BUILDER COMPLAINT FORM

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*First Name:     *Last Name:  *Address:  Address:  *City:      *State:  Alabama Alaska Arizona Arkansas California Connecticut Colorado Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Zip:  *Home Phone:     alt. Number:   Cell, office etc. Fax:  Check box IF you do not have email, otherwise, enter Email below. *Email:  * HADD will not contact you or respond to any complaint without a VALID email address BACKGROUND INFORMATION Are You A Senior Citizen:   YES     NO * Name of Builder:  Approx. date home purchased:   MM-DD-YYYY Name of development or community:  What type of financing did you use:  Select Financing FHA Conventional VA OTHER Any Known code violations: YES  NO  NOT SURE Have You Contacted Builder in Writing? YES  NO Have You Contacted an Attorney? YES  NO WARRANTY AND CONTRACT INFORMATION Is warranty provided by builder or private 3rd party warranty company?:  BUILDER   PRIVATE COMPANY  BOTH   NOT SURE If you have a private 3rd party company warranty, please provide the name of the warranty company:  Are You Still under warranty: Date warranty ends or date ended: YES  NO  NOT SURE   MM-DD-YYYY Does contract/warranty require MEDIATION or ARBITRATION?:  Yes  No  NOT SURE Does contract/warranty name an arbitration service that must be used? Yes  No  NOT SURE Name of arbitration service that must be used: COMPLAINT CATEGORY Please indicate what category this complaint falls under. Example, if the MAIN problem is poor workmanship, even though there may be other issues such as mold, then check construction defect box. You can add the other issues in the description area below. We are looking for the MAIN issue you are filing your compaint under. Construction Defect  Warranty Issues   Predatory Lending   Toxic Mold Mandatory Arbitration Home Inspector   Other DESCRIBE DEFECTS LIST ALL KNOWN DEFECTS AND DESCRIBE YOUR SITUATION IN DETAIL - IMPORTANT! - In order to allow future home buyers to conduct research on a potential builder, HADD posts ALL complaints to our website. We will never DILVULGE or post ANY PERSONAL INFORMATION WITHOUT YOUR PRIOR KNOWLEGE OR CONSENT! ALL PERSONAL INFORMATION IS KEPT CONFIDENTIAL! PLEASE CHECK ALL THAT APPLY TO WHAT TYPE INFORMATION CAN BE POSTED ABOUT THIS COMPLAINT * OK to Post Name YES NO      * OK to Post Address YES NO * OK to Post City   YES NO      * OK to Post Email      YES NO Please tell us how you learned of HADD or how you found our website  News/ Web article   Search Engine  Google Ad  Website Link  Other Please use the space below to tell us in some detail how you found HADD. If found by a website or news / web article, please give name of the article and or website address (URL), newspaper name. If found by using a search engine, please tell us which search engine you used and the search terms you entered. Article Name/ URL Address