Inspection Concern Form

Name

First

Last

Phone

What is the best way to contact you for follow-up?

What was the Service Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What was the Service Date?

Have you read all the documentation we provided for your service, including any agreements, proposals, and reports?

What was the date the condition was first observed?

Please provide a detailed description of the condition observed

Was the condition observable at the time of service?

If you did not notice the condition, who did?

Did you obtain an estimate?

If so, please provide the contractor's name and contact info:

Estimate Amount:

Has work been done?

Additional Comments:

What was the closing date?

Was a Home Warranty purchased?

the the Home

What date did you move in?

Did you learn of the condition prior to closing?

Did the seller provide a Disclosure Form?

Did you conduct a final walkthrough?

What was the date of final walkthrough?

What action was taken on this issue prior to closing?

What action was taken after closing?

Were any other services performed as part of the purchase?

Thank you for taking the time to fill out the form. Before submitting the form, please review all areas for accuracy. By clicking the submit button, you indicate the information you have provided is true and complete to the best of your knowledge. If you have any supporting photos or documents such as photos or estimates gathered, please email them to us at evq@comcast.net.

Inspection Concern Form

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