COMMERCIAL/INDUSTRIAL SALE Data Input Form
Southwestern Michigan Regional Information Center
MLS # ________________
(All Required Fields in Gray)
Assigned by Computer
Property Type: Commercial Industrial Business Opportunity
Office ID: ____________
Agent ID: ____________
Check if New or Under Construction
Co-Office ID: ____________
Co-Agent ID: ____________
Retail/Commercial Office Industrial
Property Subtype:
Mailing Address:
Street # - Modifier: _________ - ______ Direction: ____ Street Name: __________________________ Suffix:__________ Post Direction: _____
Unit #: _____ City: ________________________________ Zip Code +4: _______ - ______
Cross Streets: _____________________________________________ & _______________________________________________________
Area: _____
Subarea: _____ Municipality: ______________________________
County Name: _________________________
Tax ID: ________________________________
(Enter Tax ID without hyphens, ex: 111868900036000)
Listing Price: _____________________________
Exclusive Agency: Yes No
Reserved Prospect: Yes No
Public Viewable: Yes No Show Address to Public: Yes No Show AVM to Public: Yes No VOW Public Comments: Yes No
Sub Agcy:
_____ (%/Amt)
Buyer Agcy:
_____ (%/Amt)
Trans Coord:
Variable Rate:
_____ (%/Amt)
Yes No
Comments: ________________________________________
Mineral Rights: Yes No Partial Available Unknown
Lot Size: (acres or sq. ft.) ____________
Est. Year Built: _____
New Construction: Yes No
Listing Date: _______________
Expiration Date: _______________ School District: __________________________________________
Owner Name: __________________________________ Owner Phone: ____ - ____ - ______ Occupant Type: Owner Tenant Vacant
Showing Instructions: _________________________________________________________________________________________________
Possession: _________________________________________________________________________________________________________
Taxable Value ($): ____________ SEV ($): ____________
For Tax Year: ____ Annual Property Tax ($): ____________ Tax Year: ____
Homestead %: _____
Spec Assessment & Type %: _________________________________________
Non-Conforming Use: Yes No
Zoning: _______________________
Annual Prop Ins ($): _______________
Annual Maint ($): _________________
Annual Utilities ($): _______________
Annual Mgt Fees ($): ______________
Gross Op Income ($): _____________
Total Expenses ($): _______________
Net Op Income ($): ________________
Lot Dimensions: ________________________________________ Road Frontage: _____________
Waterfront: Yes No
OR Water Access: Yes No
Water Frontage: ______ Body of Water: _________________________
Water Type: Lake River Stream/Creek Pond
Water Feature Amenities: All Sports Assoc. Access Channel Deeded Access Deeded Boat Lot Dock No Wake
Private Frontage Public Access Shared Frontage View
Year Remodeled: _________________
Utility Extension District: Yes No
Date Available: ___________________
Current Building Use: ________________________________________
Total # Units: ________________
Total # Bldgs: ________________
# Loading Docks/Wells: ________
# Finished Bldg Lvls: __________
Total # Parking: _______________
Grd Lvl OH Drs: _______________
# Freight Elevators: ____________
# Passenger Elevators: _________
Ceiling Height: ________________
Floor Load: ___________________
Power/Phase: _________________
Power/Voltage: ________________
*Feature group allows a 40 character comment line for each selection in the feature group.
Page 1 COMMERCIAL/INDUSTRIAL SALE 05/2010
COMMERCIAL/INDUSTRIAL SALE Data Input Form
Southwestern Michigan Regional Information Center
Total Sqft: ____________________
Total Bldg Retail SqFt: _______________
Total Bldg Warehse SqFt: ____________
Total Bldg Office SqFt: ___________ Total Bldg Other SqFt: _______________
Total Bldg SqFt (Gross) ______________
Rentable Retail SqFt: _____________ Rentable Warehse SqFt: ______________
Rentable Office SqFt: _________________
Rentable Other SqFt: _____________ Total Net SqFt: ______________________
Uses: *
Distribution _________________________
Restaurant/Bar _________________________
Institutional _________________________
Retail _________________________________
Manufacturing _______________________
Service ________________________________
Office ______________________________
Storage ________________________________
Recreation __________________________
Other __________________________________
Ownership: Corporation ___________________________
Franchise ______________________________
LLC _________________________________
Partnership _____________________________
Proprietorship _________________________
Trust __________________________________
Other ________________________________
Business Includes: *
Equipment _________________________
Real Estate _________________________
Furniture ___________________________
Non-Applicable ______________________
Inventory ___________________________
Other ______________________________
Licenses ___________________________
Construction Type: *
Block _________________________
Pole/Wood _________________________
Concrete ______________________
Steel ______________________________
Frame/Wood ___________________
Exterior Material: Aluminum Brick/Stone Concrete Block Metal Poured Concrete Stucco Vinyl Wood Other
Roofing: Blt Up/Stone Comp Shingle Metal Rubber Slate Tile Wood Shingle Other
Below Grade: Basement Full Partial Walkout None
Additional Features: Barrier Free Bath Common Area Expandable Fiber Optic Hwy Fire/Sprinkler Multi User Facility
Over Head Crane Railroad Spur Security System Util Sep Mtr Outdoor Storage Fenced Storage Clearspan
Tenant Pays All: * Building Insurance _________________________
Prop Taxes + Assessments _________________________
Common Area Maint ________________________
Sewer __________________________________
Electric __________________________________
Trash __________________________________
Gas _____________________________________
Water __________________________________
Janitorial _________________________________
Other ___________________________________
Management Fee __________________________
Sewer: Public Septic System Other None
Water: Public Well None
Utilities Attached: Cable Electric Extra Well Natural Gas Propane Telephone
Utilities Available at Street: Broadband Cable Electric Natural Gas Public Sewer Public Water Storm Sewer
Telephone None
Heat Source: Electric Natural Gas Geothermal Oil Propane Solar Wood None
Heat Type: Baseboard Forced Air Gravity Heat Pump Hot Water Outdoor Furnace Radiant Space Heater
Steam None
Air Conditioning: Central Chiller System Wall Unit Window Unit None
*Feature group allows a 40 character comment line for each selection in the feature group.
Page 2 COMMERCIAL/INDUSTRIAL SALE 05/2010
COMMERCIAL/INDUSTRIAL SALE Data Input Form
Southwestern Michigan Regional Information Center
Driveway: Easement Paved Unpaved Shared Paved Shared Unpaved
Street Type: Paved Private Public Unpaved Easement Seasonal
Purchase Terms Available: * 2nd Mortgage _________________________
Purchase Money Mtg ____________________
Assumable __________________________
Tax Def Exchange ______________________
Cash/Conventional ____________________
Other ________________________________
Land Contract _________________________
Documents at Listing Office: *
Aerial Photo _________________________
Traffic Study _________________________
Plat Map ____________________________
Other _______________________________
Survey ______________________________
Documents Requiring Confidentiality Agreement: *
Appraisals _________________________
Inspection Reports _________________________
APOD ____________________________
Leases __________________________________
Demographics ______________________
MESC 1027 ______________________________
Environmental Reports _______________
Rent Roll ________________________________
Feasibility Study ____________________
Site Plan ________________________________
Financials _________________________
Soil Tests ________________________________
Other _________________________
Sale Conditions: REO/Bank Owned Short Sale Possible None Other
Listing to Internet: Commercial Source
BUSINESS OPPORTUNITY
Business Name: _______________________________
Business Description: ___________________________
# Full Time Employees: ___________
# Part Time Employees: ____________
Gross Sales 1 Year ($): ____________
Gross Sales 3 Year ($): _____________
Real Estate Value ($): ____________
Inventory Value ($): ____________
Equip. Value ($): _________________
Bus. Only Value ($): ____________
Other Value ($): _________________
Property Available for Lease: Yes No
COMMERCIAL/INDUSTRIAL UNIT MANAGEMENT
Trash
Sewer
Other
Gas
Water
Tenant Pays
Electric
Rental Term
# HVAC
# Baths
Rent $/month
# Bedrooms
Sq. Ft.
$ Per Sq/Ft
Unit #
Occupied
Unit Description
Identical Units
Page 3 COMMERCIAL/INDUSTRIAL SALE 05/2010
COMMERCIAL/INDUSTRIAL SALE Data Input Form
Southwestern Michigan Regional Information Center
REVISED 05/2010
(All Required Fields in Gray)
Marketing Remarks (Maximum of 1,000 Characters) These will appear on the Internet
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Agent-Only Remarks (Maximum of 500 Characters)
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Legal Description (Maximum of 100 Characters)
____________________________________________________________________________________________________________
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Directions to Property (Maximum of 250 Characters)
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
We (I) Agree that to the best of our knowledge this represents a fair and accurate representation of the property we (I) have listed with
the REALTOR below.
__________________________
________________
______________________________
____________________
Signature: Listing Broker
Date
Signature: Seller
Date
_____________________________
Signature: Listing Agent
__________________
Date
__________________________________
Signature: Seller
______________________
Date
