NEW MLS RENTAL

Rental MLS Listing Input Form

REQUIRED fields are marked with an (*) and must be completed.

All owners must be listed and sign this form.

If the owner is a corporation, trust or other entity, please use that name as Owner Name 1 then enter the persons name that can legally sign for the entity later in the form as the Contact Name.

For example if "Jack Keller Inc., REALTORS" was the owner of the property you would enter the First Name as "Jack Keller" and the Last Name as "Inc., REALTORS" Then later in the form you would enter the Contact Name as "Jack Keller".

Proof of ownership is required for companies or trusts that cannot be verified on the FL division of corporations website.

To ensure that you move through all of the steps required to complete an online service, please use the buttons at the bottom of the pages and DO NOT use the Back button in your browser.
Owner is a:*
Owner Name 1*

First NameMiddle NameLast NameSuffix
Owner Name 2

First NameMiddle NameLast NameSuffix
Owner Name 3

First NameMiddle NameLast NameSuffix
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Proof of Ownership

MAXIMUM file size is 9mb
Cancelof
Phone Number 1*
Format: 000-000-0000.
Phone Number 2
Format: 000-000-0000.
E-mail*

Confirmation Emailexample@example.com
If you have any issues other than required fields not being filled in getting to the next page after clicking "Next" below and waiting a few moments, please try using a different web browser such as Internet Explorer, Google Chrome or Firefox. If you still have a problem contact us or go back and download the printed forms.

Driving Directions*

0/240
Public Remarks*

0/750
Private Remarks

0/350
REALTOR Remarks

CONTACT OWNER @ FOR **ALL** INFO, QUESTIONS, OFFERS & TO SHOW. NOTIFY L.O. OF CONTRACT & SALE TO RECEIVE PROPER MLS CREDIT. SELLERS SIGN MAY BE ON PROPERTY.
0/350

Contact Name*

First NameLast Name
Yes
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Other Phone Number
Format: (000) 000-0000.
How did you hear about us?*
How would you like to receive your copy of the MLS listing?*

I am notifying you of your responsibilities under the Lead-Based Paint Hazard Reduction Act of 1992 and its implementing regulations. As the owner of a residential dwelling unit built in 1977 or earlier, you have the following disclosure and other requirements (for purposes of this document, "LBP" will mean lead-based paint and "LBPH" will mean lead-based paint hazards, which are conditions that cause exposure to lead from lead-contaminated dust, soil or paint that is deteriorated or present in accessible surfaces or surfaces that rub together, like doors and windows): 1. Before You Sign a Contract/Lease. Before a buyer or tenant becomes obligated by contract to buy or lease your housing, you must complete the activities listed in A-D below. If you receive an offer before you provide the required information, you cannot accept the offer until after the information is given. This may be accomplished by making a counter offer that allows the buyer or tenant an opportunity to review the information and amend the offer if he or she so chooses. You must: A. Disclose to each licensee or other agent (for purposes of this law, anyone who enters into a contract with you or your representative for the purpose of selling your home, except for buyer's agents who are paid solely by the buyer and not by you or your representative, is considered an "agent") involved in the transaction: (1) the presence of any LBP/LBPH about which you know; (2) any additional information available concerning the LBP/LBPH, including the basis for determining that LBP/LBPH exists, the location of the LBP/LBPH and the condition of the painted surfaces; and (3) the existence of any available records or reports pertaining to LBP/LBPH. B. Provide the buyer or tenant with: (1) an EPA-approved lead hazard information pamphlet. This means either the EPA document entitled "Protect Your Family From Lead in Your Home" or an equivalent pamphlet approved by the EPA for use in Florida; and (2) any records or reports available to you concerning LBP/LBPH in the unit, including records and reports regarding any common areas. If the unit is in multifamily housing that you own and you had an evaluation or reduction of LBP/LBPH in the housing as a whole, you must provide available records and reports regarding other residential dwellings in that housing. C. Disclose to the buyer or tenant: (1) the presence of any known LBP/LBPH in the unit; and (2) any additional information available concerning the LBP/LBPH, such as the basis for determining that LBP/LBPH exists, the location of the LBP/LBPH and the condition of the painted surfaces. D. Allow the buyer time to conduct a risk assessment or inspection for the presence of LBP/LBPH. You must give the buyer a 10 day period unless you agree with the buyer, in writing, to another period of time (such as within the time allowed for property inspections) or unless the buyer indicates in writing that he or she waives the right to conduct the risk assessment or inspection. This inspection requirement does not apply to tenants. 2. Sales Contract Requirements. You must ensure that the sales contract has an attachment having the following elements: A. The following 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 inspection in the seller's possession and notify the buyer of any known lead-based paint hazards. A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase." B. A statement by you disclosing the presence of known LBP/LBPH in the home and any additional information available concerning the LBP/LBPH, such as the basis for determining that it exists, its location and the condition of the painted surfaces; OR indicating that you have no knowledge of the presence of LBP/LBPH in the home. C. A list of any records or reports described in 1.B.(2) above that are available to you and that you have provided to the buyer; OR a statement that no such records or reports are available to you. D. A statement by the buyer: (1) affirming receipt of the information in 2.B and C above; (2) affirming receipt of the lead hazard information pamphlet noted in 1.B.(1) above; and (3) that he or she has either had the opportunity to conduct the risk assessment or inspection required as noted in 1.D. above or waived the opportunity. E. A statement by each real estate licensee/agent involved in the transaction that: (1) the licensee/agent has informed you of your legal obligations; and (2) the licensee/agent is aware of his or her duty to ensure compliance with the law. F. Signatures of you, the licensees/agents and the buyers certifying to the accuracy of their statements to the best of their knowledge, and the dates of the signatures. 3. Lease Requirements. As the owner of property being rented, you must ensure that every lease for the unit contains language within the lease itself or as an attachment having the following elements: A. The following Lead Warning Statement: "Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention." B. A statement by you disclosing the presence of known LBP/LBPH in the unit being leased and any additional information available concerning the LBP/LBPH, including the basis for determining that it exists, its location and the condition of the painted surfaces; OR indicating that you have no knowledge of the presence of LBP/LBPH. C. A list of any records or reports described in 1.B.(2) above that you have provided to the tenant, OR a statement that no such records or reports are available to you. D. A statement by the tenant: (1) affirming receipt of the information paragraph 3.B. and C. above; and (2) affirming receipt of the lead hazard information pamphlet noted in 1.B.(1) above. E. A statement by each real estate licensee/agent involved in the transaction that: (1) the licensee/agent has informed you of your legal obligations; and (2) the licensee/agent is aware of his or her duty to ensure compliance with the law. F. Signatures of you, the licensees/agents and the tenants certifying to the accuracy of their statements to the best of their knowledge, and the dates of the signatures. 4. Record Retention Requirements. Sellers and the licensees/agents involved in the sales transaction must keep a copy of the completed attachment described in paragraph 2 above for no less than 3 years from the date of closing. Landlords and the licensees/agents involved in the lease transaction must keep a copy of the completed attachment or lease form described in paragraph 3 above for no less than 3 years from the first day of the leasing period. 5. Impact of Law and Disclosures. Nothing in the law or regulations requires a seller or landlord to conduct any evaluation or reduction activities. However, the parties may voluntarily insert such a requirement in the contract. Neither you nor the licensees involved in the sale or lease transaction will be responsible for the failure of a buyer's or tenant's legal representative (such as an attorney or broker who receives all compensation from the buyer or tenant) to transmit disclosure materials to the buyer or tenant, provided that all required persons have completed and signed the necessary certification and acknowledgement language described under paragraphs 2 and 3 above.
By signing below the Owner has reviewed the information 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.
Use your mouse (or if on a tablet or smartphone use your finger) to sign your legal name. If you are using the mouse built into a laptop make sure you are holding down the left mouse button while signing.

Forgery is considered a felony in all fifty states, and is punishable by a range of penalties including jail or prison time, significant fines, probation, and restitution (compensating the victim for money or goods stolen as a result of the forgery).
Owner Signature*
Owner Signature 2
Owner Signature 3
List/Submission Date*

MonthDayYear
Hour MinutesAM/PM Option
YesNo thanks, I will upload or send them later.

The order you submit the photos below are the order in which they will appear in MLS and on internet websites. By MLS rule "At least one front exterior photo or rendering, aerial photo, or water view from the property (unit) must be loaded before a listing will be active. The front exterior photo or rendering must be entered in the 1st photo slot of the listing on all property types unless the 1st slot is an aerial photo or an exterior photo of a water view from the property (unit), in which case the front exterior photo must be in the 2nd slot."

The MLS can only accept photos in the ".jpg" and ".bmp" file formats. If you don't know what type of file format your photos are in, chances are they're in the ".jpg" format as most digital cameras default to that type. For maximum quality, upload photos at least 1024 x 768 pixels in size

Photo Upload instructions:
1) Click the "Upload a File" button
2) Navigate to the location of your photo on your device
3) Click the "Open" button

BE PATIENT!!! This may take a while depending on the size of your files and your internet connection speed.

***MLS RULE***
If you are not the photographer or copyright holder of the photo(s) you upload there is now a MANDATORY, AUTOMATIC, MINIMUM MLS fine of $500.
Main Photo

MAXIMUM file size is 9mb
Cancelof
Photo 2

MAXIMUM file size is 9mb
Cancelof
Photo 3

MAXIMUM file size is 9mb
Cancelof
Photo 4

MAXIMUM file size is 9mb
Cancelof
Photo 5

MAXIMUM file size is 9mb
Cancelof
Photo 6

MAXIMUM file size is 9mb
Cancelof
Photo 7

MAXIMUM file size is 9mb
Cancelof
Photo 8

MAXIMUM file size is 9mb
Cancelof
Photo 9

MAXIMUM file size is 9mb
Cancelof
Photo 10

MAXIMUM file size is 9mb
Cancelof
Photo 11

MAXIMUM file size is 9mb
Cancelof
Photo 12

MAXIMUM file size is 9mb
Cancelof
You get up to 12 photos uploaded in the MLS. For an additional $35 or by purchasing an upgraded listing package you can add up to 50 photos to the MLS.
No, up to 12 photos is fine for me.Yes, I would like to add up to 50 photos to the MLS for an additional $fee
Photo 13

MAXIMUM file size is 9mb
Cancelof
Photo 14

MAXIMUM file size is 9mb
Cancelof
Photo 15

MAXIMUM file size is 9mb
Cancelof
Photo 16

MAXIMUM file size is 9mb
Cancelof
Photo 17

MAXIMUM file size is 9mb
Cancelof
Photo 18

MAXIMUM file size is 9mb
Cancelof
Photo 19

MAXIMUM file size is 9mb
Cancelof
Photo 20

MAXIMUM file size is 9mb
Cancelof
Photo 21

MAXIMUM file size is 9mb
Cancelof
Photo 22

MAXIMUM file size is 9mb
Cancelof
Photo 23

MAXIMUM file size is 9mb
Cancelof
Photo 24

MAXIMUM file size is 9mb
Cancelof
Photo 25

MAXIMUM file size is 9mb
Cancelof
Photo 26

MAXIMUM file size is 9mb
Cancelof
Photo 27

MAXIMUM file size is 9mb
Cancelof
Photo 28

MAXIMUM file size is 9mb
Cancelof
Photo 29

MAXIMUM file size is 9mb
Cancelof
Photo 30

MAXIMUM file size is 9mb
Cancelof
Photo 31

MAXIMUM file size is 9mb
Cancelof
Photo 32

MAXIMUM file size is 9mb
Cancelof
Photo 33

MAXIMUM file size is 9mb
Cancelof
Photo 34

MAXIMUM file size is 9mb
Cancelof
Photo 35

MAXIMUM file size is 9mb
Cancelof
Photo 36

MAXIMUM file size is 9mb
Cancelof
Photo 37

MAXIMUM file size is 9mb
Cancelof
Photo 38

MAXIMUM file size is 9mb
Cancelof
Photo 39

MAXIMUM file size is 9mb
Cancelof
Photo 40

MAXIMUM file size is 9mb
Cancelof
Photo 41

MAXIMUM file size is 9mb
Cancelof
Photo 42

MAXIMUM file size is 9mb
Cancelof
Photo 43

MAXIMUM file size is 9mb
Cancelof
Photo 44

MAXIMUM file size is 9mb
Cancelof
Photo 45

MAXIMUM file size is 9mb
Cancelof
Photo 46

MAXIMUM file size is 9mb
Cancelof
Photo 47

MAXIMUM file size is 9mb
Cancelof
Photo 48

MAXIMUM file size is 9mb
Cancelof
Photo 49

MAXIMUM file size is 9mb
Cancelof
Photo 50

MAXIMUM file size is 9mb
Cancelof

Check/Money Order by MailOnline w/ Credit/Debit Card, E-check, PayPal or PayPal CreditBy BitcoinI already paid
If you wish to send your payment by check or money order make it payable to:

Jack Keller Inc., REALTORS
2440 West Bay Dr.
Largo, FL 33770-1933
Should be Empty:

Rental MLS Listing Input Form