ELITE HOME BUILDERS LLC

• WARRANTY CLAIM FORM •

Homeowner Information:

First Name:

Last Name

Address of Property Covered:

Phone

Email:

Purchase Information:

Date of Closing (Home Purchase)

Are you the original homeowner?

Yes

No

Note: This warranty is non-transferable and applies only to the original homeowner.

Claim Information:

Date the Defect Was First Noticed:

Description of the Defect:

Please describe the issue in detail. Attach additional pages if necessary.

Have you previously notified Elite Home Builders LLC of this issue?

Yes

No

Emergency Issue?

Yes (e.g., burst pipe or other urgent matters)

No

Supporting Documents (Optional):

File Upload (JPG, PNG, MP4, PDF)

Please attach any photos or documentation related to the defect.

Homeowner Signature

By signing below, I acknowledge that I am the original homeowner and that this claim is being made within the terms of the warranty.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.