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Client Concern Form

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Inspected Property Address *

Inspector's Name

Chris Heywood
Paul Moore
Carl Heywood
Steven Hudson

Was the property occupied at the time of the inspection? *

No, it was a totally vacant property.
Yes, I believed the seller lived there.
Yes, I believe the tenant lived there.

Did you receive a copy of the inspection report? *

No, I did not receive a copy of the inspection report.
Yes, I have a copy.
If no, did you call the inspector or office.

Is the issue you are concerned about mentioned in the inspection report? *

No, the issue is not mentioned in the report.
Yes, the issue is mentioned in the report.

Did you accompany the inspector on the inspection? *

Yes, I accompanied the inspector during the inspection.
No, I was not there during the inspection

Do you have a copy of your pre-inspection agreement? *

No, I don’t have a copy.
Yes, I have a copy.

Date you received the report? *

Did you read the entire report?

Did you read the entire inspection agreement, initial and sign the agreement. *

Yes, I read and signed the agreement.
No, I did not sign the agreement.

Did you receive a Sellers Discloser from the seller of the property? *

No, I don’t recall receiving a Sellers Disclosure.
Yes, I received it and the seller mentioned the issues.
Yes, I received it and the seller didn’t mention anything about the issues.

Have you taken any steps to repair the issue? *

If yes, what steps have you taken to fix the issue?

Was the property sold as is? *

What was the date when you first noticed the issue? *

How did you become aware of the issue? *

Your report include a copy of the Standards of Practice for Ohio or Kentucky. Depending on the state the inspection was performed in can you reference which part of the respected Standards of Practice we did not follow or item in the standards of practice did not report on? *

Please describe the issue you have with the inspection. *

Did you purchase a home warranty? *

If you did purchase a home warranty have you contacted the home warranty company? *

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45140

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