CI COMMERCIAL / INDUSTRIAL

LISTING INPUT FORM

* Denotes Required Fields Listing Number Revised 12/22/2005

List Office Name List Agent Name

*List Office ID

*List Agent ID *List Price

*List Date / / *Expiration Date / /

*Type of Listing A -Exclusive Right To Sell G-Facilitation/Exclusive Right To Sell

Agreement B-Exclusive Right To Sell With Named Exclusion H-Facilitation/Exclusive Right To Sell With Named Exclusion
D-Exclusive Agency I-Facilitation/Exclusive
E-Exclusive Right To Sell With Variable Rate of Commission J-Facilitation/Exclusive Right To Sell With Variable Rate of Commission
F-Exclusive Right To Sell With Dual Rate of Commission K-Facilitation/Exclusive Right To Sell With Dual Rate of Commission

*Entry Only If entering YES in the Entry Only field you are hereby indicating that this listing is an Entry Only Listing and as such you will be providing no
Yes No other services to the seller other than the entering of this listing into the MLS system. Please refer to Sec. 1.0 (b) Note 2 and the Definitions
section of the Rules & Regulations for more information.

*House # *Street Name Parcel ID Number (PIN) (Max. 36 characters)

*Town *State *Zip Code Zip 4 Area

_

*Type of CI (choose only one)

A -Commercial B-Industrial C-5+ Residential D-Land E-Office

*Space Available (choose only one) *Lease

A -For Sale B-For Lease C-For Sale/Lease Yes No

Lease Price Includes *Exchange

A -Building B-Business C-Land D-Other (See Rmk) E-Not Applicable Yes No

Lease Type *Sublet

G-Gross O-Other (See Rmk) Yes No

*Directions
(Max. 100 characters)

*Sub-Agency Relationship Offered Yes No

Sub-Agent Showing Buyer’s Agent Showing Facilitator Showing

A -Call List Office A -Call List Office A -Call List Office
C-Call List Agent C-Call List Agent C-Call List Agent
K-Call MA-Pass 508-389-1780 K-Call MA-Pass 508-389-1780 K-Call MA-Pass 508-389-1780
L-Other (See Rmk) L-Other (See Rmk) L-Other (See Rmk)

Special Showing Instructions

(Max. 100 characters)
Revised 12/22/2005 CI Listing Input Form, Page 2

# UNITS SQUARE FEET

*Residential *Square Feet Gross Annual Income $ Association

Yes No

*Office *Square Feet Gross Annual Expenses $

Association Fee

*Retail *Square Feet Net Operating Income $ .

*Warehouse *Square Feet Association Fee Includes

A -Heat R-Tennis Court
B-Hot Water S-Playground

*Manufacturing *Square Feet Special Financing C-Electric T-Park

Yes No D-Gas U-Rec. Facilities
E-Water V-Paddle Tennis

Total Units Total Square Feet F-Sewer W-Exercise Room

G-Master Insurance X-Sauna/Steam
H-Security Y-Clubroom
I-Swimming Pool Z-Walking/Jogging Trails
J-Laundry Facilities 1-Beach Rights
*# Buildings Expandable Elevator K-Elevator 2-Dock/Mooring
Yes No Yes No L-Exterior Maintenance 3-Extra Storage
M -Road Maintenance 4-Refuse Removal
*# Stories Dividable Sprinklers N-Landscaping 5-Garden Area
Yes No Yes No
O-Snow Removal 6-Valet Parking
P-Golf Course 7-N / A
# Units Railroad Siding Handicap Accessible
Yes No Yes No Q-Putting Green

# of Restrooms # Drive in Doors

# of Loading Docks Ceiling Height

*Approx. Lot Size (Sq. Ft.) *Year Established *Assessed Value Land *Taxes

Approx. Acres *Year Established Source *Assessed Value Building Mill Rate
AP-Appraiser
BU-Builder
Approx. Frontage OW-Owner *Total Assessed Value *Fiscal Year
PR-Public Record

Approx. Depth Site Condition Map *Book *Page

A-Dry E-Wet
B-Level F-Wood
Traffic Count/Day C-Open G-Improved Block Cert. # or Deed Date
D-Slope

*21E on File Lot *Zone Description or Title

Yes No A -Legal Conforming
B-Legal Non-Conforming
*Specific Zoning Code C-Other (See Rmk)
Revised 12/22/2005 CI Listing Input Form, Page 3

*Parking Capacity Location Utilities Roof Material Construction

A -Downtown A -Public Water A -Aluminum A -Aluminum
B-Urban B-Private Water B-Membrane B-Brick
C-Suburban C-Public Sewer C-Combination C-Stone/Concrete
Parking Description D-Rural D-Private Sewer D-Shingle D-Frame
A -1+ Space
E-Park E-Water Available E-Tar & Gravel E-Mason
B-Assigned
F-Shopping Mall F-Sewer Available F-Other (See Rmk) F-Steel
C-Detached
G-Strip G-Natural Gas G-Stucco
D-Attached
H-Historic H-Bottled Gas H-Other (See Rmk)
E-Garage
I-Industrial Park I-110 Volts
F-Open
J-Office Park J-220 Volts
G-Street
K-Free Standing K-440 Volts
H-Under
L-Interstate L-Three Phase
M -Highway Access M -Other (See Rmk)
N-Public Transportation

Survey Sub-Dividable Underground Tank

Yes No Yes No Poss Yes No Unknown

Plat Plan Lien & Encumbent Easements

Yes No Yes No Yes No Unknown

*Sub-Agent Compensation *Buyer’s Agent Compensation *Facilitator Compensation

*Seller Disclosure Declaration

Yes No

**REMINDER**
As stated in the Rules & Regulations Sec 1.0 (e), no broker, agent or agency may be named, identified, nor may any web, e-mail or voicemail address or other personal
form of identification be included, in any section or field of any Property Data Form, except only in “Firm Remarks”, “Team Member” & “Special Showing Instructions”.
Also, no Seller may be identified in any section or field of any Property Data Form.

Disclosures
(Max. 100 characters)

Exclusions
(Max. 100 characters)

Remarks
(Max. 500 characters)

Firm Remarks
(Max. 100 characters)

*Tip* - Enter your team member’s AGENT ID in the TEAM MEMBER ID field and H3MLS will show their full contact
Team Member ID information in any reports.