Date Of Inspection:

Date of your final walkthrough prior to closing:

Was the issue apparent at the final walkthrough?
YesNo

Was the home sold with a Home Warranty in place?
YesNo

Is there any evidence of a previous problem in this area?
YesNo

Has any work been done in this part of the house since you moved in?
YesNo

Have you had any other work done in the home?
YesNo

Was there a seller's disclosure form completed?
YesNo

Have you had any other inspections done on the property?
YesNo

Was the house vacant or occupied at the time of inspection?
VacantOccupied

Have you had any licensed repair professionals take a look at the problem?
YesNo

Have any repairs been undertaken yet?
YesNo

PLEASE ADD A STATEMENT FROM A LICENSED PROFESSIONAL THAT VERIFIES THE CONDITION WAS PRESENT AT THE TIME OF THE INSPECTION AND SHOULD HAVE BEEN FOUND OR NOTED BY THE INSPECTOR.

PROVIDE PHOTOS OF THE PROBLEM, IF YOU HAVE THEM:

ADDITIONAL IF NEEDED PHOTO:

ADDITIONAL IF NEEDED PHOTO:

SELLER'S DISCLOSURE FORM MUST BE UPLOADED TO COMPLETE THIS CLAIM.*