OrderCoverageBenefits
Simple Warranty Application


Coverage Type
Buyer's Coverage
Listing Coverage

Your Name

Your Email


Property To Be Covered

Street


City

State

Zip Code



Buyer

Phone Number



Agent Information


Procuring Agent
Listing Agent
Buyer's Agent

Listing Agent


Office

Phone Number


Email Address



Buyer's Agent


Office


Phone Number

Email Address



Escrow Office Information


Escrow Officer


Email

Phone Number


Office

Fax Number


Street


City

State

Zip Code



Closing Date


Deliver Warranty To
Closing
Agent
Residence


Inspection Company Information


Company Name


Phone Number




Price Guide to Simple Warranty


Priced by total square footage including basement. Please enter your square footage below to determine your policy cost.

Square Footage
Less Than 1,500 sq ft ($395)
1,501  -  2,500 sq ft ($475)
2,501  -  3,000 sq ft ($515)
3,001  -  4,000 sq ft ($560)
4,001  -  5,000 sq ft ($755)
5,001  -  6,000 sq ft ($965)
6,001  -  9,999 sq ft (0.16 per sq ft)
More Than 10,000 sq ft (0.19 per sq ft)

Additional Coverages:

Pool & Spa Coverage - ($175.00)

Premium Coverage - ($200.00) Premium coverage adds termite, mold, increased limits on underground sewer and water lines and radon mitigation.

$75 Deductible Buydown - ($75.00) Reduces your deductible from $150 to $75 for every claim by adding this option.

Notes

Policy Cost: N/A

Yes! I want myself and the policy holder to receive all correspendance and policy documents electronically via email!