Warranty Service

Check One

Emergency/Immediate Attention (To be determined by Builder)

 60 Day List (Only one list allowed) Date: ___________

 12 Month List (Only one list allowed) Date: ___________

Request Date:                                                                                      

Lot Number:                                                                                          Community:                                                          

Homeowner Names:                                                                                                                                                            

Address:                                                                                                                                                                               

Phone:                                                                                   

Fax:                                                                                        

The following is a list of requested repairs:

1.      _____________________________________________________________________

2.      _____________________________________________________________________

3.      _____________________________________________________________________

4.      _____________________________________________________________________

5.      _____________________________________________________________________

6.      _____________________________________________________________________

7.      _____________________________________________________________________

8.      _____________________________________________________________________

9.      _____________________________________________________________________

10.  _____________________________________________________________________

All items are either not covered by warranty or have been completed:

______________________________                          ____________________

Homeowner Signature                                            Date

______________________________                          ____________________

Superintendent Signature                                        Date

S;User:Const:Forms:Warranty Service Request Form