Untitled Document

Advantage Home Warranty Application

AHW Confirmation Number:

Obtaining Coverage is easy as 1-2-3

Step 1: Complete the Advantage Home Warranty Application outlining services requested and method of payment information. You may choose one of the three options to submit your order.
A) Call in application to (877) 577-4742
B) Toll Free Fax (800) 350-6123
C) On-Line Application available

Step 2: AHW will receive application and notify an approved home inspector to schedule an appointment. Upon completion of the inspection, AHW will review inspection report to verify covered systems and components. AHW will contact client or client’s agent to discuss warranty coverage. Those items needing repair or service will be excluded from warranty coverage unless the client provides sufficient proof that the items in question have
been corrected. See Section A of the service contract.

Step 3: AHW will issue the confirmation number based on the coverage start date. Please review payment terms outlined below in this application.

Please make checks Payable to:
Advantage Home Warranty, Inc.
P.O. Box 3917
Greenville, SC 29608

Please bill warranty fees to:
Seller Buyer

Seller Information: (or property to be covered)
Applicant Name:
Address:
City:
State:
Zip:
Phone Number:
E-mail Address:

Buyer Information:
Applicant Name:
Address:
City:
State:
Zip:
Phone Number:
E-mail Address:

Real Estate Company Information:
Company:
Agent Name :
Address:
City:
State:
Zip:
Phone Number:
Email:
Fax Number:
Listing Exp. Date

Closing Information :
Closing Date :
Company/Attorney:
Phone Number :
Fax Number :
Address:
City :
State :
Zip :
Email:

Inspection Information (if applicable)

Please bill inspection fees to:
Seller Buyer

Order Date:
Proposed inspection date:
Is the home occupied:
Age of home:
Square Footage :
Foundation: (slab, crawl, basement, other)
Who will be present for inspection?
Services Requested:	enter "YES" or "NO"
General Home Inspection
Radon Screening
Potable Water Test
Septic Tank Dye Test
Lead Paint Screening
Mold Survey
HVAC Service/Clearance Letter

AHW will forward your inspection request to an approved inspector who will contact the client or agent to set up an appointment and quote the services rendered.

Requested Inspector*:

* Separate terms and conditions apply. Not available in all areas.

Advantage Home Warranty Coverage	Seller	Buyer
Electrical System	*	*
Plumbing System	*	*
Water Heater	*	*
Duct Work	*	*
Oven / Range	*	*
Dishwasher	*	*
Refrigerator	*	*
Trash Compactor	*	*
Built-in Microwave	*	*
Garbage Disposal	*	*
Substructure & Attic Framing Rot	*	*
Heating System	(OPT.)	*
Air Conditioning	(OPT.)	*
Roof Leaks		*
Well Pump		*

Seller Buyer Coverage: ($480 - up to 5000 sq.ft.)*
(*¢10 per sq.ft. over 5000 sq.ft.)
Optional HVAC Coverage: (Seller $65)
Optional Pool & Spa Coverage: (Buyer $155)
3 Year New Construction Coverage ($620.00)

Grand Total Service Fees:

$40 service call fee ($65 nights, weekends, and holidays) per repair or actual cost of service.
$65 seller HVAC coverage, due at closing, expiration of listing, or cancellation, whichever comes first.

Payment

(BUYER &SELLER): Home inspection fees are due upon services rendered. Warranty application must be received within 30 days of home inspection to obtain coverage.

SC DISCLOSURE : South Carolina Residents only. This is a service contract offered by Advantage Home Warranty, Inc. Obligations of the provider under this service contract are backed by the full faith and credit of the provider. Questions or complaints may be registered with the South Carolina Department of Insurance, PO Box 100105, Columbia, SC 29202-3105, or call 803-737-6134.

INSPECTION DISCLOSURE : Seller or Buyer understands that the Inspection Company is an independently owned business. The Seller or Buyer shall enter into a written agreement with the Inspection Company with scope and terms of the inspection clearly defined. AHW is not responsible for the performance of the Inspection Company even if the inspection is scheduled by AHW.

SERVICE FEE DISCLOSURE : The purchaser of this contract understands, acknowledges and consents that this contract may provide a non-refundable service fee or other consideration paid in return for services rendered in facilitating the sale of this warranty.

Client acknowledges with signature that he/she has read and understands the services contract and that the coverage is subject to a service fee of $40.00 (Forty Dollars 0/100 cents) per claim item or the actual cost of the service whichever is less. This writing represents the complete agreement between the parties and can only be modified in writing. Applicant authorizes closing attorney/agent to pay the required service fee upon closing.

Check Enclosed	Number:

Credit Card: Visa MasterCard American Express
Cardholder Name:
Card Number:
Expiration Date :

	WAIVER:By checking this box, you are acknowledging that you understand that 1. purchase of the plan is not mandatory and may be waived. 2. After being made aware of this home service agreement, the Seller(s) or Buyer(s) do NOT want to participate in the above services.
	signature: ______________________________________________

Terms & Conditions

(BUYER & SELLER): The required fees for both the home inspection and warranty contract shall be paid at closing by the closing attorney out of the sellers proceeds direct to AHW. It is the responsibility of the seller, closing attorney and/or Real Estate Broker/Agent (hereinafter Agent) to insure that the fee is paid at closing.

SC DISCLOSURE: South Carolina residents only: This is a service contract offered by Advantage Home Warranty, Inc. Obligations of the provider under this service contract are backed by the full faith and credit of the provider. Questions or complaints may be registered with the South Carolina Department of Insurance, P.O. Box 100105, Columbia, South Carolina 29202-3105, or call 803-737-6134.

INSPECTION DISLOSURE: Seller or Buyer understands that the Inspection Company is an independently owned business. The Seller or Buyer shall enter into a written agreement with the Inspection Agency with scope and terms of the inspection clearly defined. AHW is not responsible for the performance of the Inspection Agency even if the inspection is scheduled by AHW.

SERVICE FEE DISLOSURE: The purchaser of this contract understands, acknowledges and consents that this contract may provide a non-refundable service fee or other consideration paid in return for services rendered in facilitating the sale of this warranty.

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