Kansas City Realtor Home Warrant Registration

Realtor Home Warranty Registration

FOR KANSAS CITY AREA REALTORS

Upon completion of this registration form, your Confirmation Number will be displayed.

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:

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 ($66)

Clothes Dryer ($66)

Refrigerator (includes built-in icemaker) ($66)

Freezer (freestanding) ($66)

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