HOME WARRANTY DISCLOSURE
PROPERTY:
Located at
(Municipal Address)
(Subdivision)
(Lot Number)
__________________________________________________ Louisiana.
(City)
(Parish)
HOME WARRANTY DOES NOT WARRANT PRE-EXISTING DEFECTS OR SUPERCEDE OR
REPLACE ANY OTHER INSPECTION CLAUSE OR RESPONSIBILITY.
A home protection plan [
] will [
] will not be purchased at the act of sale at a cost not to exceed
________________________
($_______)
Dollars
with
a
deductible
of
not
more
than
__________________ ($_________) per trade call and ordered by _____________________________
agent/broker.
The cost of the home protection plan will be paid for by the:
[
] SELLER
[
] BUYER
It is understood that agent/broker may receive compensation from the home warranty company.
[
] The parties acknowledge that they have been offered the opportunity to purchase a home warranty
in connection with the “Residential Agreement To Purchase And Sell,” dated ________________
between
____________________________________________
and
_______________________________________, but declined the offer.
________________________________________
_______________________________________
PURCHASER'S SIGNATURE Date/Time
PURCHASER'S SIGNATURE Date/Time
________________________________________
_______________________________________
SELLER'S SIGNATURE
Date/Time
SELLER'S SIGNATURE
Date/Time
Page 1 of 1
Home Warranty Disclosure Form
12/99
HOME WARRANTY DISCLOSURE
PROPERTY:
Located at
(Municipal Address)
(Subdivision)
(Lot Number)
__________________________________________________ Louisiana.
(City)
(Parish)
HOME WARRANTY DOES NOT WARRANT PRE-EXISTING DEFECTS OR SUPERCEDE OR
REPLACE ANY OTHER INSPECTION CLAUSE OR RESPONSIBILITY.
A home protection plan [
] will [
] will not be purchased at the act of sale at a cost not to exceed
________________________
($_______)
Dollars
with
a
deductible
of
not
more
than
__________________ ($_________) per trade call and ordered by _____________________________
agent/broker.
The cost of the home protection plan will be paid for by the:
[
] SELLER
[
] BUYER
It is understood that agent/broker may receive compensation from the home warranty company.
[
] The parties acknowledge that they have been offered the opportunity to purchase a home warranty
in connection with the “Residential Agreement To Purchase And Sell,” dated ________________
between
____________________________________________
and
_______________________________________, but declined the offer.
________________________________________
_______________________________________
PURCHASER'S SIGNATURE Date/Time
PURCHASER'S SIGNATURE Date/Time
________________________________________
_______________________________________
SELLER'S SIGNATURE
Date/Time
SELLER'S SIGNATURE
Date/Time
Page 1 of 1
Home Warranty Disclosure Form
12/99
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