Please Complete the Form Below And Include A Legible Copy of (1) Seller’s Property Disclosure Statement And (2) A Copy of All Obtained Repair Estimates/Expert Opinions.

Company policy mandates documentation be provided in writing. Once documentation is completed and received in our office, we will perform a review and someone will contact you promptly.

Report Review

Property Owner Name

Best Contact Number?

Date Of Inspection?

Property Address

Home Was Occupied or Vacant?

Did You Attend The Original Inspection?

Did The Inspector Review His Findings With You?

Date Of Pre-Closing Inspection?

Date of Actual Closing?

Date Moved In?

List Price Of Property?

Sale Price of Property?

Was A Warranty/Service Plan Purchased?

Warranty/Service Plan Company?

Name of Homeowner Insurance Company?

Effective Date Of Property?

Homeowner Policy Number?

Former Owner/Seller?

Seller's | Current Address?

Detailed Description Of Incident/Condition?

Was Condition Observable At Time Of Inspection? (Yes or No)

Date You Became Aware Of The Condition?

Did You Learn Of This Condition Any Time Prior To Closing? If yes, How?

Did Seller Of Property Provide Any Type Of Disclosure Form? If No, Why Not?

If Yes, Was Condition Identified? (Yes or No)

Did You Conduct A Final or Pre-Closing Inspection? (Yes or No). If No, Why Not?

If Yes, Was This Condition Visible At This Inspection? (Yes or No)

If You Did Not Notice The Condition Yourself, Who First Observed And Apprised You Of It?

Was Any Action Taken On This Condition Prior To Closing? (Yes or No)

Was Any Action Taken After Closing? (Yes or No). If Yes, Please Explain.

Did Other Service Providers Perform Any Other Inspections/Services As Part Of The Purchase Process? (Yes or No) If Yes, Please Explain.

Did You Negotiate With Sellers Based On Any Findings Of The Home Inspection? (Yes or No)

If Yes, How Much Did You Negotiate And For What Issues/Items?

Did You Follow The Recommendations Provided In Your Inspection Report? If so, What Action Was Taken?

If No Action Was Taken, Why Not?

Please Provide Additional Comments Regarding Your Knowledge Of The Condition

Provide Contact Information For Any Contractors, Service Persons or Other Individuals That Have Identified, Inspected or Done Work Related To The Conditions/Concerns Reported Above. (Company Name, Tech\'s Name, Address and Telephone Number)

Their Comments

Did You Obtain An Estimate Or Proposal To Correct The Condition? (Yes or No)

Date Received?

Amount Of Estimate/Proposal?

Has Any Work Been Done? (Yes or No) If Yes, Please Explain Work Completed

Attach A Legible Copy Of The Seller\'s Property Disclosure Statement And A Copy Of All Obtained Repair Estimates/Expert Opinion

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Signature Of Homeowner Completing Report (Type In Your Full Legal Name)

Date Signed

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