© 1997, Jack Keller Inc. Rev.: 6/18/2014

MLS Form Instructions 1. You should have received “Instructions”, RENTAL profile

sheets and “Final Questions”.

2. Complete RENTAL profile sheets completely and accurately.

All owners must sign and date where indicated on the forms.

(Make sure all required areas are filled out completely or we

cannot upload your property to the MLS!)

3. All owners must sign and date the RENTAL profile sheets

and “Final Questions”.

If you need the tax record information for your property you can visit:

www.Tax.JackKeller.com

4. A referral fee is required to be offered on the profile sheets to a REALTOR who refers a tenant to

you. This fee is most often a one time flat fee but can be a percentage of the lease price. (If you offer a

percentage of the lease price, the fee must be paid each month to the referring REALTOR for the

duration of the lease.) By signing the RENTAL profile sheets and “Final Questions” you are agreeing to

pay the referral fee mentioned above.

5. MAIL, FAX or SCAN & E-MAIL the RENTAL profile sheets and “Final Questions”, to the

address, fax number, or e-mail address listed at the bottom of the page.

6. SEND AT LEAST 1 PHOTO. MLS rules REQUIRE at least 1 exterior photo of the front of the

property to be loaded at the time we place your property in the MLS system. DUE TO THIS WE WILL

NOT BE ABLE TO COMPLETE YOUR MLS LISTING UNTIL WE RECEIVE AT LEAST 1

PHOTO.

7. Payment of our $150 listing fee is REQUIRED in advance to

list a rental property. We will not upload your property until

payment is made in full.

When Jack Keller Inc., REALTORS, receives all completed, signed forms and payment, your listing

will be processed and uploaded into the MLS system. After your property is uploaded we will send you

a copy of the actual complete listing from the MLS system. Please complete the page at the end of these

forms to notify us how and where you would like to receive a copy of your listing.

*There are fines involved if we are not notified promptly of any

changes/corrections/sales/contracts/leases!*

FAX: (727) 586-1499 (our fax is on 24/7) UPLOAD PHOTOS AT: WWW.PHOTOS.JACKKELLER.COM & E-MAIL LISTING TO: LISTINGS@JACKKELLER.COM

HOURS: M-F 9a.m.-5p.m. EST. (excluding holidays)

Page 1 of 15

ML: | X|X|X|X|X|X|X| : |____|_____||___|___||__|__| OF : |____|____|____|____|____|____|____|____|____|____|____|____|____|____|____|____|____|____| : |____|____|____|____| * (SYSTEM ASSIGNED) Area

:

|___|___|___|___|___|___| |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| : |__|__|__|__|__|__| : $ |__|__|__|__|__| * Street # Street Name

: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| |___|___|___|___|___|___|___|___| |___|___|___|___|___|-|___|___|___|___| * |___|___|___|___| County Folio # (See Table) Zip Code Geo Area

REM : Remarks

STYLE CODES

R60-RESIDENTIAL-ANNUAL R61-RESIDENTIAL-SEASONAL R62-CONDO/CO-OP/ANNUAL R63-CONDO/CO-OP/SEASONAL R64-APARTMENTS-ANNUAL R65-APARTMENTS- SEASONAL R66-DUPLEX/TRI/QUAD-ANNUAL R67-DUPLEX/TRI/QUAD- SEASONAL R70-TOWNHOUSE/VILLA-ANNUAL R71-TOWNHOUSE/VILLA- SEASONAL R72-EFF/STD/HOTEL ROOM-ANNUAL R73-EFF/STD/HOTEL ROOM- SEASONALR80-RESIDENTIAL-OFF SEASON R81-CONDO/CO-OP/OFF SEASON R82-APARTMENTS-OFF SEASON R83-DUPLEX/TRI/QUAD-OFF SEASON R84-TOWNHOUSE/VILLA-OFF SEASON R85-EFF/STD/HOTEL ROOM-OFF SEASON

RNT RESIDENTIAL RENTAL DATA INPUT FORM

Required fields are identified by ����, numeric identified with an ����

AREA BC

AD � E � S � N � SE � NE � SW � NW � W

AN RENT

CT

( 1Req’d. Check 1)

� BROWARD � OTHER � DADE � PALMBCH

(If county is DADE, enter the folio number in the following format with leading 0’s where applicable: # # - # # - # # - # # # - # # # # (Municipality, Township Range, Section, Subdivision Code, Parcel #). If County is BROWARD or PALMBCH,

enter the folio number without dashes)

(See Table)

GENERAL INFORMATION

PARK RESTR Parking Restrictions

: � LIM#VEHIC � NORVBOAT � NOMCYCLE � NOTRKTRL

(CHECK UP TO 3)

:

Additional Parking Information

� 1SPACE � ASSIGNED � COVERED � GUEST � PARKGRG � STREET � 2SPACES � CIRCLDRV � DETACHED � NOTASGN � SLABSRF � VALET

(CHECK UP TO 3)

PARK

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| |___|___|___|___|___|___| Approx Lot Size Lot Square Feet

LT : SF :

GEOAR : ZP : CITY : F# :

FACE : (CHECK 1) � E � NW � SW � N � S � W � NE � SE

(CHECK UP TO 4) CONST

Construction

� ALUMSIDE � CBBRICK � ELEVATED � METAL � PILING � STONE � BLOCK � CBS � FRAME � MODULAR � PRE-FAB � STUCCO � BRICK � COMPSHNG � FRAMSTUC � NEWCONST � SIDEASBT � UNDCONST � BRICKVEN � CONCRETE � MANUFACT � OTHER � SLAB � WOODSIDE

:

510 characters maximum (including spaces and punctuation) to specify any other additional information about the listing.

COMPAS POINT (CHECK 1)

PAGE 1 OF 2

POOL

Private Pool

(REQ’D) , (CHECK UP TO 4)

|___| / Y/N

� ABOVEGRD � BELOWGRD � HEATED � OTHER PL : |___|___|___|___|___| SPA : |___| : |___| � 20+ � CAT � NONE � AUTOCHL � CHLDGATE � HOTTUB � SCREENED Pool Dimensions Spa/Hot Y/N � 20- � DOG � RES � AUTOCLN � EQUIPSTY � INDOOR

Tub

: � 0-¼ ACR � 2-3 AC � CORNER � INTERIOR � REGULAR � ¼-½A � 3-4 AC � CULDESAC � IRREG � WESTUS1 � ½-3/4A � 4-5 AC � EASTUS1 � OTHER � ZEROLOT �3/4-1AC � 5-10 ACR � FLOODZNE � OVERSIZE �1-2 ACRE � 10+ ACR � GOLFCRSE

(CHECK UP TO 3)

Lot Description/ Location

LOTDS

DINE

Dining Area � BREAKAR � EATINKIT � FLA-DIN � KITDIN � OTHER � DIN-LIV � FAM-DIN � FORMAL � LSHAPE � SNACKBAR

: (CHECK UP TO 3)

: |__|__| :|__|__|__|__| :|__|__| : |__|__|__| : |__|__|__|__| : |__|__|__|__| TN PN SD SE MC MAP

Municip Code Township/Range Section Subdivision Parcel # Map Coor. REQ’D WHEN CT=DADE – FOR THE FOLLOWING CODES MC; TN; SE; SD; PN; MAP

TYPE: � APT � MULTI � CONDO � SINGLE � EFF � TOWNHSE

CHECK UP TO 8)

ROOMS

Additional Rooms

: � ATTIC � FLORIDA � GARCONV � MAID-QTR �SCREENED � UTILITY � DEN � FOYER � GST-INLW � PANTRY � STORAGE � WORKSHOP � FAMILY � GAME � LAUNDRY � SAUNA

(CHECK UP TO 4)

FLOOR

Flooring

: � CARPET � CLAY � MARBLE � PARQUET � TERRAZZO � VINYL � CERAMIC � CONCRETE � OTHER � SLATE � TILE � WOOD

ROOF :

(CHECK UP TO 3)

� ALUM � COMPROLL � MANSARD � ROOFOVER � SLATE � BAHAMA � CONCRETE � MANUFAC � S-TILE � TARGRAVL � BARREL � FIBERGLS � METAL � SHAKE � WOOD � BUILT-UP � FLATTILE � OTHER � SHINGLE

: DESIGN Design

(CHECK UP TO 2)

� 1FLENTRY � OLDSPAN � RANCH � 2FLENTRY � OTHER � REMODEL � COUNTRY � PATIO � SPLITLEV � GARDNAPT � PENTHSE � TRILEV � HIGHRISE

(REQ’D) (1 REQ’D IF WTRFR=”Y”, CHECK UP TO 4)

WTRFR

Waterfront

� BAY � CW121+ � LAKE � OCNACCES � POND � CANAL � FIXBRIDG � LAKEACC � OCNFRONT � RIPRAP � CREEK � INTCANAL � MANGROVE � ONEBRIDG � RIVER � CW1-80 � INTRACST � NAVIGABL � OTHER � SEAWALL � CW81-120 � LAGOON � NOFIXBRI � POINTLOT

: |___| Y/N

VIEW

(CHECK UP TO 3)

: � BAY � GARDEN � LAGOON � OCEAN � POOL � WATER � CANAL � GOLF � LAKE � OCRDRECT � RIVER � CLUB � INTRACST � NONE � OTHER � TENNIS

WF : |___|___|___|___| * Water Frontage

CPT : |___| * #Carport Spaces

GARAG (REQ’D) (CHECK 1)

: |___| * / � ATT (Attached) � DET (Detached) #Garage Spaces

DV :

|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| Development Name Subdivision Name

|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| #STOR : |__|__| * FL : |__|__| * DATE AVL : Model Name

SN :

MN :

LG : |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Legal (Enter Additional Legal in Remarks.)

Unit # Rental Price

PER ( 1Req’d Check 1)

Rent Period

: � M � Y

� W

ST : |___|___| ZN : |___|___|___|___|___|___|___|___| Zoning

FURN : |___| Furnished Y/N

|___|___| |___|___| |___|___| MM DD YY

Available Date # Stories Floor #

BAL&P: |___| Balcony Y/N Porch & Patio

� ARCHED � BLINDS � DHWOOD � IMPACTGL � PICTURE � SHMETAL � SOLAR-TN � AWNING � CASEMENT � DRAPES � JALOUSIE � PLANSHUT � SHWOOD � THERMAL � BAY � DHMETAL � HIMW � OTHER � RODS � SLIDING � VERTICAL

WNDW :

Windows/

Treatments

(CHECK UP TO 3)

RESTR : (CHECK UP TO 3)

� ADDITNL � DOCK � OTHER � CHILDOK � EXTALTER

DIR : Directions 255 characters maximum (including spaces and punctuation) to specify any other additional information about the listing.

: |___|___|___|___|___| * : |___|___| * / : |___| : |___| : |___|___| * : |___| * : |___| * Approx Square Footage Year Built (A/C Area) (ENTER YEAR OR CHECK 1)

LA YR CONV

BED FBTH HBTH Convert Y/NBed Efficiency #Bedrooms #Full Baths #Half Baths

EFF � NEW � UC (Under Const) � RS (Resale) � UK (Unknown)

FURN ANNUAL RENT: $ |__|__|__|__|__| FURN SEA RENT: $ |__|__|__|__|__| FURN OFF RENT: $ |__|__|__|__|__| UNFU ANNUAL RENT: $ |__|__|__|__|__| UNFURN SEA RENT: $ |__|__|__|__|__| UNFURN OFF RENT: $ |__|__|__|__|__| JAN: |__| FEB: |__| MAR: |__| APR: |__| MAY: |__| JUN: |__| JUL: |__| AUG: |__| SEP: |__| OCT: |__| NOV: |__| DEC: |__|

SALE : Furniture for Sale Y/N

|___|

Pets Y/N Allowed

Y/N

PET

(Data Generated Based on Style Entry)

STYLE (1 REQ’D, CHECK 1)

Style

: � R60 � R64 � R70 � R80 � R84 � R61 � R65 � R71 � R81 � R85 � R62 � R66 � R72 � R82 � R63 � R67 � R73 � R83

INTLVLS : |__|

(See Table)

150 characters maximum (including spaces and punctuation) to specify any other additional information about the listing.

Brk Remarks:

HOPA �N-NO HOPA

�U-UNVERIFIED

�V-VERIFIED

Housing for Older Persons

(Check 1) :

(1REQ’D IF WTRFR=”Y”, CHECK UP TO 4)

WTRAC

Water Access

: � BEACHACC � COMMDOCK � DOCKAVAL � OTHER � RESTRICT � BOATLIFT � COMMRAMP � HOISTDVT � PRIVDOCK � UNRESTRC � BOATLOCK � DEEDDOCK � NONE

ADDITIONAL INFORMATION(CHECK UP TO 7)

1FLENTRY BAR COOKISLAN ELEVATOR FIRESPRK FRENCHDR LAUNDTUB PLDNSTAIR SKYLIGHT TRPSPLIT WALKCLOS 2FLENTRY BUILT-INS CUSTMIRR EXCLUSION FOYER HANDIACC OTHER REPLCHAN SPLITBED VAULTED WATTWISE 3FLENTRY CLOS-CAB DOMEKITCH FIREPLACE FP-DÉCOR HANDIEQP PANTRY ROMANTUB STACKBED VOLUMCEILWETBAR

INTER :

InteriorFeatures

AUTOGRDR DISHWASH ELEVATOR GASWHTR INTERCOM OTHER RANGE-G SMOKEDET WASHER BOTLGAS DISPOSAL FIREALRM HOOKUP MICRO OWNBALRM REFRIG SOLWHTR WTRSOFOW CENTVAC DRYER FREEZER HTRLEASE NATLGAS PURIFIER SECLEASEW-DLEASE WTRSOFRN COMPACT ELECWHTR GASLEASE ICEMAKER NONE RANGE-E SELFCLEANWALLOVEN

(CHECK UP TO 7)

EQUIP :

Equiptment/AppliancesIncluded

APPRV

Approval

:(CHECK UP TO 3)

1-2WKS APPL-FEE CREDTRPT NONE RAPID TENSRCN 3-4WKS ASSOC INTERVW OTHER TENPYSCR UNKNOWN

HEAT :(CHECK UP TO 3)

CENTRAL HEATSTRP OIL RCU WALLFURN ELEC HPMP-REV OTHER SOLAR WNDW/WALL GAS NONE RADIANT SPACE ZONED

COOL :(CHECK UP TO 4)

AIRPURE CENTRAL HUMIDSTAT PADDLE WALL/WNDW ATTICFAN ELEC NONE RIDGEVENT ZONED CEILFAN GAS OTHER THERM-FAN

RENTAL INFORMATION

ADDL : $ |____|Additional Y/NMove in Cost

EXTER :

ExteriorFeatures

(CHECK UP TO 7)

AWNINGS BLTINGRIL FENCE HIMD OPENBALC OUTDRSHWR ROOMPOOL SCRNBALC SHED SHUTTERS TV-ANTEN BARBEQUE DECK FRUITTREE LIGHTING OPENPORCH PATIO SATDISH SCRNPORCH SHUTELEC TENNISCT WRAPPORCH BARN-STAL EXTRABLD GRNHOUSE NONE OTHER

AMENS :

Amenities

(CHECK UP TO 7)

ACTVRM CCMEMBER COMPOOL GLFEQAVL GUARDGAT LAUNDFAC OTHER PLAYAREA SAUNA BAR CLBMEMRQ ELEVATOR GLFEQINC HANDBASK MAINTAND OTHMEMAVL POOLTABL SECPATRL CARDGATE CLUBHSE EXERCISRM GOLF KITCHFAC MGTONSIT OTHMEMINC PUTGREEN SPAHOTTB

(CHECK UP TO 8)

1STMO LASTMO PAINTING REFUND UTILHK CLEAN NONREF PETS SECDEP 1MO2SEC

RENTAL DEP INCL:

#LSE YR : |___|___|___|*# of Leasesa Year

OFFICE INFORMATION

|__|__|__|-|__|__|__|-|__|__|__|__|2PH :|__|__|__|-|__|__|__|-|__|__|__|__|(Area Code) Owner Phone #

ON# :|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|Owner’s Name (Last Name First)

ON :

:

Sewer

SWR :(CHECK UP TO 2) SEPSEW SEWER SEPTIC

: |___|Owner Y/NAgent

|

*** INFORMATION IS BELIEVED ACCURATE BUT IS NOT WARRANTED ***The undersigned has verified the noted information and warrants it to be accurate to the best of his/her (their) knowledge.

_______________________________________ ___________________________________________ Date ________________________________Listing Agent Owner

:

RNT

:XD |___|___| |___|___| |___|___|MM DD YYExpiration Date

COBA : |___|___| |___|___|___|Compensation To Buyer’s Agent $ or%

COTB : |___|___| |___|___|___|Compensation To Transaction Broker $ or %

CONR : |___|___| |___|___|___|Compensation To Non-Representatives $ or%

OCCUP :(1REQ’D)

ANNUAL MONTH OFF-SEA SEASON VACANT

OccupancyInformation

SHOW :(1REQ’D, CHECK UP TO 2)

CALL-LA ELBX-CLA LA-ACCOM PETS CALL-LO ELBX-CLO LBX-CLA SHOWASSIST CALL-OWN ELBX-OWN LBX-CLO BRKR-RMRKS CALL-TEN ELBX-NOAPT LBX-NAPT COURTESY KEYIN-LO OTHER

ShowingInstructions

GFLR 06/2012

SECUR :

(CHECK UP TO 7)

Security BLDGKEY GRLLWORK LOBBYATT PARKKEY TVMONITR BLDSECUR GUARDGAT NOBALRM SECLEASE WALLED COMPFENC INTERCOM OWNBALRM SECPATRL

APPFEE

Application Fee

: $ |___|___|___|*MIN LS #DAY

MinimumLease Period

: |___|___|___|*

: $ |___|___|___|___|___|___|Move in Cost

MOVE IN

: $ |___|Y/N

RENEWABLELSE TERMS :(CHECK UP TO 4)

1RENEW 1YRONLY LSEOPT MO-MO 1YR+ LESS1YR LSEPURC SUBLET

RENTAL PMT INCL :(CHECK UP TO 8)

ASSOCFE ELEC GAS POOLMNT WTR/SWR CABLETV EXTERM HOTWTR WASTE YARDMNT

:

MISC :(CHECK UP TO 16) ACPTSEC8 ELEWHTR HTRLEASE NATLGAS PRCH-BAL TENNIS AS-IS GASWTR LAWNPOOL OTHER RECFACIL AUTODR HANDYMAN LSEOPTAV OWNAGT SOLWHTR

Miscellaneous

WTR :Water

(CHECK UP TO 2)

LAKEDRAN OTHER MUNICIPL WELL

:

:COMM

(1REQ’D, CHECK UP TO 2)

2 L R F N

Renewal Commission

OA

© 1997, Jack Keller, Inc. Rev.: 2/27/2007

FINAL QUESTIONS!

How would you like to receive a copy of your listing? Please choose only one:

By Fax By Mail By E-mail, It will come in a .pdf file

Your Name: ___________________________________________ Date: _______________________ Company: _________________________________________________________________________ Your Mailing Address: _______________________________________________________________ Mailing City: __________________________ Mailing State: _______ Mailing Zip: _____________ Your Ph.#: (______) _____________________ Your Fax#: (______) _________________________ Your E-mail address: ______________________________@________________________________ How did you hear about us? Postcard Search Engine Word of mouth Investors Club E-mail Repeat Customer Referral; From: ___________________ By signing below the Owner has reviewed the information entered on the Instructions page and Profile Sheets and acknowledges that the foregoing information is believed to be true and correct and by reference hereto becomes a part of the Agreement. Owner agrees to promptly notify Broker if there is any material change in such information during the term of this Listing. The Owner agrees to indemnify and hold harmless the MLS and its employees, the Listing Broker and Licensees, the Selling Broker and Licensees, and all other Cooperating Brokers and Licensees against any and all claims or liability (Including attorney's fees) arising from any breach of warranty by Owner or from any incorrect information supplied by Owner or from any facts concerning the Property which was known or reasonably should have been known to Owner but not disclosed by Owner. At the request of the Listing Broker, unless otherwise properly indicated on this Profile Sheet, the MLS may electronically transfer information about Owner's property to Internet Web Sites to aid in the marketing of the Property. Seller authorizes Broker, the MLS and/or Association of Realtors® to use and/or license the listing data. MLS assumes no responsibility or liability to Owner for errors or omissions on this Data Entry Form or in the MLS computer system or reciprocal computer systems. The owner(s) also acknowledges that they must notify Jack Keller Inc., REALTORS when they have LEASED OR SIGNED A SALES CONTRACT on the property and/or when the SALE HAS CLOSED.

ALL OWNERS MUST SIGN HERE!

____________________________________________ Owner Signature ____________________________________________ Owner Signature ____________________________________________ Owner Signature ____________________________________________ Date

Page 14 of 15

© 1997-2012, Jack Keller, Inc. Rev.: 5/29/2012

Rental Change/Update Form Please fill out as much information as possible

Failure to fill in your MLS# will result in a delay in changes/updates.

Owners full name(s):_____________________________________________________

Contact ph#:________________________ MLS#:_____________________________

Listed property address:___________________________________________________

What would you like to do?

> RENTED/LEASE information goes below:

Leased Date:________________ Lease Effective Date:_______________ Leased Price $ :_____________________ (The date when all parties signed the lease.) (The date when the lease becomes effective)

Was the renter represented by a REALTOR?: Yes

No

If it was a REALTOR what was the REALTOR’s Name:_________________________________________________

What Real Estate Office is he/she with?:______________________________________________________________

Correction/Update information goes below:

________________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

Mail or Fax to: 727-586-1499 (our fax is on 24/7)

-or-

Scan & E-mail to: listings@jackkeller.com

Price change to: $________________________

Commission change to: ___________________

***If you want to EXTEND a non-expired MLS listing

***go to www.Change.JackKeller.com for details.

Make a correction/update. (Specify the correction/update at the bottom left of the page) ***If you want to RE-LIST an EXPIRED MLS listing

***go to www.Change.JackKeller.com for details.

(PLEASE MAKE SURE TO FILL IN ALL OF THE INFORMATION BELOW) I have a RENTED the property.

RE-ACTIVATE my non-expired MLS listing. (There is a fee to do this)

WITHDRAWL my listing from the MLS system

Reason:___________________________________

ALL OWNERS MUST SIGN HERE!

____________________________________________________

Owner Signature

____________________________________________________

Owner Signature

____________________________________________________

Date

Page 15 of 15