COMMERCIAL/INDUSTRIAL LEASE Data Input Form

Southwestern Michigan Regional Information Center

MLS # ________________

(All Required Fields in Gray)

Assigned by Computer

Property Type: Commercial Industrial Business Opportunity

Check if New of Under Construction

Retail/Commercial Office Industrial

Property Subtype:
Mailing Address:

Street # - Modifier: _________ - ______ Direction: ____ Street Name: __________________________ Suffix:__________ Post Direction: _____
Unit #: _____ City: ________________________________ Zip Code +4: _______ - ______
Cross Streets: _____________________________________________ & _______________________________________________________
Office ID: ____________
Area: _____

Agent ID: ____________

Co-Office ID: ____________

Co-Agent ID: ____________

Subarea: _____ Municipality: ______________________________

County Name: _________________________

Tax ID: ________________________________

Listing Price: _____________________________

Lease Price per SqFt per Year: ____________

(Enter Tax ID without hyphens, ex: 111868900036000)

Property Available For Sale: Yes No

Estimated Additional Annual Charges: ____________

(Common Area Maintenance, Taxes, Insurance)

Lease Type: Build to Suit ___________________________ Gross ____________________________

Modified Gross _________________________ Triple Net _________________________
Percentage ____________________________
Lease Term (50 Characters): ________________________________________________ (Length, Escalators, Renewals)
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: ________________________________________

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: _________________________________________________________________________________________________
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: ________________________________________

*Feature group allows a 40 character comment line for each selection in the feature group.
Page 1 COMMERCIAL/INDUSTRIAL LEASE 05/2010

COMMERCIAL/INDUSTRIAL LEASE Data Input Form

Southwestern Michigan Regional Information Center
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: ________________

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 _________________________ Institutional _________________________ Manufacturing _________________________
Office _____________________________ Recreation _________________________ Restaurant/Bar ________________________
Retail _____________________________ Service ____________________________ Storage _____________________________
Other _____________________________
Construction Type: * Block _________________________ Concrete _________________________
Frame/Wood ___________________ Pole/Wood _______________________ Steel __________________________
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 Area OH Crane
Railroad Spur Security System Util Sep Mtr Outdoor Storage Fenced Storage Clearspan
Tenant Pays All: * Building Insurance _________________________ Common Area Maint. _________________________
Electric __________________________________ Gas_______________________________________
Janitorial ________________________________ Management Fee ____________________________
Prop Taxes/Assessments ___________________ Sewer _____________________________________
Trash ___________________________________ Water _____________________________________
Other ___________________________________
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
Driveway: Easement Paved Unpaved Shared Paved Shared Unpaved
Street Type: Easement Paved Private Public Seasonal Unpaved
Lease Information: Able to Divide Build to Suit Option to Purchase Turn Key

*Feature group allows a 40 character comment line for each selection in the feature group.
Page 2 COMMERCIAL/INDUSTRIAL LEASE 05/2010

COMMERCIAL/INDUSTRIAL LEASE Data Input Form

Southwestern Michigan Regional Information Center
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 _________________________

Listing to Internet: Commercial Source

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 LEASE 05/2010

COMMERCIAL/INDUSTRIAL LEASE 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)

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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