Concerns

1
Client Information
2
Property
3
Incident Details
4
Confirmation
Client Name *
Contact Email *
Contact Phone Number: *
Address *
Date of Inspection *
Date of Concern First Observed *
Date of Closing *
Date Moved In *
Was there a Home Warranty Purchased *
Detail Description of Incident/Condition
Do you have Pictures or Video? *
Do you have capabilities to share the pictures or videos? *
Did you learn of this condition any time prior to closing? *
Did the seller provide any type of Disclosure Form? *
Did you conduct a final walk-through? *
Date of Final Walk Through
Was any action taken on this condition prior to closing? *
After closing? *
Were any other inspections/services performed by other service providers as of the purchase process?* *
Name
Phone
Their Comments
Did you obtained an estimate or proposal to correct the condition? *
Amount of estimate *
Has any work been done? *
Please upload any pictures and/or support documents that you may have.
Maximum file size: 50 MB
Client Name *
Date *
Acknowledgement & Agreement *
Client Signature *