Owner: enter text	Listing Realty Co.: enter text
Date of Listing: choose a date	Realtor: enter text
Assessor #:	enter text
GEO Code #:	enter text
Legal Description:	enter text
Street Address/Location:	enter text

Date Taken:	choose a date	Taken By: enter text
Taken From:	enter text	Facing: enter text
Remarks:	enter text

TERMS OF LISTING

Confirmed Sale Price: $ enter text
Confirming Party(ies) (Name):	enter text	Phone No: enter text
Confirmed By:	enter text	Date: choose a date
Inspected By:	enter text	Date: choose a date
Terms Offered:	enter text
Listing price change & date:	enter text
Value of Personal Property included in Sale Price (List personal property considered and associated value(s)):	enter text

LEASE DATA

Lessee:	enter text	Lease Date:	Choose date	, Terms	enter text
Lessor:	enter text	Lease Date:	Choose date	, Terms	enter text
Other Leases or Income Data:	enter text
G.A.M or G.M.M:	enter text

BREAKDOWN

Total Area in Fee: enter text	Additional Area Leased: enter text
Overall Price Per Unit:	$ enter amt
Breakdown(s) of Land Types and Improvements. Provide the contribution value of land (by use classification) and improvements, and source of each breakdown:
enter text

SITE DATA

Type of Primary Access:	enter text
Zoning:	enter text
Highest and Best Use:	enter text
Present Use:	enter text
Shape of Site:	enter text
Frontage (Type, Name, Amount):	enter text
Water Source:	enter text
If Well, Depth:	enter text	GPM:	enter text
Irrigation (Type, Source):	enter text
Drainage:	enter text
Topography:	enter text
View:	enter text
Soil Types:	enter text
Cover:	enter text
Production (Crop, Amount, Source):	enter text
Carrying Capacity (Amount, Source):	enter text
Utilities (Type, Source, To Property or Distance from Property):	enter text
Existing Encumbrances or SID (Special Improvement District):	enter text
Structural Improvements (Type, Age, Size, Additional Information):	enter text
Site Improvements:	enter text
Fencing:	enter text
Additional Remarks:	enter text

NEIGHBORHOOD DATA (Each item must be noted and discussed.)

☐ Residential	☐ Rural Tract	☐ Suburban Tract	☐ Commercial	☐ Industrial

Neighborhood is:	☐ Developed	☐ Growing	☐ Static	☐ Declining

Shopping Area:	enter text	Distance: enter text
Grade School:	enter text	Distance: enter text
High School:	enter text	Distance: enter text
Fire Protection:	enter text
Traffic Count (state source):	enter text
Additional Remarks:	enter text