My Relationship to the Property * Buyer Buyer's Real Estate Agent Seller Seller's Real Estate Agent Other First Name Last Name Email Phone Address #1 Address #2 City* State* ZIP* Inspection Date Final Walkthrough Date Closing Date Move In Date Did you read the inspection report? Yes No N/A Please describe your concern (who, what, when, how) * Was this concern documented in the Inspection Report? * YES NO N/A What did the Seller’s Disclosure say about this concern? * Was the concern evident at the final walk-through? * Yes No N/A What corrective action has been taken thus far? * Was the home sold “As-Is”? * Yes No N/A Did the sale include or did you purchase a One-Year Home Warranty? * Yes No N/A Seller’s Disclosure * Repair Addendum * Supporting Documents * Additional Documents (optional) Other than investigating this concern, how can we help? Send
