Report Review Form All Form Fields Are Required To Be Filled Out Property Owner Property Address Date Of Inspection Home Was Occupied Or Vacant? Best Telephone Did You Attend The Original Inspection? Did Your Inspector Review His Findings? Date Of Pre-Closing Inspection Date Of Closing Date Moved In List Price Of Property Sale Price Warranty/Service Plan Purchased? Date Warranty/Service Plan Purchased? (If Applicable) Warranty/Service Plan Company Home Owner Insurance Company Effective Date Of Policy Home Owner Policy # Former Owner/Seller Seller’s Current Address Detailed Description Of Incident/Condition Was Condition Observable At Time Of Inspection? (Yes Or No) Date You Became Aware Of The Condition Did You Learn Of This Condition Any Time Prior To Closing? If Yes, How? Did Seller Of Property Provide Any Type Of Disclosure Form? If No, Why Not? If Yes, Was This Condition Identified? (Yes Or No) Did You Conduct A Final Or Pre-Closing Inspection? (Yes Or No) If no, why not? If Yes, Was Condition Visible At This Inspection? (Yes Or No) If You Did Not Notice The Condition Yourself Who First Observed And Apprised You Of It? Was Any Action Taken On This Condition Prior To Closing? (Yes Or No) After Closing? (Yes Or No) If Yes, Please Explain Did Other Service Providers Perform Any Other Inspections/Services As Part Of The Purchase Process? (Yes Or No) If Yes, Please Explain Did You Negotiate With Sellers Based On Any Findings Of The Home Inspection? (Yes Or No) If Yes, How Much Did You Negotiate And For What Issues/Items? Did You Follow The Recommendations Provided In Your Inspection Report? If So, What Action Was Taken? If No Action Was Taken, Why Not? Please Provide Additional Comments Regarding Your Knowledge Of The Condition. Provide Contact Information For Any Contractors, Service persons, or other individuals that have identified, inspected, or done work related to the conditions/concerns reported above? (Company Name, Tech’s Name, Address, & Telephone Number). Their Comments Did You Obtain An Estimate Or Proposal To Correct The Condition? (Yes Or No) Date Received Amount Of Estimate/Proposal Has Any Work Been Done? (Yes Or No) If Yes, Please Explain Work Completed Signature Of Homeowner Completing Report Date 5 + 10 = Submit Book an Appointment with Certainty Today! Schedule Inspection (866) 417-9591 william@certaintyinspections.com FollowFollowFollowFollowFollowFollow