Property Listing Agreement (For Sale) Date _____________
Investor Name
________________________________________________
LLC or Corporate Name
________________________________________________
Email Address
_________________________________________________
Phone Number
_________________________________________________
Fax Number
_________________________________________________
Combo Lockbox Code
_______________
Are Real Estate Signs Allowed? Yes
No
Window or Lawn Sign _________________
*If you intend to list for sale and rent please also fill out Rental Listing Agreement.
If property is occupied by tenant complete below: Tenant Name
___________________________________
Tenant Phone
___________________________________
Tenant Move-Out Date
_________________________________
Will Tenant Allow Showings? Yes
No
*Tenant will need to sign Keybox Authorization Form in addition to your signature Special Instructions ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
Fax or Email Completed Agreement. Fax: 630-701-1030 / Email: christian.chase@mychaseagent.com Chase Real Estate, LLC 1315 Macom Dr. Suite 105 Naperville, IL 60564 www.ChaseForeclosure.com
MRED Listing Sheet Page 1 (*) INDICATES REQUIRED FIELD DO NOT ABBREVIATE
Christian Chase Agent Name: __________________________________________
Listing #: _________________________
BASIC LISTING INFORMATION *Area
Multiple PIN Numbers
*Parcel Number
*Street Number
Compass Point
Y/N
*Street Name
Note: Where City=Chicago, Compass Point is required *Street Suffix: AVE Avenue; BLVD Boulevard; CIR Circle; CT Court; DR Drive; HWY Highway; LN Lane; PKWY Parkway; PL Place; PLZ Plaza; PT Point; RD Road; SQ Square; ST Street; TER Terrace; TRL Trail; WAY Way; No Street Suffix=Blank
*Street Suffix
State
*City
*Zip
(zip4 optional )
Illinois Counties: Boone; Bureau; Caroll; Clinton; Cook; DeKalb; DuPage; Fulton; Grundy; Henry; Jo Daviess; Kane, Kankakee; Kendall; Lake; LaSalle; Lee; Livingston; Marshall; McHenry; Ogle; Putnam; Rock Island; Stephenson; Whiteside; Will; Winnebago Other or Outside of Illinois CNY=Other
*County *Township
*Corporate Limits of OR Unincorporated
*List Price
*List Date
/
/
/
*Expiration Date
*Listing Agent
/
*Listing Office
GENERAL INFORMATION *Directions (Maximum 100 characters)
Start from a major intersection/street Use Compass Points (i.e. N, E, S, W) for directionals
Coordinates:
North
East
South
West
Note: Where City=Chicago, Coordinates are required
Subdivision
Census Tract (CT):
*Elementary School District
Elementary School Name
*Middle/Junior High District
Middle/Junior High Name
*High School District
High School Name
Other Public School District
Other Public School Name
*Ownership *Built before 1978
CD Condo; FS Fee Simple; HA Fee Simple w/H.O. Assn.
*Recent Rehab:
Y/N
Is Property Currently Leased?
Y/N
Est. Occupancy Date
/
Y/N
*Approx. Year Built
~or~
Unknown
A value in Year Built must be entered for properties built 25 years ago or less (This field will only display for NEW Existing Basement/Foundation Y/N properties)
/
If "Yes", provide Lease Expiration Date /
0=None
Wall Insulation
/
~or~
Ceiling Insulation
Check Month To Month * Waterfront
Y/N
If data entered into the AGE field indicates "New", Occupancy Date, Wall & Ceiling Insulation (Lowest "R" Values) are Required
*Age A: 1 5 Years B: 6 10 Years C: 11 25 Years D: 26 50 Years E: 51 100 Years F: 100+ Years
New/Proposed Construction Options H: New Ready for Occupancy K: New Proposed Construction L: New Under Construction M: Unknown N: New Will Build to Suit
Area Amenities A: Clubhouse B: Park/Playground C: Pool D: Tennis Courts E: Horse Community Barn F: Horse Riding Area
A: Air Purifier/Humidifier B: Appliance Package/Allowance C: Basement/Lower Level Exterior Exit D: Basement/Lower Level Finished E: Basement/Lower Level Stubd in Bath F: Central Air G: Central Air Ready H: Deck/Patio/Screened Porch I: Electrical Allowance
J: Energy Efficient Package K: Exterior Brick/Cedar L: Fireplace M: Basement N: Garage O: Hardwood/Ceramic Floors P: Hot Tub/Pool Q: Landscaping R: Oak Trim/Oak Staircase
*Other Information G: Horse Riding Trails H: Landing Strip I: Pond/Lake J: Dock Community K: Water Rights
A: Exceptions Call List Office B: Exclusions Call List Office C: Home Warranty D: List Agent Must Accompany E: Reserve Fee Required F: School Bus Service G: Commuter Bus
S: Roof Cedar/Shakes/Tile T: Skylight(s) U: Upgrade Carpet/Pad/Vinyl V: Upgrade Interior/Exterior Door(s) W: Vaulted/Cathedral Ceilings X: Vinyl Clad Windows Y: Whirlpool Tub Z: Other
Exposure H: Commuter Train I: Short Sale J: Tear Down/Will Build to Suit K: Adult Community N: None P: Court Approval Required Q: In Foreclosure
A: N (North) B: S (South) C: E (East) D: W (West) E: City F: Lake/Water G: Park
MRED Listing Sheet Page 2 (*) INDICATES REQUIRED FIELD DO NOT ABBREVIATE REMARKS (Maximum 420 characters)
EXTERIOR FEATURES .
Acreage:
*Lot Dimensions Model *Type of House
Style of House
A: 1 Story B: 1.5 Story C: 2 Stories D: 3 Stories E: 4+ Stories F: Coach House
A: American 4 Sq. B: Bi Level C: Brownstone D: Bungalow E: Cape Cod F: Colonial G: Contemporary H: Cottage I: English
G: Earth H: Hillside I: Raised Ranch J: Split Level K: Split Level w/Sub L: Other
Lot Description A: Beach B: Chain of Lakes Frontage C: Channel Front D: Common Grounds E: Corner F: Cul De Sac F: Cul De Sac G: Dimensions to Center of Road
*Parking Type
H: Fenced Yard I: Forest Preserve Adjacent J: Golf Course Lot K: Horses Allowed L: Irregular M: Lake Front N: Landscaped Professionally O: Legal Non Conforming
J: Farmhouse K: French Provincial L: Georgian M: Greystone N: Log O: Mediterranean/Spanish P: Prairie Q: Quad Level R: Queen Anne
S: Ranch T: Row House U: Step Ranch V: Traditional W: Tri Level X: Tudor Y: Victorian Z: Other
*Exterior Building Type
*Lot Size
A: Aluminum/Vinyl/ Steel Siding B: Brick C: Cedar D: Frame E: Block F: Dryvit Type G: Glass H: Log I: Masonite
A: Less than .25 Acres B: .25 .49 Acres C: .50 .99 Acres D: 1.0 1.99 Acres E: 2.0 4.99 Acres F: 5.0 9.99 Acres G: 10+ Acres K: Oversized Chicago Lot L: Standard Chicago Lot
Foundation
Roof Type
A: Block B: Brick C: Concrete D: Pillars E: Reinforced Caisson F: Stone G: Wood H: Other
A: Asphalt/Glass (Rolled) B: Asphalt/Glass (Shingles) C: Metal D: Rubber E: Slate
Other Improvements F: Tar & Gravel G: Tile H: Wood Shakes/Shingles L: Other
A: Curbs/Gutters B: Gated Entry C: Sidewalks D: Street Lights E: Street Paved F: Other
*Number of Cars
G Garage(s); S Space(s); N None
*Parking
*Garage Type
A: Assigned Spaces 1 B: Assigned Spaces 2 or more C: Unassigned D: Off Alley E: Off Street F: Side Apron G: Underground/Covered I: Fee/Leased
J: Shakes K: Stucco L: Stone M: Marble/Granite N: Concrete O: Asbestos Siding P: Limestone Q: Slate R: Other S: Clad Trim
J: Zoned Permit K: Visitor Parking L: Valet M: None/Not Applicable N: Deeded Sold Separately O: On Site P: Off Site
A: Attached B: Detached C: 1 Car Garage D: 1.5 Car Garage E: 2 Car Garage F: 2.5 Car Garage G: 3 Car Garage H: 3+ Car Garage
Driveway
M: Garage Door Opener(s) (Auto) N: Transmitter(s) O: Carport P: Heated Q: Leased R: Owned S: Underground
U: None V: Deeded Sold V: Separately W: On Site X: Off Site Z: Tandem
A: Asphalt B: Brick C: Concrete D: Dirt E: Gravel F: Circular
G: Shared H: Off Alley I: Side Drive J: Heated K: Other
UTILITIES & ENERGY EFFICIENT FEATURES *Air Conditioning
*Water
*Sewer
Electricity
*Heat/Fuel
A: Central Air B: Partial C: Space Pac D: 1 Window/Wall Unit E: 2 Window/Wall Units G: 3+ Window/Wall Units H: Zoned I: None
A: Lake Michigan B: Public C: Private Company D: Well Community E: Well Private F: Well Private Company G: Well Shared H: Other
A: Septic Mechanical B: Septic Private C: Septic Shared D: Sewer Public E: Sewer Storm F: Holding Tank(s) G: Overhead Sewers H: Other
A: Circuit Breakers B: Fuses C: 200+ Amp Service D: 150 Amp Service E: 100 Amp Service F: 60 Amp Service G: 30 Amp Service
A: Gas B: Electric C: Oil D: Propane E: Solar F: Forced Air G: Hot Water/Steam H: Baseboard
HERS Index Score
Green Disclosure
Energy/Green Building Rating Source
Green Features
A: Energy Star Homes B: LEED H Certified C: LEED H Silver D: LEED H Gold E: LEED H Platinum
A: Photovoltaic/Solar System B: Pre wired for PV/Solar C: Solar Hot Water D: Geothermal Heating/ D: Cooling System E: Tankless hot water heater F: Enhanced Air Filtration
F: NAHB Bronze G: NAHB Silver H: NAHB Gold I: Chicago Green Homes O: Other
I: Radiant J: Gravity Air K: Heat Pump L: Radiators M: Space Heater(s) N: 2+ Separate Heating N: Systems O: Individual Controls
P: Zoned Q: Other R: None
Y/N (Note: If Y is entered, disclosure must be uploaded against listing)
Equipment G: Low flow commode H: Low flow fixtures I: Native/drought resistant landscaping J: Rainwater Collection System K: Green roof
A: Humidifier B: Water Softener Owned C: Water Softener Rented D: Central Vacuum E: TV Cable F: TV Dish G: TV Antenna H: TV Rotor
I: Security System Q: Sprinkler Lawn J: Intercom R: Air Cleaner K: Fire Sprinklers S: Air Exchanger L: CO Detectors M: Ceiling Fans N: Fan Attic Exhaust O: Fan Whole House P: Sump Pump
MRED Listing Sheet Page 3 (*) INDICATES REQUIRED FIELD DO NOT ABBREVIATE
INTERIOR FEATURES Approx. Sq Ft *Master Bedroom Bath
Y/N
Attic
Bath Amenities
A: Dormer B: Finished C: Full E: Interior Stair F: Pull Down Stair G: Unfinished
A: MBR Full B: MBR 1/2 C: Shared Master Bath D: Whirlpool E: Separate Shower
*Total Number of Rooms
*Bedrooms
*Basement
*Basement Bathrooms
Y/N
*Basement F: Handicap Shower G: Steam Shower H: Double Sink I: Bidet
*Total Full/Half Baths
.
# of Fireplaces
Y/N
Fireplace Type
A: Full B: Partial C: Walkout D: Finished E: Partially Finished F: Unfinished G: Crawl
H: Cellar I: English J: Sub Basement K: Slab L: Exterior Access M: Other N: None
A: Location Family Rm B: Location Living Rm C: Location Master Bedrm D: Location Basement E: Location Other F: See through/Multi Sided G: Wood Burning
H: Wood Burning Stove N: Includes Accessories I: Attached Fireplace O: Portable/Ventless P: Decorative Only Doors/Screen J: Electric Q: Foundation Only K: Gas Logs L: Gas Starter M: Heatilator Type System
Other Features A: Handicapped Access B: Handicapped Equipped C: Deck D: Patio E: Porch Screened F: Vaulted/Cathedral Ceiling
G: Skylight(s) H: Balcony I: Porch J: Gazebo K: Greenhouse L: Storage Shed
M: Dog Run/Invisible Fence N: Horse Barn/Pole Barn O: Tennis Court(s) P: Boat Dock/Mooring Q: Pool Above Ground R: Pool In Ground
*Level
Size Living Room
X
Dining Room
X
Kitchen
X
Family Room
X
Master Bedroom
X
2nd Bedroom
X
3rd Bedroom
X
4th Bedroom
X
Addl Rm 1 Name
X
Addl Rm 2 Name
X
Addl Rm 3 Name
X
Addl Rm 4 Name
X
Addl Rm 5 Name
X
Addl Rm 6 Name
X
Addl Rm 7 Name
X
Addl Rm 8 Name
X
Addl Rm 9 Name
X
Addl Rm 10 Name
X
S: Pool Indoors T: Hot Tub U: Sauna/Steam Room V: Bar Dry W: Bar Wet X: Roof Deck
Flooring
Window Treatments Y/N Level Choices: B Basement; W Walkout Basement; L Lower; 1 Main Level; 2 2nd Level; 3 3rd Level; 4 4th Level; A Attic; N Not Applicable
Flooring Choices: C Carpet; H Hardwood; P Parquet; V Vinyl; T Ceramic Tile; M Marble; W Wood Laminate; O Other
"SEARCHABLE" Additional Room Name Choices: 2KT 2nd Kitchen; ATR Atrium; ATC Attic; BAL Balcony; BAR Bar; BON Bonus; BR5 5th Bedroom; BR6 6th Bedroom; BR7 7th Bedroom; BR8 8th bedroom; BR9 9th Bedroom; B10 10th Bedroom; B11 11th Bedroom; B12 12th Bedroom; BRK Breakfast Room; DEN Den; DRK Dark Room; DEC Deck; EAS Eating Area; ENP Enclosed Porch; EXC Exercise Room; FOY Foyer; GAL Gallery; GAM Game Room; GRT Great Room; LDY Laundry; LIB Library; LOF Loft; MAI Maid's Room; MED Media Room; MUD Mud Room; NUR Nursery; OFF Office; PAN Pantry; PLY Play Room; REC Recreation Room; SCP Screened Porch; SEW Sewing Room; SIT Sitting Room; STE Suite; STY Study; STG Storage; SUN Sunroom; TAN Tandem Room; TER Terrace; THR Theatre Room; UTIL Utility Room; WIC Walk In Closet; WRK Workroom; OTH Other
Dining Room
Kitchen Type
Appliances
A: Separate B: Combined w/ Living Room C: Combined w/ Family Room D: L Shaped
A: Eating Area Breakfast Bar B: Eating Area Table Space C: Galley D: Island E: Pantry Butler F: Pantry Closet G: Pantry Walk in
A: Oven Double B: Oven/Range C: Microwave D: Dishwasher E: Dishwasher Portable F: Refrigerator G: Refrigerator Bar
Other Rooms H: Freezer I: Washer J: Dryer K: Disposal L: Compactor Trash M: Grill Indoor N: Grill Outdoor
A: 1st Floor Bedroom B: Darkroom C: Den/Office/Study D: Enclosed Balcony E: Exercise Room F: Family Room G: Gallery/Foyer
H: Great Room I: In Law Arrangement* J: Kitchen Second K: Library L: Loft M: Maid's Room N: Porch Enclosed
O: Porch Screened P: Recreation Q: Sitting Room R: Sunroom/Florida Room T: Utility/Laundry 1st Floor U: Utility/Laundry 2nd Floor V: Workshop
* Check Local Ordinances
TAX/ASSESSMENTS *Tax Year
*Taxes
*Special Assessments &/or Special Service Area
($) Y/N/U
Tax Exemptions *Assessment/Association Dues $
H Homeowner; S Senior; O Other; N None 999 Not Fully Assessed; 0 None
MRED Listing Sheet Page 4 (*) INDICATES REQUIRED FIELD DO NOT ABBREVIATE *Frequency
* Assessment Includes
A Annual; M Monthly; Q Quarterly; V Voluntary; N Not Applicable
A: Heat B: Air Conditioning C: Water D: Electric E: Gas F: Parking
G: Tax H: Common Insurance I: Security J: Security System K: Doorman L: TV/Cable
M: Club House N: Exercise Facilities O: Pool P: Exterior Maintenance Q: Lawn Care R: Scavenger
S: Snow Removal T: Lake Rights U: Other V: None
OFFICE/SALES INFORMATION *Listing Type
*Agent Owned/Interest
E Exclusive Right to Sell; X Exclusive Agency
*Holds Earnest Money
Y/N
Y/N
A EasyShow; B Sentrilock Blue; C Sentrilock Silver; D Supra Blue iBox; E Supra Grey AEII; F Combination; G Metal Push Button; N None (Up to 2 selections maximum) Lock Box Type *Showing Instructions (Maximum 56 characters)
*Cooperative Compensation (Maximum 100 characters)
*Special Compensation Info *Possession
C Court Approval Required; M Bonus; S Short Sale: Z Exception(s); V Variable; N None
Sale Terms
A: Closing B: Immediate C: Lease Back Required D: Negotiable E: Prior to Closing
F: Specific Date G: Tenant's Rights H: Other I: Harvest Rights
A: Conventional B: FHA C: VA D: Assumption Conv E: Assumption FHA F: Assumption VA
G: Release Required H: Contract (Articles) for Deed I: Lease/Purchase J: Owner May Help/Assist K: Purchase Money Mortgage L: Rent w/Option
M: Rewrite/Blend N: Trade/Exchange O: Cash Only P: Other
Listing Agent Additional Info
Co Lister (MLS ID)
*Owner's Name OR "Owner of Record" Owner's Phone Agent Remarks (Maximum 240 characters)
*Secure Showing Instructions (ShowingAssist data entered in this field ONLY displays to the Listing Agent/Listing Office)
MEDIA *Photo
B Supplied by LO; C Sketch Supplied by LO
*Remarks on Internet?
*Virtual Tour Y/N
A: Standard: B: Plus Realtor.com; D: VHT; E: CirclePix; G: OBEO; N: None
*Property Address on Internet?
Y/N
A All; B None; D realtor.com; X RealNet (Vendor Contract Needed)
*Internet Listing *VOW Comments/Reviews?
Y/N
*VOW AVM?
TOUR/OPEN HOUSE INFORMATION (Optional) Tour Date Lunch
/
/
Y/N
Comments (Maximum 68 characters)
(MM/DD/YYYY)
Start Tour Time Refreshments
Y/N
:
(AM/PM)
End Tour Time
:
(AM/PM)
Y/N
***Check YES - NO - NA For All 23 Questions***
ILLINOIS ASSOCIATION OF REALTORS
BUYERS’ MOLD NOTICE Buyers are advised that the presence of certain kinds of mold, funguses, mildew and/or other organisms may adversely affect the property and the health of certain individuals. These conditions are often the result of moisture invasion or water leakage inside the home and can sometimes produce harmful toxins. Buyers are advised to have any property they are considering purchasing inspected for the existence of such conditions or organisms, or the conditions that may lead to their formation, during buyers’ home inspection contingency period. Buyers are also advised to consult with appropriate experts regarding this topic if they have any questions or concerns. Broker and its agents are not experts on mold and other related conditions. The undersigned acknowledge receiving this Notice on the date indicated below.
Date: ________________________
Buyers: _________________________________ _________________________________
(Broker should retain the original for its file and give a copy to the Buyers.)
Seller Signature Form 347 9/2002
Copyright by Illinois Association of REALTORS
ILLINOIS ASSOCIATION OF REALTORS®
MOLD DISCLOSURE
Printed Name(s) of Seller(s) __________________________________________________________________ Printed Name(s) of Buyer(s) __________________________________________________________________ Property Address __________________________________________________________________________ 1.
SELLER DISCLOSURE. To the best of Seller’s actual knowledge, Seller represents: a. The property described herein ❑ has ❑ has not been previously tested for molds, fungi, mildew and similar organisms (“molds”); ***Check One***
Note:
If answer to a. is “has not,” then skip b. and c. and go to Section #2. If answer to a. is “has,” then complete b. and c. b. The molds found ❑ were ❑ were not identified as toxic or harmful molds; c. With regard to any molds that were found, measures ❑ were ❑ were not taken to remove those molds.
Buyers Initials
❑❑
2. MOLD INSPECTIONS. Molds, fungi, mildew, and similar organisms may exist in the property of which the Seller is unaware and has no actual knowledge. These contaminant's generally grow in places where there is excessive moisture, such as where leakage may have occurred in roofs, pipes, walls, plan pots, or where there has been flooding. A professional home inspection may not disclose molds. Buyer may wish to obtain an inspection specifically for molds to more fully determine the condition of the Property and its environmental status. Neither Seller’s agents nor Buyer’s agents are experts in the field of mold. The Buyers are strongly encouraged to satisfy themselves as to the Property condition. 3. RECEIPT OF COPY. Seller and Buyer has read this Mold Disclosure and by their signatures hereon acknowledge receipt of a copy thereof.
Seller: ______________________________________Date: ________________________________________ Seller: ______________________________________Date: ________________________________________ Buyer: ______________________________________Date: ________________________________________ Buyer: ______________________________________Date: ________________________________________
Form 348 9/2003
Copyright© Illinois Association of REALTORS®
Illinois Association of REALTORS® DISCLOSURE OF INFORMATION ON RADON HAZARDS
EQUAL HOUSING OPPORTUNITY
(For Residential Real Property Sales or Purchases) Radon Warning Statement Every buyer of any interest in residential real property is notified that the property may present exposure to dangerous levels of indoor radon gas that may place the occupants at risk of developing radon-induced lung cancer. Radon, a Class-A human carcinogen, is the leading cause of lung cancer in non-smokers and the second leading cause overall. The seller of any interest in residential real property is required to provide the buyer with any information on radon test results of the dwelling showing elevated levels of radon in the seller’s possession. The Illinois Emergency Management Agency (IEMA) strongly recommends ALL homebuyers have an indoor radon test performed prior to purchase or taking occupancy, and mitigated if elevated levels are found. Elevated radon concentrations can easily be reduced by a qualified, licensed radon mitigator. Seller’s Disclosure (initial each of the following which applies) ______(a) Elevated radon concentrations (above EPA or IEMA recommended Radon Action Level) are known to be present within the dwelling. (Explain) ______(b) Seller has provided the purchaser with all available records and reports pertaining to elevated radon concentrations within the dwelling. ______(c) Seller either has no knowledge of elevated radon concentrations in the dwelling or prior elevated radon concentrations have been mitigated or remediated. ______(d) Seller has no records or reports pertaining to elevated radon concentrations within the dwelling. Purchaser’s Acknowledgment (initial each of the following which applies) ______(e) Purchaser has received copies of all information listed above. ______(f) Purchaser has received the IEMA approved Radon Disclosure Pamphlet. Agent’s Acknowledgement (initial IF APPLICABLE) ______(g) Agent has informed the seller of the seller’s obligations under Illinois law. Certification of Accuracy The following parties have reviewed the information above and each party certifies, to the best of his or her knowledge, that the information he or she has provided is true and accurate. Seller ____________________________________________
Date
__________________________________
Seller ____________________________________________
Date
__________________________________
Purchaser ________________________________________
Date
__________________________________
Purchaser ________________________________________
Date
__________________________________
Agent ____________________________________________
Date
__________________________________
Agent ____________________________________________
Date
__________________________________
Property Address __________________________________
City, State, Zip Code
FORM 422 Revised 08-09
COPYRIGHT ILLINOIS ASSOCIATION OF REALTORS
____________________
MAINSTREET ORGANIZATION OF REALTORS® DISCLOSURE OF INFORMATION AND ACKNOWLEDGMENT LEAD-BASED PAINT AND/OR LEAD-BASED PAINT HAZARDS Lead Warning Statement Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage, including learning disabilities, reduced intelligence quotient, behavioral problems, and impaired memory. Lead poisoning also poses a particular risk to pregnant women. The seller of any interest in residential real property is required to provide the buyer with any information on lead-based paint hazards from risk assessments or inspections in the seller’s possession and notify the buyer of any known leadbased paint hazards. A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase.
Property commonly known as: City of
County of
, Illinois.
Seller’s Disclosure (Initial) __________(a) Presence of lead-based paint and/or lead-based paint hazards (check one below): Known lead-based paint and/or lead-based paint hazards are present in the housing (explain):
Check One
____________________________________________________________ ____________________________________________________________
Seller has no knowledge of lead-based paint and/or lead-based paint hazards in the housing.
__________(b)
Check One
Records and Reports available to the seller (check one below): Seller has provided the purchaser with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below): ________________________________________________________________________________
____________________________________________________________ Seller has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. Purchaser’s Acknowledgment (Initial) __________(c) Purchaser has received copies of all information listed above. __________(d) Purchaser has received the pamphlet Protect Your Family From Lead in Your Home. __________(e) Purchaser has (check one below): Received a 10-day opportunity (or mutually agreed upon period) to conduct a risk assessment or inspection of the presence of lead-based paint or lead-based paint hazards; or Waived the opportunity to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards. Agent’s Acknowledgment (Initial) __________(f) Agent has informed the seller of the seller’s obligations under 42 U.S.C. 4852 d and is aware of his/her responsibility to ensure compliance. Certification of Accuracy The following parties have reviewed the information above and certify to the best of their knowledge, that the information they have provided is true and accurate. Seller _______________ Date _______________ Seller _______________ Date_______________ Purchaser____________ Date _______________ Purchaser_____________ Date_______________ Agent_______________ Date________________ Agent ________________Date_______________ (Page 1 of 1) Form 6019 Rev. 03.2008 – MAINSTREET ORGANIZATION OF REALTORS®
Mainstreet Organization of REALTORS®
KEYBOX AUTHORIZATION ADDENDUM
The undersigned (Seller(s)) having entered into an Exclusive Marketing agreement with Chase Real Estate, LLC
1315 Macom Dr. Naperville, IL 60564
(Company Name and Address)
pertaining to the sale of
(BROKER), (PROPERTY),
hereby authorizes BROKER to use a keybox in the marketing of Seller(s) Property. Seller(s) acknowledges: 1.
A keybox is designed as a repository of a key to the above Property, permitting access to the interior of the Property by Participants or Subscribers of the Multiple Listing Services (MLS), and their authorized licensees.
2.
Broker is authorized to affix a keybox to the Property and, provided the owner is absent, any MLS Participant or Subscriber associated with the Multiple Listing Service(s) whether acting as Buyer’s agent or otherwise shall have the right, through use of said keybox, to show the Property at any reasonable time.
3.
It is not a requirement of the Multiple Listing Service or Broker that a Seller allow use of a keybox.
4.
Seller acknowledges that neither listing nor selling Broker, the Mainstreet Organization of REALTORS®, or any Multiple Listing Service is an insurer against the loss of Seller’s personal property.
5.
Seller is advised to safeguard or remove valuables now located on said Property.
6.
Seller is further advised to verify the existence of said valuables and obtain personal property insurance through Seller’s insurance agent.
7.
Where a Tenant/Lessee occupies the Property, the Tenant/Lessee consent is required to permit access to the interior of the Property.
DATE
DATE
SELLER
BROKER Chase Real Estate, LLC
SELLER
BY
TENANT/LESSEE: The Tenant/Lessee acknowledges that Seller(s) has advised the Tenant/Lessee of the need for safeguarding and insuring Tenant/Lessees’ personal property and valuables located within said premises during the listing period. The undersigned approves the above provisions and authorizes placement of a keybox on the Property. DATE
TENANT/LESSEE
DATE
TENANT/LESSEE 5/22/2003
If tenant occupied - signature is required.
Christian Chase