Allied Home Warranty, Your Neighbor for Home Warranty Coverage

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Order a Warranty - Real Estate Transaction

Contract Information

Contract Type
Buyer's 13 Month Plan Brochure	$350
Buyer's with Seller's Plan Brochure	$350 (pay only when converted into Buyer's Plan)
New Construction (Yrs 2-5) Brochure	$595

Property Information

Home Condo Duplex Triplex Fourplex

First Unit: Second Unit: Third Unit: Fourth Unit:

Square feet (if over 5,000):

Contract Holder Information

Property Information
Primary: First Name*
Primary: Last Name*
Secondary: First Name
Secondary: Last Name
Address 1*
Address 2
City*
State*		ZIP*
Email*

Mailing Address	Same as Property Information
First Name
Last Name
Address 1
Address 2
City
State		ZIP


Check here if you don't know the client's email.

Initiating Agent Information
First Name*
Last Name*
Main Phone
Email
Real Estate Company*
Est. Closing Date*
MLS Listing #*

Title Company Information
First Name
Last Name
Phone
Email*
GF Ref#
Title Company*
Builder's name

This contract is issued pursuant to a license granted by the Texas Real Estate Commission, and complaints in connection with this contract may be directed to the Commission at P.O. Box 12188, Austin, TX 78711, 512-465-3917. The purchase of a residential service contract is optional and similar coverage may be purchased through other residential service companies or insurance companies authorized to transact business in Texas.

NOTICE: YOU, THE BUYER, HAVE OTHER RIGHTS AND REMEDIES UNDER THE TEXAS DECEPTIVE TRADE PRACTICES-CONSUMER PROTECTION ACT WHICH ARE IN ADDITION TO ANY REMEDY WHICH MAY BE AVAILABLE UNDER THIS CONTRACT. FOR MORE INFORMATION CONCERNING YOUR RIGHTS, CONTACT THE CONSUMER PROTECTION DIVISION OF THE ATTORNEY GENERAL'S OFFICE, YOUR LOCAL DISTRICT OR COUNTY ATTORNEY OR THE ATTORNEY OF YOUR CHOICE.

When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic funds transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic funds transfer, funds may be withdrawn from your account, as soon as the same day we receive your payment and you will not receive your check back from your financial institution.

ORDER SUMMARY

Current Homeowner

$395

Total Options:

$120

Premium Upgrade	$100
Refrigerator	$65
Washer/Dryer	$95
Stand Alone Icemaker	$75
Detached Building	$65
Additional A/C Unit (2 included with plan)	$75
Built-in Wine Cooler	$65
Additional Dishwasher	$50
Additional Garage Door Opener	$25
Additional Oven/Cooktop	$65
Pool/Spa or Shared Equip	$160
Green Upgrade	$25
Well Pump	$95
Septic System Pumping & Pump	$75

Additional Sqft:

$515

Total:

$515

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