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<meta charset="utf-8">
	<link rel=STYLESHEET href="fs.css" type="text/css">
<title>Formulaire d'inscription</title>




	
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	<script type="text/javascript" src="jqwidgets/jqwidgets/jqxtooltip.js"></script>
	<script type="text/javascript" src="jqwidgets/jqwidgets/globalization/globalize.js"></script>	
	
<script type="text/javascript">
$(document).ready(function () {

theme = 'darkred';
			
$('#NID').jqxInput({placeHolder: "8 chiffres", width: '100%', height: 32, theme: theme});
$('#NIDAdd').jqxInput({width: '100%', height: 32, theme: theme});
$('#NCB').jqxInput({placeHolder: "8 chiffres", width: '100%', height: 32, theme: theme});

$('#AddressCivic').jqxInput({width: '100%', height: 32, theme: theme});
$('#AddressUnit').jqxInput({width: '100%', height: 32, theme: theme});
$('#AddressStreet').jqxInput({width: '100%', height: 32, theme: theme});
$('#AddressType').jqxInput({width: '100%', height: 32, theme: theme});
$('#AddressPostalCode').jqxInput({width: '100%', height: 32, theme: theme});
$('#AddressDistrict').jqxInput({width: '100%', height: 32, theme: theme});

$("#RoadSideN").jqxRadioButton({groupName: "1",width: 60,height: 32, theme: theme});
$("#RoadSideE").jqxRadioButton({groupName: "1",width: 60,height: 32, theme: theme});
$("#RoadSideS").jqxRadioButton({groupName: "1",width: 60,height: 32, theme: theme});
$("#RoadSideW").jqxRadioButton({groupName: "1",width: 60,height: 32, theme: theme});
$('#Orientation').jqxInput({width: '100%', height: 32, theme: theme});
	
$('#SubDistrict').jqxInput({width: '100%', height: 32, theme: theme});
$('#Municipality').jqxInput({width: '100%', height: 32, theme: theme});
$('#LegalDescription').jqxInput({width: '100%', height: 32, theme: theme});

$("#WaterFrontYes").jqxRadioButton({groupName: "2", width: 50, height: 32, theme:theme});
$("#WaterFrontNo").jqxRadioButton({groupName: "2", width: 50, height: 32, theme:theme});
$("#WaterFrontName").jqxInput({width: '100%', height: 32, theme: theme});

$("#WaterTypeLake").jqxRadioButton({groupName: "3", width: 50, height: 32, theme:theme});
$("#WaterTypeRiver").jqxRadioButton({groupName: "3", width: 76, height: 32, theme:theme});
$("#WaterTypeOther").jqxRadioButton({groupName: "3", width: 60, height: 32, theme:theme});
$("#RiparianMeasurement").jqxInput({width: '100%', height: 32, theme: theme});

$("#ElementarySchool").jqxInput({width: '100%', height: 32, theme: theme});
$("#SecondarySchool").jqxInput({width: '100%', height: 32, theme: theme});
	
$("#LotAreaAcre").jqxRadioButton({groupName: "4", width: 60, height: 32, theme:theme});
$("#LotAreaSquareFeet").jqxRadioButton({groupName: "4", width: 115, height: 32, theme:theme});
$("#Zoning").jqxInput({width: '100%', height: 32, theme: theme});


$("#Saleperson1Lastname").jqxInput({width: '100%', height: 32, theme: theme});
$("#Saleperson1Firstname").jqxInput({width: '100%', height: 32, theme: theme});
$("#Saleperson1Company").jqxCheckBox({width: 155,height: 32, theme: theme});
$("#Saleperson2Lastname").jqxInput({width: '100%', height: 32, theme: theme});
$("#Saleperson2Firstname").jqxInput({width: '100%', height: 32, theme: theme});
$("#Saleperson2Company").jqxCheckBox({width: 155,height: 32, theme: theme});
$("#Saleperson3Lastname").jqxInput({width: '100%', height: 32, theme: theme});
$("#Saleperson3Firstname").jqxInput({width: '100%', height: 32, theme: theme});
$("#Saleperson3Company").jqxCheckBox({width: 155,height: 32, theme: theme});
$("#Saleperson4Lastname").jqxInput({width: '100%', height: 32, theme: theme});
$("#Saleperson4Firstname").jqxInput({width: '100%', height: 32, theme: theme});
$("#Saleperson4Company").jqxCheckBox({width: 155,height: 32, theme: theme});

$("#OccOwner").jqxRadioButton({groupName: "5", width: 120, height: 32, theme:theme});
$("#OccOwnerTenant").jqxRadioButton({groupName: "5", width: 170, height: 32, theme:theme});
$("#OccTenant").jqxRadioButton({groupName: "5", width: 100, height: 32, theme:theme});
$("#OccVacant").jqxRadioButton({groupName: "5", width: 80, height: 32, theme:theme});
$("#TitleFreehold").jqxRadioButton({groupName: "6", width: 105, height: 32, theme:theme});
$("#TitleLeasehold").jqxRadioButton({groupName: "6", width: 110, height: 32, theme:theme});
$("#TitleSellingPower").jqxRadioButton({groupName: "6", width: 140, height: 32, theme:theme});
$("#TitleEstateSale").jqxRadioButton({groupName: "6", width: 160, height: 32, theme:theme});

$('#PublicInfo').jqxTextArea({ placeHolder: 'Maximum 1500 caractères', height: 90, width: '100%' });
$("#PublicInfoTransferText").jqxCheckBox({width: '100%',height: 32, theme: theme});
	
$("#VisitInstruction").jqxInput({width: '100%', height: 32, theme: theme});
$("#ListingAgent").jqxInput({width: '100%', height: 32, theme: theme});
$("#AgentName1").jqxInput({width: '100%', height: 32, theme: theme});
$("#AgentName2").jqxInput({width: '100%', height: 32, theme: theme});
$("#ListingAgent2").jqxInput({width: '100%', height: 32, theme: theme});
$("#AgentName3").jqxInput({width: '100%', height: 32, theme: theme});
$("#AgentName4").jqxInput({width: '100%', height: 32, theme: theme});





	
	
	
	
	var SourceNeighborhood = [
		"Edmundston Nord",
		"Edmundston Centre",
		"Edmundston Est",
		"Edmundston Ouest",
		"St-Basile",
		"St-Jacques",
		"Rivière Verte",
		"Haut Madawaska",
		"St-Joseph",
		"Ste-Anne-de-Madawaska",
		"St-LĂ©onard",
		"St-Hilaire",
		"Lac Baker",
		"Verret",
		"Bas Madawaska"
	];
	// Create a jqxDropDownList
	$("#neighborhood").jqxDropDownList({autoOpen: true,  autoItemsHeight: true, autoDropDownHeight:true, source: SourceNeighborhood, selectedIndex: 1, width: '200', height: '30', theme:theme});
           
	
	
	
	$('#Price').jqxNumberInput({width:140,height:32,decimalDigits: 0, groupSeparator: " ", symbol: ' $',symbolPosition: 'right', theme:theme});
	$('#Assessed').jqxNumberInput({width:140,height:32,decimalDigits: 0, groupSeparator: " ", symbol: ' $',symbolPosition: 'right', theme:theme});
	$('#TaxAmount').jqxNumberInput({width:140,height:32,decimalDigits: 2, groupSeparator: " ", symbol: ' $',symbolPosition: 'right', theme:theme});
	$('#TaxYear').jqxInput({height: 32, width: 75, theme:theme });
	
	$("#GarageYes").jqxRadioButton({groupName: "7", width: 90, height: 32, theme:theme});
    $("#GarageNo").jqxRadioButton({groupName: "7", width: 90, height: 32, theme:theme});
	$("#GarageDescFR").jqxInput({height: 32, width: '100%', theme:theme });
	$("#Bathroom").jqxInput({height: 32, width: 100, theme:theme });
	$("#BathroomHalf").jqxInput({height: 32, width: 100, theme:theme });
	$("#Bedroom").jqxInput({height: 32, width: 100, theme:theme });
	$("#BedroomBasement").jqxInput({height: 32, width: 100, theme:theme });
	$("#UpperLevelDimension").jqxInput({height: 32, width: '100%', theme:theme });
	$("#ConstructionYear").jqxInput({height: 32, width: '75', theme:theme });
	$("#ConstYearApprox").jqxRadioButton({groupName: "8", width: 80, height: 32, theme:theme});
	$("#ConstYearOld").jqxRadioButton({groupName: "8", width: 70, height: 32, theme:theme});
	$("#ConstYearUnknown").jqxRadioButton({groupName: "8", width: 90, height: 32, theme:theme});
	$("#ConstYearInConstr").jqxRadioButton({groupName: "8", width: 140, height: 32, theme:theme});
	$("#ConstYearToBeBuild").jqxRadioButton({groupName: "8", width: 140, height: 32, theme:theme});
	$("#ConstYearRenovated").jqxRadioButton({groupName: "8", width: 170, height: 32, theme:theme});
	
	
	
	var SourceType = [
                    "Condominium",
                    "Chalet/Récréatif",
                    "Unifamiliale"
		        ];
	$("#Type").jqxListBox({width: 220,source: SourceType, checkboxes: true, height: 100,autoHeight:true,theme:theme});
       
	
	var SourceServices = [
                    "60 Ampères",
                    "100 Ampères",
                    "200 Ampères"
		        ];
	$("#Services").jqxListBox({width: 220,source: SourceServices, checkboxes: true, height: 100,autoHeight:true, theme:theme});
	
	
	var SourceDimensions = [
                    "En dessous de 0.5 acre",
                    "0.5 - 0.99 acre",
                    "1.0 - 2.99 acres",
					"3.0 - 9.99 acres",
					"10.0 - 49.99 acres",
					"50.0 - 100.00 acres",
					"Plus de 100 acres",
					"Terrain additionnel",
					"Inconnu"
		        ];
	$("#Dimensions").jqxListBox({width: 220,source: SourceDimensions, checkboxes: true, height: 100,autoHeight:true,theme:theme});
	
	
	var SourceExterior = [
                    "Aluminium",
                    "Briques",
                    "Cèdre",
					"Panneaux de ciment",
					"Bloc de béton",
					"Béton coulé",
					"Pierres de culture",
					"Revêtement de bois usiné",
					"Bois rond",
					"Masonite/Colour Lock",
					"MĂ©tal",
					"Bardeaux",
					"Acier",
					"Roches",
					"Plâtres (Stucco)",
					"Vinyle",
					"Bois",
					"Autre",
					"Aucun"
		        ];
	$("#Exterior").jqxListBox({width: 220,source: SourceExterior, checkboxes: true, height: 100,autoHeight:true,theme:theme});
	
	
//----------
	var SourceBuildingAcc = [
                    "Pavillon (Gazebo)",
                    "Pavillon de piscine",
                    "Remise",
					"Autre"
		        ];
	$("#BuildingAcc").jqxListBox({width: 220,source: SourceBuildingAcc, checkboxes: true, height: 100,autoHeight:true,theme:theme});	
	
	
	var SourceStyle = [
                    "2 niveaux",
                    "3 niveaux",
                    "4 niveaux",
					"5 niveaux",
					"1.5 Ă©tages",
					"2 Ă©tages",
					"2.5 Ă©tages",
					"3 Ă©tages",
					"Back split",
					"Bungalow",
					"Bungalow - Surélevé",
					"Bungalow - Ranch",
					"Cape cod",
					"Chalet",
		        ];
	$("#Style").jqxListBox({width: 220,source: SourceStyle, checkboxes: true, height: 100,autoHeight:true, theme:theme});
	
	var SourceStyle2 = [
					"Condo. - Appartement",
					"Condo. - Maison de jardin",
					"Condo. - Maison de ville",
					"Cottage/Chalet",
					"Duplex",
					"Mini maison",
					"Maison mobile",
					"Maison modulaire",
					"Semi-détaché",
					"Side split",
					"Entrée split",
					"Maison de ville",
					"Lot(s) vacant(s)",
					"Other",
		        ];
	$("#Style2").jqxListBox({width: 220,source: SourceStyle2, checkboxes: true, height: 100,autoHeight:true, theme:theme});
	
	var SourceEntrance = [
                    "Circulaire",
                    "Gravier",
                    "Pavé uni",
					"Pavée",
					"Largeur-simple",
					"Largeur-double",
					"Largeur-triple",
					"Autre",
					"Aucune",
		        ];
	$("#Entrance").jqxListBox({width: 220,source: SourceEntrance, checkboxes: true, height: 100,autoHeight:true,theme:theme});
	
//--------
	var SourceAccess = [
                    "Route munic. saisonnière",
                    "Route privée saisonnière",
                    "Route munic. à l'année",
					"Route privée à l'année",
		        ];
	$("#Access").jqxListBox({width: 220,source: SourceAccess, checkboxes: true, height: 100,autoHeight:true, theme:theme});
	
	
	var SourceWaterFrontCharac = [
                    "Plage",
                    "Emplacement pour bateau",
                    "Quai",
					"Façade riveraine",
					"Secteur riverain : Lac",
					"Secteur riverain : Rivière",
					"Vue sur l'eau",
					"Vue sur l'eau : Lac",
		        ];
	$("#WaterFrontCharac").jqxListBox({width: 220,source: SourceWaterFrontCharac, checkboxes: true, height: 100, autoHeight:true,theme:theme});	
	
	
	var SourceGroundCharac = [
                    "Emplacement en coin",
                    "Cul-de-sac",
                    "Clôturé",
					"Partiellement clôturé",
					"Ceinture de verdure",
					"Buisson de feuillus",
					"Sommet d'une colline",
					"Paysage aménagé",
					"Paysage non-aménagé",
					"Paysage partiel. aménagé",
					"Nivelé",
					"En pente",
					"Ruisseau/Étang",
					"Vue sur : Ville",
					"Vue sur : Montage",
					"Boisé/Plantation",
					"Autre",
		        ];
	$("#GroundCharac").jqxListBox({width: 220,source: SourceGroundCharac, checkboxes: true, height: 100,autoHeight:true, theme:theme});		
	

	var SourceFoundation = [
                    "Blocs",
                    "BĂ©ton",
                    "Vide sanitaire",
					"Entièrement fini",
					"Partiellement fini",
					"Inachevé",
					"Sous-sol complet",
					"Pilliers/Colonnes",
					"Poteaux",
					"Dalle",
					"Pierre/Roche",
					"Bois",
					"Autre",
		        ];
	$("#Foundation").jqxListBox({width: 220,source: SourceFoundation, checkboxes: true, height: 100,autoHeight:true,theme:theme});		
	
	
//--------
	var SourceGarage = [
                    "Attaché",
					"Intégré",
                    "Abri d'auto",
                    "Détaché",
					"Ouvre-porte Ă©lectrique",
					"Chauffé",
					"Entrée de l'intérieur",
					"Isolé",
					"Porte d'entrée de l'ext.",
					"Dimension : Simple",
					"Dimension : 1.5",
					"Dimension : Double",
					"Dimension : Trible",
					"Souterrain",
					"Autre",
					"Aucun",
		        ];
	$("#GarageCheckbox").jqxListBox({width: 220,source: SourceGarage, checkboxes: true, height: 100,autoHeight:true, theme:theme});
	
	
	var SourcePlumbing = [
                    "Cuivre",
                    "Foré",
                    "Creusé",
					"Galvanisé",
					"Fer",
					"Municipal",
					"Municipal - Racc. disp.",
					"Tuyaux PER (PEX)",
					"Plastique",
					"Puits",
					"Autre",
					"Aucun",
		        ];
	$("#Plumbing").jqxListBox({width: 220,source: SourcePlumbing, checkboxes: true, height: 100,autoHeight:true, theme:theme});
	
	
	var SourceSewer = [
                    "Municipal",
                    "Municipal - Racc. disp.",
                    "Septique",
					"Aucun",
		        ];
	$("#Sewer").jqxListBox({width: 220,source: SourceSewer, checkboxes: true, height: 100,autoHeight:true,theme:theme});
	
	
	var SourceFloor = [
                    "Tapis",
                    "CĂ©ramique",
					"BĂ©ton",
					"Prélart",
					"Parquet",
					"Chauffé",
					"Stratifié",
					"Linoléum",
					"Marbre",
					"Porcelaine",
					"Tuile en pierre",
					"Tuile",
					"Bois",
					"Vinyle",
					"Autre",
					"Aucun",
		        ];
	$("#Floor").jqxListBox({width: 220,source: SourceFloor, checkboxes: true, height: 100,autoHeight:true,theme:theme});

	
//-----------------------
	var SourceHeating = [
                    "Air - Central",
                    "Air - Sans conduit",
                    "Air - FenĂŞtre A/C",
					"Climatisation",
					"Plinthe",
					"Électrique",
					"Foyer - Gaz",
					"Foyer - Bois",
					"Air forcé",
					"GĂ©othermique",
					"Thermopompe",
					"Thermop. - Avec conduit",
					"Thermop. - Sans conduit",
					"Thermop. - GĂ©othermique",
		        ];
	$("#Heating").jqxListBox({width: 220,source: SourceHeating, checkboxes: true, height: 100,autoHeight:true, theme:theme});	
	var SourceHeating2 = [
					"Eau chaude",
					"Gaz naturel",
					"Huile",
					"Propane",
					"Radiant",
					"Radiateur",
					"PoĂŞle - Gaz",
					"PoĂŞle - Pastille",
					"PoĂŞle - Bois",
					"Bois",
					"Autre",
					"Aucun",
		        ];
	$("#Heating2").jqxListBox({width: 220,source: SourceHeating2, checkboxes: true, height: 100,autoHeight:true, theme:theme});

	var SourceExteriorCharac = [
                    "Balcon",
                    "BBQ intégré",
                    "Terrasse",
					"Quai",
					"Gouttières",
					"Jacuzzi",
					"Éclairage paysager",
					"Patio",
					"Piscine hors-terre",
					"Piscine - Creussée",
					"Intimité",
					"Système d'arrosage",
					"Accès en fauteuil roulant",
		        ];
	$("#ExteriorCharac").jqxListBox({width: 220,source: SourceExteriorCharac, checkboxes: true, height: 100,autoHeight:true, theme:theme});
	
	
	var SourceInteriorCharac = [
                    "Échangeur d'air",
                    "Alarme",
                    "Appareils encastrés",
					"Aspirateur central",
					"Ascenseur",
					"Ch. familiale - Ă©tage principal",
					"Foyer(s)",
					"Meublé",
					"Bain Ă  jet d'air",
					"Buanderie - Étage principal",
					"Maître - Étage princ.",
					"Piscine - Intérieure",
					"Système radon installé",
					"Système radon débuté",
					"Sauna",
					"Esp. habitable sur un niveau",
					"Puits de lumière",
					"Isolation améliorée",
					"Accès en fauteuil roulant",
		        ];
	$("#InteriorCharac").jqxListBox({width: 220,source: SourceInteriorCharac, checkboxes: true, height: 100,autoHeight:true,theme:theme});
	
	
//----------	
	var SourceRoofing = [
                    "Bardeaux d'asphalte",
                    "BĂ©ton",
                    "Membrane/Modifiée",
					"MĂ©tal",
					"Goudron & Gravier",
					"Autre",
		        ];
	$("#Roofing").jqxListBox({width: 220,source: SourceRoofing, checkboxes: true, height: 100,autoHeight:true,theme:theme});
	
	
	var SourceRentedEquip = [
                    "Chaudière (Boiler)",
                    "Fournaise",
                    "Thermopompe",
					"RĂ©servoir eau chaude",
					"RĂ©servoir de propane",
					"Syst. de filtration de l'eau",
					"Chauffe-eau",
					"Adoucisseur d'eau",
					"Autre",
					"Aucun",
		        ];
	$("#RentedEquip").jqxListBox({width: 220,source: SourceRentedEquip, checkboxes: true, height: 100,autoHeight:true, theme:theme});
	
	
//-----------------
	
	$('#Directions').jqxTextArea({ placeHolder: 'Max de 400 caractères', height: 80, width: '100%', theme:theme });
	
	var SourceInclusions = [
                    "Aspirateur central",
                    "Accessoirs aspirateur central",
                    "Lave-vaisselle",
					"Quai",
					"SĂ©cheuse",
					"Congélateur",
					"Ouvre-porte de garage(s)",
					"Génératrice",
					"Broyeur Ă  aliments",
		        ];
	$("#Inclusions").jqxListBox({width: 220,source: SourceInclusions, checkboxes: true, height: 100,autoHeight:true,theme:theme});

	var SourceInclusions2 = [
					"Broyeur Ă  aliments",
					"Jacuzzi",
					"Four micro onde",
					"Piscine hors-terre",
					"Équipement de piscine",
					"Réfrigérateur",
					"Antenne satellite",
					"Équipement satellite",
					"Cabanon",
		        ];
	$("#Inclusions2").jqxListBox({width: 220,source: SourceInclusions2, checkboxes: true, height: 100,autoHeight:true,theme:theme});	
	
	var SourceInclusions3 = [
					"PoĂŞle",
					"Antenne de télévision",
					"Machine Ă  laver",
					"Purificateur d'eau",
					"Adoucisseur d'eau",
					"Climatiseur de fenĂŞtre",
					"Couvertures de fenĂŞtres",
					"Refroidisseur Ă  vin",
					"Aucun",
					"Autre",
		        ];
	$("#Inclusions3").jqxListBox({width: 200,source: SourceInclusions3, checkboxes: true, height: 150,autoHeight:true,theme:theme});	
	
	$('#InclusionsOther').jqxTextArea({ height: 130, width: 220, theme:theme });
	
	$('#Exclusions').jqxTextArea({ height: 50, width: '100%', minLength: 1, theme:theme });
   
	$('#AgentRemarks').jqxTextArea({placeHolder:'Max. 1000 caractères', height: 90, width: '100%', minLength: 1, theme:theme });
	
	$('#VirtualLink').jqxInput({width: '100%', height: 32, theme: theme});
	$("#MLSPublishDate").jqxDateTimeInput({ width: '300px', height: '32px',formatString: 'yyyy-MM-dd', culture: 'fr-FR',readonly: true,theme:theme});
	$("#ExpirationDate").jqxDateTimeInput({ width: '300px', height: '32px', allowNullDate: true, editMode: 'full',
 formatString: 'yyyy-MM-dd', showFooter: true,value: null, theme:theme });
	$("#AutorisationCallYes").jqxRadioButton({groupName: "9", width: 60, height: 32, theme:theme});
	$("#AutorisationCallNo").jqxRadioButton({groupName: "9", width: 115, height: 32, theme:theme});	
	$("#PublishWebsiteYes").jqxRadioButton({groupName: "10", width: 60, height: 32, theme:theme});
	$("#PublishWebsiteNo").jqxRadioButton({groupName: "10", width: 115, height: 32, theme:theme});	
	$("#DDFIncludeYes").jqxRadioButton({groupName: "11", width: 60, height: 32, theme:theme});
	$("#DDFIncludeNo").jqxRadioButton({groupName: "11", width: 115, height: 32, theme:theme});
	
	$("#SaveButton").jqxButton({ width: '200', height: '45', theme:theme});
	


});
</script>	
</head>

<body>
<table class="defaulttable" style="background-color:white; width:98%;" align="center">
<tr><td valign="bottom" align="left"><img src="images/mls-logo.jpg" width="210" /></td><td valign="bottom" align="center"><img src="images/Fredericton_logo.jpg" width="110" /></td><td valign="top" align="center"><img src="images/StJohnBoard.png" width="220" /></td><td valign="bottom" align="center"><img src="images/NBREA.jpg" width="200" /></td><td valign="bottom" align="right"><img src="images/Realtor.gif" width="90" align="right" /></td></tr>
</table>
	
<br>	
<table style="width:98%;" align="center">
<tr><td valign="top" style="background-color:#890D05;color:white;"><b>RÉSIDENTIEL</b></td></tr>
<tr><td valign="top"><i>Les informations suivantes sont fournies aux fins d'inscription d'une propriété à vendre ou à louer</i></td></tr>	
</table>
<span style="color:red; width:98%; margin-left:25px;"><b>*</b></span>Indique un champ obligatoire	
<br><br>
	
<table style="width:98%;" align="center">
<tr><td valign="top" colspan="2"><b>#NID<span style="color:red">*</span></b> <input type="text" id="NID"/></td><td valign="top" colspan="2"><b>#NCB<span style="color:red">*</span></b> <input type="text" id="NCB"/></td></tr>	
<tr><td valign="top" colspan="4"><b>NIDs additionnel<span style="color:red">*</span></b> <input type="text" id="NIDAdd"/></td></tr>
<tr><td valign="top"><b>#Civique<span style="color:red">*</span></b> <input type="text" id="AddressCivic"/></td><td valign="top"><b>#Unité/App.</b> <input type="text" id="AddressUnit"/></td><td valign="top"><b>Nom de la rue<span style="color:red">*</span></b> <input type="text" id="AddressStreet"/></td><td valign="top"><b>Type</b> <input type="text" id="AddressType"/></td></tr>	
<tr><td valign="top" colspan="2"><b>Code postal<span style="color:red">*</span></b> <input type="text" id="AddressPostalCode"/></td><td valign="top" colspan="2"><b>District</b> <input type="text" id="AddressDistrict"/></td></tr>	
<tr><td valign="top" colspan="2"><div style="float:left;"><b>Côté de la route</b></div> <br><div id='RoadSideN' style="margin-left:30px;float:left;">N</div><div id='RoadSideE' style="margin-left:20px;float:left;">E</div><div id='RoadSideS' style="margin-left:20px;float:left;">S</div><div id='RoadSideW' style="margin-left:20px;float:left;">O</div></td><td valign="top" colspan="2"><b>Orientation</b> <input type="text" id="Orientation"/></td></tr>
	
<tr><td valign="top" colspan="2"><b>Sous-district<span style="color:red">*</span></b> <input type="text" id="SubDistrict"/></td><td valign="top" colspan="2"><b>Municipalité<span style="color:red">*</span></b> <input type="text" id="Municipality"/></td></tr>
<tr><td valign="top" colspan="4"><b>Description légale / Bien-fonds appelé</b> <input type="text" id="LegalDescription"/></td></tr>
<tr><td valign="top" colspan="2"><b>Secteur riverain<span style="color:red">*</span></b><br><div id='WaterFrontYes' style="margin-left:30px;float:left;">Oui</div> <div id='WaterFrontNo' style="margin-left:30px;float:left;">Non</div></td><td valign="top" colspan="2"><b>Nom du secteur riverain</b> <input type="text" id="WaterFrontName"/></td></tr>
<tr><td valign="top" colspan="2"><b>Type de plan d'eau</b><br><div id='WaterTypeLake' style="margin-left:30px;float:left;">Lac</div> <div id='WaterTypeRiver' style="margin-left:30px;float:left;">Rivière</div><div id='WaterTypeOther' style="margin-left:5px;float:left;">Autre</div></td><td valign="top" colspan="2"><b>Mesures terrain riverain</b> <input type="text" id="RiparianMeasurement"/></td></tr>
<tr><td valign="top" colspan="2"><b>École élémentaire</b> <input type="text" id="ElementarySchool"/></td><td valign="top" colspan="2"><b>École secondaire</b> <input type="text" id="SecondarySchool"/></td></tr>

<tr><td valign="top" colspan="2"><b>Superficie du lot<span style="color:red">*</span></b><br><div id='LotAreaAcre' style="margin-left:30px;float:left;">Acres</div> <div id='LotAreaSquareFeet' style="margin-left:20px;float:left;">Pieds carrés</div></td><td valign="top" colspan="2"><b>Zonage</b> <input type="text" id="Zoning"/></td></tr>

<tr><td valign="top" colspan="2"><b>Vendeur 1 - Nom de famille/Nom de la cie<span style="color:red">*</span></b> <input type="text" id="Saleperson1Lastname"/></td><td valign="top" colspan="1"><b>Prénom</b> <input type="text" id="Saleperson1Firstname"/></td><td valign="top" colspan="1"><div id='Saleperson1Company' ><b>Compagnie</b></div></td></tr>	
<tr><td valign="top" colspan="2"><b>Vendeur 2 - Nom de famille/Nom de la cie</b> <input type="text" id="Saleperson2Lastname"/></td><td valign="top" colspan="1"><b>Prénom</b> <input type="text" id="Saleperson2Firstname"/></td><td valign="top" colspan="1"><div id='Saleperson2Company' ><b>Compagnie</b></div></td></tr>
<tr><td valign="top" colspan="2"><b>Vendeur 3 - Nom de famille/Nom de la cie</b> <input type="text" id="Saleperson3Lastname"/></td><td valign="top" colspan="1"><b>Prénom</b> <input type="text" id="Saleperson3Firstname"/></td><td valign="top" colspan="1"><div id='Saleperson3Company' ><b>Compagnie</b></div></td></tr>
<tr><td valign="top" colspan="2"><b>Vendeur 4 - Nom de famille/Nom de la cie</b> <input type="text" id="Saleperson4Lastname"/></td><td valign="top" colspan="1"><b>Prénom</b> <input type="text" id="Saleperson4Firstname"/></td><td valign="top" colspan="1"><div id='Saleperson4Company' ><b>Compagnie</b></div></td></tr>
	
<tr><td valign="top" colspan="2"><b>Occupation</b><br> <div id='OccOwner' style="margin-left:10px;float:left;">Propriétaire</div> <div id='OccOwnerTenant' style="margin-left:10px;float:left;">Propriétaire/Locataire</div><div id='OccTenant' style="margin-left:30px;float:left;">Locataire</div><div id='OccVacant' style="margin-left:10px;float:left;">Vacant</div></td><td valign="top" colspan="2"><b>Titre</b><br><div id='TitleFreehold' style="margin-left:10px;float:left;">Tenure libre</div><div id='TitleLeasehold' style="margin-left:10px;float:left;">Tenure à bail</div><div id='TitleSellingPower' style="margin-left:10px;float:left;">Pouvoir de vente</div><div id='TitleEstateSale' style="margin-left:10px;float:left;">Vente de succession</div></td></tr>	
	
<tr><td valign="top" colspan="4"><b>Information publique <span style="color:red">*</span></b> <div id='PublicInfoTransferText' ><i>Cochez ici pour copier l'information publique au remarques pour l'agent immobilier</i></div><br><textarea id="PublicInfo"></textarea></td></tr>	

<tr><td valign="top" colspan="4"><b>Instructions pour la visite</b> <input type="text" id="VisitInstruction"/></td></tr>

<tr><td valign="top" colspan="4"><b>Agent inscripteur/ID (Compagnie)<span style="color:red">*</span></b> <input type="text" id="ListingAgent"/></td></tr>	
	
<tr><td valign="top" colspan="2"><b>Agent immobilier 1 - Nom<span style="color:red">*</span></b> <input type="text" id="AgentName1"/></td><td valign="top" colspan="2"><b>Agent immobilier 2 - Nom :<input type="text" id="AgentName2"/></td></tr>	
	
<tr><td valign="top" colspan="4"><b>Agent inscripteur 2 - Nom/ID (Compagnie)</b> <input type="text" id="ListingAgent2"/></td></tr>	
	
<tr><td valign="top" colspan="2"><b>Agent immobilier 3 - Nom</b> <input type="text" id="AgentName3"/></td><td valign="top" colspan="2"><b>Agent immobilier 4 - Nom :<input type="text" id="AgentName4"/></td></tr>	
</table>	


<br><br>


<table style="width:98%;" align="center">
<tr><td valign="top"><b>Prix de vente</b><br><input type="text" id="Price"/></td><td valign="top"><b>Évaluation</b><br><input type="text" id="Assessed"/></td></tr>	
<tr><td valign="top"><b>Montant taxes</b><br><input type="text" id="TaxAmount"/></td><td valign="top"><b>Année (taxes)</b><br><input type="text" id="TaxYear"/></td></tr>		
<tr><td valign="top"><b>Garage</b><br><div id='GarageYes' style="margin-left:30px;float:left;">Oui</div><div id='GarageNo' style="float:left;">Non</div></td><td valign="top"><b>DĂ©tails au sujet du garage</b><br><input type="text" id="GarageDescFR"/></td></tr>	

<tr><td valign="top"><b>Salle de bains complet / Demi<span style="color:red">*</span></b><br><input type="text" id="Bathroom"/> / <input type="text" id="BathroomHalf"/></td><td valign="top"><b>Nombre de chambres niveau supérieur / Sous-sol<span style="color:red">*</span></b><br><input type="text" id="Bedroom"/> / <input type="text" id="BedroomBasement"/></td></tr>

<tr><td valign="top" colspan="2"><b>Dimensions du niveau supérieur (Pi<sup>2</sup>) <span style="color:red">*</span></b><br><input type="text" id="UpperLevelDimension"/></td></tr>
	
<tr><td valign="top" colspan="2"><b>Âge construction <span style="color:red">*</span></b><br><input type="text" style="margin-left:30px; float:left;" id="ConstructionYear"/><div id='ConstYearApprox' style="margin-left:30px;float:left;">Approx.</div><div id='ConstYearOld' style="margin-left:30px;float:left;">Vieux</div><div id='ConstYearUnknown' style="margin-left:30px;float:left;">Unknown</div><div id='ConstYearInConstr' style="margin-left:30px;float:left;">En construction</div><div id='ConstYearToBeBuild' style="margin-left:30px;float:left;">À être construit</div><div id='ConstYearRenovated' style="margin-left:30px;float:left;">Rénové/Reconstruit</div></td></tr>
</table>	


<br><br>
	
	
<table style="width:98%;" align="center">	
<tr><td valign="top"><b>Type<span style="color:red">*</span></b><br><div id="Type"></div></td>
	<td valign="top"><b>Services</b><br><div id="Services"></div></td>
	<td valign="top"><b>Dimensions<span style="color:red">*</span></b><br><div id="Dimensions"></div></td>
	<td valign="top"><b>Extérieur<span style="color:red">*</span></b><br><div id="Exterior"></div></td></tr>

<tr><td valign="top"><b>Bâtiments accessoires</b><br><div id="BuildingAcc"></div></td>
	<td valign="top" colspan="2"><b>Style<span style="color:red">*</span></b><br><div id="Style" style="float:left;"></div><div id="Style2" style="margin-left:50px;float:left;"></div></td>
	<td valign="top"><b>Entrée d'accès<span style="color:red">*</span></b><br><div id="Entrance"></div></td></tr>
	
<tr><td valign="top"><b>Access</b><br><div id="Access"></div></td>
	<td valign="top"><b>Caractéristiques riveraines</b><br><div id="WaterFrontCharac"></div></td>
	<td valign="top"><b>Caractéristiques terrestres</b><br><div id="GroundCharac"></div></td>
	<td valign="top"><b>Fondation/Sous-sol</b><br><div id="Foundation"></div></td></tr>

<tr><td valign="top"><b>Garage</b><br><div id="GarageCheckbox"></div></td>
	<td valign="top"><b>Eau/Plomberie<span style="color:red">*</span></b><br><div id="Plumbing"></div></td>
	<td valign="top"><b>Égoût<span style="color:red">*</span></b><br><div id="Sewer"></div></td>
	<td valign="top"><b>RevĂŞtement de sol</b><br><div id="Floor"></div></td></tr>

<tr><td valign="top" colspan="2"><b>Chauffage/MĂ©canique<span style="color:red">*</span></b><br><div id="Heating" style="float:left;"></div><div id="Heating2" style="margin-left:40px;float:left;"></div></td>
	<td valign="top"><b>Caractéristiques extérieures</b><br><div id="ExteriorCharac"></div></td>
	<td valign="top"><b>Caractéristiques intérieures</b><br><div id="InteriorCharac"></div></td></tr>
	
<tr><td valign="top"><b>Toiture<span style="color:red">*</span></b><br><div id="Roofing"></div></td>
	<td valign="top"><b>Équipement en location<span style="color:red">*</span></b><br><div id="RentedEquip"></div></td><td valign="top" colspan="2"></td>
	</tr>
</table>	

	
	
<table style="width:98%;" align="center">	
<tr><td colspan="4"><b>Directions</b><span style="color:red">*</span></b><br><br><textarea id="Directions"></textarea></td></tr>
<tr><td valign="top" colspan="4"><b>Inclusions</b><br><div id="Inclusions" style="float:left;"></div><div id="Inclusions2" style="margin-left:30px;float:left;"></div><div id="Inclusions3" style="margin-left:30px;float:left;"></div><div style="margin-left:30px;float:left;"><b>Autre</b><br><textarea id="InclusionsOther"></textarea></div></td>
</tr>
<tr><td colspan="2"><b>Exclusions</b><br><div id="Exclusions"></div></td></tr>
<tr><td colspan="2"><b>Remarques pour l'agent immobilier</b><br><textarea id="AgentRemarks"></textarea></td></tr>
<tr><td colspan="2"><b>Lien au tour virtuel </b><input type="text" id="VirtualLink"/></td></tr>
<tr><td colspan="2"><b>Date de publication MLS </b> <div id='MLSPublishDate'></div></td></tr>
<tr><td><b>Date d'expiration </b><br><div id='ExpirationDate'></div></td><td><b>Appel autorisé lorsqu'expiré</b><br><div id='AutorisationCallYes' style="margin-left:30px;float:left;">Oui</div><div id='AutorisationCallNo' style="margin-left:30px;float:left;">Non</div></td></tr>

<tr><td><b>Publier sur sites publics </b><br><div id='PublishWebsiteYes' style="margin-left:30px;float:left;">Oui</div><div id='PublishWebsiteNo' style="margin-left:30px;float:left;">Non</div></td><td><b>Inclus au DDF</b><br><div id='DDFIncludeYes' style="margin-left:30px;float:left;">Oui</div><div id='DDFIncludeNo' style="margin-left:30px;float:left;">Non</div></td></tr>
</table>
<div id="neighborhood" style="visibility:hidden"></div>	
<div  align="center"><button id="SaveButton" style="font-size:25px;">Enregistrer</button></div>
<br><br>
</body>
</html>

Hry