Sale Detail *Depository: ____________________________________________________________________________________ Possession: ______________________________________________________________________________________

Room Fields - Required to fill Room fields per # in total rooms field – no bathrooms

Seller's Attorney

Please email separately- see directions

Please email separately- see directions

Family Room Y or N1st Floor Bedroom Y or N

1st Floor Bath Full, Partial, or NoneMaster Bath Full, Partial or None

Kitchen Eat-in or Working only

Room 1 Type:____________________________________ Room 11 Type:___________________________________ Level:___________________________________ Level:__________________________________ Size (LxW):______________________________ Size (LxW):______________________________ Room 2 Type:____________________________________ Room 12 Type:___________________________________ Level:___________________________________ Level:__________________________________ Size (LxW):______________________________ Size (LxW):______________________________ Room 3 Type:____________________________________ Room 13 Type:___________________________________ Level:___________________________________ Level:__________________________________ Size (LxW):______________________________ Size (LxW):______________________________ Room 4 Type:____________________________________ Room 14 Type:___________________________________ Level:___________________________________ Level:__________________________________ Size (LxW):______________________________ Size (LxW):______________________________ Room 5 Type:____________________________________ Room 15 Type:___________________________________ Level:___________________________________ Level:__________________________________ Size (LxW):______________________________ Size (LxW):______________________________ Room 6 Type:____________________________________ Room 16 Type:___________________________________ Level:___________________________________ Level:__________________________________ Size (LxW):______________________________ Size (LxW):______________________________ Room 7 Type:____________________________________ Room 17 Type:___________________________________ Level:___________________________________ Level:__________________________________ Size (LxW):______________________________ Size (LxW):______________________________ Room 8 Type:____________________________________ Room 18 Type:___________________________________ Level:___________________________________ Level:__________________________________ Size (LxW):______________________________ Size (LxW):______________________________ Room 9 Type:____________________________________ Room 19 Type:___________________________________ Level:___________________________________ Level:__________________________________ Size (LxW):______________________________ Size (LxW):______________________________ Room 10 Type:____________________________________ Room 20 Type:___________________________________ Level:___________________________________ Level:__________________________________ Size (LxW):______________________________ Size (LxW):______________________________

Please list each room and level. DO NOT put room sizes.

Features~Single Family * Required

*Special Market Conditions □3rd Party Approval □Multiple Owners □55+ Requirement □ No Disclosures □Auction □No Special Conditions □Bank Owned □Pre-Foreclosure □Corporate Owned □Range Pricing Listing □Do Not Use □Repossessed □Estate □Required Registration Pol □Exclusive Agency Listing □See Remarks □ Fractional Ownership □Subject to Short Sale □HUD Property □Temporary Price Change □Lease/Purchase □VA Owned □Listing Has Exclusions

*Dining Room Type □Combined DR/LR □Great Room □Dining Area □None □Formal Dining Room □See Remarks □In Kitchen

Laundry □1st Floor □Closet □2nd Floor □None □Area □Other □Basement □Room □Bathroom □See Remarks

*Exterior □Aluminum □Other □Aluminum + Brick □See Remarks □Asbestos □Shingle □Block □Stone □Brick □Stucco □Brick Veneer □Tex 111 □Cedar □Vinyl □Clapboard □Vinyl + Brick □Clapboard + Brick □Wood □Logs □Cement Fiber/Hardy Board □Masonite

*Basement □Full □Game Room □Part □Heated □Crawl Space □Interior Entry □Slab □Other~See Remarks □Finished Area □Piers □Rec Room □Roughed-In Bath □Apartment □Unfinished □Sub-Basement □Woodstove □None □Walk-Out □Exterior Entry □Work Shop □Fireplace □Bilco Door

Condition □Superior □Poor □Excellent □Shell □Very Good □Unfinished □Good □To Be Built □Fair □New

Roof □Asphalt Shingle □Other □Asbestos Shingle □See Remarks □Fiberglass Shingle □Copper □Built-Up □Earthen □Metal □Gravel □Rubber □Rolled □Shake □Shingle~Composition □Slate □Standing Seam □Shingle~General □Shingle~Wood □Tile □Tin

Attic □Full □Unfinished Bonus Room □Part □Other □Expansion □See Remarks □Walk-Up □Exterior Attic Entry □Pull-Down □Floored □Hatch □No Attic Access □Finished □None □Storage □Partially Finished □Eaves □Roughed In □Dormer □Windows

*Sewer □Cesspool □Public □Community □Seasonal □Holding Tank □See Remarks □Municipal □Septic □None □Unknown □Other

*Water □Cistern □Public □Community □Seasonal □Lake □See Remarks □Municipal □Spring □None □Well~Drilled □Other □Well~Dug □Point □Well~Except Dug

HOA Includes □Exterior Maintenance □Cooling □Insurance □Docks □Lawn Care □Electric □Snow Removal □Heating □Recreation Facilities □Natural Gas □Trash Removal □Security □Other □Sewer □See Remarks □Supplies □Cable TV □Taxes □Clubhouse □Water

Fill out highlighted fields and any others which may be helpful.

Lot Description □Corner □Cleared □Cul-de-Sac □Level □Dead End □Rocky □Rolling Hills □Wet Lands □Treed/Wooded □Secluded □Privacy □Mountain □View □Cleared~Partial □Landscaped □Fields □Flood Zone □Garden(s) □Wooded~Partial □Logged □Private Road □Road Frontage □R.O.W. □Irregular □See Remarks □Steep □Sloped

*Showing Instructions □Key □Showing Time □Lockbox □Call LA for Appt. □Site Office □Call LO for Appt. □Agent to Accompany □Call Tenant for Appt. □Security System □Key at LO □Tenants □No Sign □Pets □Restricted Days □Prior Day Notice □Restricted Hours □Call Direct □Sign on Property □See Remarks □Show No Appt. □Call Owner for Appt.

Photos Instructions □Invalid~Do Not Use □Broker Load Photos □LBO Send Photo □Photo Already on Listing □LBO Send Drawing

*Heat System □Hot Air □Outdoor Furnace □Hot Water □Other □Steam □None □Radiator □See Remarks □Baseboard □Direct Vent □Floor Grate □Humidifier □Heat Pump □H/W~Baseboard □Radiant □H/W~Radiant □Stove □Radiant-In Floor □Space □Stove~Pellet □Passive □Wood Furnace~Indoor □Zoned

Cooling Type □Central Air □None □Wall A/C Unit □See Remarks □Window A/C Unit □Whole House Fan □Attic Fan □AC Pump □Geothermal

*Heat Fuel □Electricity □Wood □Natural Gas □Geothermal □Oil □Pellet/Corn □Liquid Propane □Other □Kerosene □None □Solar □See Remarks □LP Tank~Leased □LP Tank~Owned

Fuel Cost Description □Heat Actual □Total Utilities/Estimated □Heat Estimated □Budget-Gas/Electric □Total Utilities/Actual

Appliances □Range w/Oven □Dryer □Refrigerator □Washer & Dryer □Dishwasher □Other □Disposal □Some/All Negotiable □Compactor □See Remarks □Cook-top □Dehumidifier □Cook-top w/Grill □Hood □Single Wall Oven □No Appliances Included □Double Wall Oven □Stove~Electric □Convection Oven □Stove~Gas □Microwave □Wine Cooler □Freezer □Water Purifier □Washer □Gas Grill □Downdraft Stove □Icemaker

Exterior Features □Barn □Supplemental Well □Deck □Invisible Dog Fence □Fenced Yard □Brick □Privacy Fence □Deck~Composite □Sprinkler In Ground □Deck~Pressure Treated □Underground Utilities □Drive~Circular □Gazebo □Drive~Paved □Greenhouse □Drive~R.O.W. □Lighting □Drive~Stone □Outbuilding □Insulated Glass □Patio □Lightning Rod(s) □Porch/Enclosed □Other~See Remarks □Porch/Screened □Storm Door(s) □Porch □Storm Windows □Shed □Tennis Court

Interior Features □Air Cleaner □Dry Wall □Central Vacuum □Fire Sprinkler System □Cable Hook-Up □Fireplace~Gas □Fireplace Insert □Fireplace~Propane □Drapes/Curtains □Fireplace~Wood □Humidifier □Home Protection Plan □Intercom □Internet~Cable □Paddle Fan □Internet~DSL □Security System □Internet~Satellite □Sump Pump □Internet~T1 □Water Softener □Other~See Remarks □High Speed Internet Acc □Paneling □Gran/Solid Surf Counters □Plaster □Grinder Pump □Radon System □Curtain Rods □Skylight □Blinds □Slate Foyer □Ceiling~Cathedral □Smoke Alarm □Ceiling~Tray □Water UV System □Ceiling~Vaulted □W/D Connections □Ceramic Tile Bath □Walk-In Closets □Chair Rail □Water Filtering System □Crown Molding

Accessibility Features □Wheelchair □3’ Int Door □Bus □Threshold □Sidewalk □Acc Bath □Exterior Ramp □Acc Kitchen □Exterior Lift □Interior Lift □Garage □See Remarks □Hall

Amenities □Ceramic Tile □Jet Tub □Built-In Cabinets □Satellite Dish □Bay Window □Hot Tub □Atrium Door □French Door □Sliding Glass Door

Offering Terms □Assumable Mortgage □Cash Only □Owner Financing □Exchange □Owner Concession □Deferred Closing □See Remarks □Subject to Tenants Rights □Early Occupancy □Possession~At Closing □Lease with Option □Possession~Delayed □Lease with Purchase □Possession~TBA

Garage Description □Attached □None □Detached □2nd Fl Apartment □Under Residence □2nd Fl Storage □Tandem □Heated □Carport □Opener □Barn □Other~See Remarks □Combo □Workshop

Master Bedroom □Suite □Attic □First Floor □Basement □Second Floor

Green □Biodegradable Materials □Triple Pane Windows □Geothermal □Wind Power □Recycled Materials □Attached Greenhouse □Renewable Materials □Built Green □Solar (Photovoltaic) □Demand Control Limiter □Solar Domestic Hot Water □Energy Star Appliances □Solar Hot Water Heat □Energy Star Survey □Solar Mass □Energy Star Rated □Solar Panels □Energy Star Windows □Solar Rough-In □High Efficiency Furnace □Southern Exposure □Set Back Thermostat

Pool □Above Ground □Infinity □Hot Tub~Indoor □Lap Pool~Indoor □Hot Tub~Outdoor □Lap Pool~Outdoor □In Ground □Salt Water □Indoor □Other~See Remarks

Water Heater □Electric □Propane □Geothermal □Solar □Natural Gas □Tankless □Oil □Other~See Remarks

Farm Type □Tree Farm □Swine Farm □Sheep/Alpaca □Deer Farm □Chicken □Organic □Equine/Horse □Exotic Farm~Ostrich etc. □Dairy □Other Farm Type □Bird Preserve

Farm Features □2 or More Homes □Outdoor Arena □Additional Acreage Avail □Paddock □Barns □Pasture Land □Bunkers □Pole Barn □Chicken House □Outbuilding(s) □Dairy Barn(s) □Office Improvements □Equipment Building □Training Track □Farm Work Shop □Run-In Barn □Feed Barn □Silo(s) □Fencing □Smoke House □Grain Barn □Stock Barn(s) □Hay Fields □Tack House □Hay Storage Building □Tractor Shed □Indoor Arena □Other~See Remarks □Milk Parlor □Gardens □No Improvements

Custom Features □Bar~Dry □On Demand Hot Water □Bar~Outdoor □Other~See Remarks □Bar~Wet □ In-House Camera System □Crown Molding □Outdoor Shower □Elevator □Sauna □Generator~Automatic □Security System □Generator~Hookup □Steam Shower □Generator~Manual □Wine Celler □Home Theatre □Tennis Court □Whole House Stereo System

Flooring □Ceramic Tile □Linoleum □Concrete □Marble □Cork □Other~See Remarks □Carpet~Over Hardwood □Parquet □Carpet □Slate Floor □Carpet~Wall/Wall □Tile □Granite □Vinyl □Hardwood □Wood Floor □Laminate

Kitchen □2nd Kitchen □Island □Breakfast Bar □Modern □Breakfast Rm □Other~See Remarks □Country Kitchen □Other Kitchen □Custom □Pantry □Eat-In □Semi-Modern □Galley □Summer Kitchen □Prep Sink □Gourmet Kitchen □Outdoor Kitchen

Water Type □Deeded Access w/Dock □None □Deeded Water Access □Water View □Direct Waterfront

Waterfront □Beach □Other~See Remarks □Bluff □Pond/Stream □Boathouse □Rotational Dock □Crib Dock □R.O.W. □Dock □Riverfront □Dock w/Sundeck □Seasonal Access □Lake/River Across Rd □Seawall □Lake/River View □Shared □Lakefront □Stairway □Leased Land □Stake Dock □Level □Waterfront Deck □No Waterfront

Documents Available □Appraisal □Other~See Remarks □Association By-Laws □Percolation Test □Building Restrictions □Rules & Regs □Cert of Compliance □Site Plan □Cert of Occupancy □Soil Map □Deed □Soil Survey □Deed Restrictions □Survey □Easement □Topography Map □Feasibility Study □Zoning Restrictions □Legal Description

*Style □1 Family + In-Law □Farm □1 Story □Farmhouse □1.5 Story □Garden □2 Story □Greek Revival □3 Story □Log □A-Frame □Mansion □Bungalow □Manufactured □Camp □Mobile Home □Cape Cod □Raised Ranch □Carriage/Patio □Ranch □Chalet □Salt Box □Colonial □Triple Wide □Condominium Unit □Hillside Ranch □Contemporary □Old Style □Cottage □Single-Wide □Craftsman (Arts & Craft) □Split Level □Custom □Split Ranch □Double-Wide □Townhome □Duplex □Tudor □Duplex~Over/Under □Two Story □Duplex~Side by Side □Victorian