Kansas City Realtor Home Warrant Registration

Realtor Home Warranty Registration



FOR KANSAS CITY AREA REALTORS
Upon receipt of this registration form, we will be in contact with you to give you your confirmation number.
This form cannot be submitted due to the following errors:
	PROPERTY COVERED
	Street Address (required):
	City (required):
	State (required):
	Zip Code (required):
	Listing Date:
	Expiration Date:

	Property Type:		Single Family Duplex Triplex Fourplex
	Unit 2 Street Address: (required):
	Unit 3 Street Address: (required):
	Unit 4 Street Address: (required):

	SELLER INFORMATION
	Name (required):
	Daytime Phone (required):
	Evening Phone:
	Email Address:

	ADDRESS (if other than above)
	Address 1:
	City:
	State:
	ZIP Code:
	BUYER INFORMATION
	Name:
	Daytime Phone:
	Evening Phone:
	Email Address:
	Closing Date:
	COMPANY/AGENT
	MLS ID (required):
	Agent (required):
	Company (required):
	Address 1:
	City:
	State:
	ZIP Code
	E-Mail Address: (required):
	Phone:
	Fax:
	TITLE COMPANY
	Closing Agent:
	Phone:
	Email Address:
	Fax:
	Plan purchased by:

OPTIONAL COVERAGE
	PLUMBING
		Septic Tank ($79)
		Sewage Ejector ($105)
	APPLIANCES
		Clothes Washer ($45)
		Clothes Dryer ($45)
		Refrigerator (includes built-in icemaker) ($63)
		Freezer (freestanding) ($55)
	HEATING AND AIR CONDITIONING
		Attic Ventilator ($40)
	POOL AND/OR SPA
		Swimming pool ($200)
		Pool with built-in spa (sharing equipment) ($220)
		Exterior hot tub (self-contained) ($120)
	REQUIRED COVERAGE (for BUYER if applicable)
(required)				How many HVAC Systems does the property have?
(required)				How many Electronic Air Cleaners does the property have?
(required)				How many Water Heaters does the property have?

A.B. MAY ADDITIONAL SERVICES
		15-point equipment Seasonal Maintenance
		($60 first unit: Add $30 for each additional unit)


	Basic Coverage:
	Options:
	Required Coverage:
	Total Cost:
NOTICE! Total cost represents the cost of warranty and does not include seasonal maintenance charge of $60 for first unit and $30 for each additional unit, if applicable.

	Comments:



Terms and Conditions Disclosure
Questions? Comments? Email us!

913-ABMayKC or 913-383-2222