239 Inspection Services
239-300-2420
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Homeowner Request for Report Review
Edit Template
Homeowner Request for Report Review
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PLEASE COMPLETE THIS FORM IN ITS ENTIRETY AND RETURN TO OUR OFFICE
Please Return Completed Form to Our Office with a Legible Copy of Seller’s Property Disclosure Statement and a Copy of All Obtained Repair Estimates/Expert Opinions. Company policy mandates documentation be provided in writing. Once documentation is completed, we will perform a review and someone from our office will contact you promptly.
Property Owner Name(s)
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Best Telephone
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Property Address
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Date Of Inspection
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MM slash DD slash YYYY
Did You Attend The Original Inspection?
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Yes
No
Home Was Occupied Or Vacant?
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Occupied
vacant
Date Of Closing
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MM slash DD slash YYYY
Date Moved In
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MM slash DD slash YYYY
List Price Of Property
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Purchase Price
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Warranty/Service Plan Purchased?
Yes
No
If Yes, Warranty / Service Plan Company
If Yes, Effective Date Of Warranty / Service Plan
MM slash DD slash YYYY
Home Owner Insurance Company
Effective Date Of Homeowners Policy
MM slash DD slash YYYY
Homeowner Policy #
Former Owner(s) / Seller(s) Name(s)
Did You Negotiate With Sellers Based On Any Findings Of The Home Inspection?
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Yes
No
If Yes, How Much Did You Negotiate And For What Issues / Items?
Did You Follow The Recommendations Provided In Your Inspection Report?
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Yes
No
If Yes, What Action Was Taken?
If No Action Was Taken, Why Not?
Please Provide A Detailed Description Of Your Concern(s) And Of The Observed Condition(s)
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When And How Did You Become Aware Of The Condition(s)
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If You Did Not Notice The Condition(s) Yourself, Who First Observed And Apprised You Of It?
Did Seller(s) Provide Any Type Of Disclosure Regarding The Condition(s) Described Above?
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Yes
No
If Yes, Provide Additional Details?
Did You Conduct A Final Walk-Through Or Pre-Closing Inspection?
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Yes
No
If Yes, What Did You Observe?
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Was Any Action Taken On The Condition(s) Prior To Closing?
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Yes
No
If Yes, Please Explain
Did Other Contractors Perform Any Other Inspections Or Services As Part Of The Purchase Process?
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Yes
No
If Yes, Please Explain
Please Provide Any Additional Comments Regarding Your Knowledge Of The Condition(s):
Provide Contact Information For Any Contractors, Service Technicians, Or Other Individuals That Have Identified, Inspected, Or Done Work Related To The Condition(s) Or Concern(s) Reported Above? (E.g. Company Name, Technician’s Name, And Telephone Number)
Did You Obtain Estimate(s) Or Proposal(s) To Correct The Condition(s)?
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Yes
No
If Yes, Provide Details Of The Estimate(s) Or Proposal(s)
Date(s) Of The Estimate(s) Or Proposal(s)
MM slash DD slash YYYY
Has Any Work Been Completed?
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Yes
No
If Yes, Please Explain Work Completed
Signature Of Person Completing This Form
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Date
*
MM slash DD slash YYYY
Please Upload any additional documentation to your submission, e.g. photos of the observed condition(s), estimates and/or invoices or work from contractors, seller disclosures, etc.
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Select files
Max. file size: 220 MB, Max. files: 5.
