Today's Date
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First Name
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Last Name
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Email
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Mobile Phone
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Property Address
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Inspection Date
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Inspectors Name
What is the issue/complaint? How was the issue discovered?
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When did you first notice it?
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When was Gold Key Notified?
Date of the Final Walk-Through?
Have you consulted with a contractor or professional on this issue?
Was the home sold with a Home Warranty in place?
Yes
No
Do you currently occupy the dwelling?
Yes
No
What, if any, repairs were made based on the inspection report?
Was the home sold "as is?"
Yes
No
What did the Seller's Disclosure say about this issue?
Additional Notes:
Provide photos of the problem, if you have them:
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Additional Photo/ File upload if needed:
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