Notification

Please refer to the report number in all correspondence.

Name *

Report No. *

Address *

Inspection Date *

Phone (Home) *

Date Problem Reported *

Date of Closing

Date(s) you first noticed the problems(s) *

Phone (work)

Date Notification was mailed *

Date you occupied home

Dates unoccupied

Describe all problems *

If reported problem was noted during remodeling or decorating, please explain:

Have you had an estimate of the cost to correct the problems? *

Did you perform a pre-settlement walk-thru? *

If yes, the amount

If yes, the date

Persons present for walk-thru *

Did you have a termite inspection? *

Did you have a stucco inspection? *

If you had additional inspections please list them with date performed

Did you purchase a home warranty? *

Homeowners policy number *

Your homeowners insurance company *

As a condition to processing this notification, I affirm that I have read and understand the terms of the Agreement for Home/Building inspection Services, the Inspection Order Agreement, and the Inspection Report including the Pre-settlement Walk thru sections. I agree to fulfill my obligations therein stated.

Notification Form

Notification