Page 48 - 8170 Money Builder Binder for Owner_Neat
P. 48
WARRANTY REQUEST FORM
© 2011
NAME: __________________________________________________________________________________
ADDRESS: __________________________________________________________________________________
DAYTIME PHONE: __________________________________________________________________________________
EMAIL: __________________________________________________________________________________
INSTRUCTIONS: Review your applicable warranty documents to determine if your problem is a warranty item or a homeowner
responsibility. If your problem is a warranty item, fill out the section below, sign and date this form, and mail or fax it to Builder at the address
and/or fax number identified in your contract.
WARRANTY ITEMS: DATE OF DISCOVERY:
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
OUT-OF-POCKET EXPENSES AND/OR ENGINEERING COSTS: ____________________________________________________________
__________________________________________________________________________________________________________________
IDENTITY OF YOUR INSPECTOR: ____________________________________________________________________________________
__________________________________________________________________________________________________________________
IN SUBMITTING THIS WARRANTY REQUEST, PLEASE INCLUDE ANY EVIDENCE THAT DEPICTS THE NATURE AND CAUSE OF EACH ALLEGED
DEFECT AND THE NATURE AND EXTENT OF REPAIRS NECESSARY TO REMEDY THE DEFECT, INCLUDING, IF AVAILABLE, EXPERT REPORTS,
PHOTOGRAPHS, AND VIDEOTAPES
Signature:_____________________________________________________ Date:__________________________________
Signature:_____________________________________________________ Date:__________________________________
