Please enable JavaScript in your browser to complete this form.My relationship to the property *BuyerBuyer's Real Estate AgentSellerSeller's Real Estate AgentOtherName *Email *Phone *Address of the Property with a Concern *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeInspection Date *Did you read the Inspection Report? *YesNoN/AFinal Walkthrough Date *Closing Date *Move-In Date *Please provide a description of your concerns that includes who, what, when and how: *Was this concern documented in the Inspection Report? *YesNoN/AWhat did the Seller’s Disclosure say about this concern? *Was the concern evident at the final walk thru? *YesNoN/AWhat corrective action has been taken thus far? *Was the home sold "As-is"? *YesNoN/ADid the sale include or did you purchase a One-Year Home Warranty? *YesNoN/AUpload a copy of Seller’s Disclosure here: *Upload copy of Repair Addendum here: *Please provide any other documents that will help us better understand the concern you are experiencing, such as photographs, written contractor statements, and repair estimates. *Any other document to help us understand?Other than looking into this concern and making a determination, how can we help? *Submit