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10) Have there been any changes, additions or modifications to the home or the property since the original construction?

Yes _____ No _____ If yes, please explain what was done, when, and by whom: ____________________________________________

__________________________________________________________________________________________________________

11) Is the home currently occupied? Yes _____ No _____ If not, please explain why and when the home became vacant?

__________________________________________________________________________________________________________

12) How and when was the defect or damage first noticed? _____________________________________________________________

__________________________________________________________________________________________________________

13) Please describe the defect or damage and where it is located: ________________________________________________________

__________________________________________________________________________________________________________

14) Has the defect or damage worsened since it was first noticed? _______________________________________________________

__________________________________________________________________________________________________________

15) Explain why you believe the defect or damage is covered by the HOWIC Warranty: ______________________________________

__________________________________________________________________________________________________________

16) Please describe all prior claims filed with HOWIC for the home in question: ____________________________________________

__________________________________________________________________________________________________________

17) Have you experienced any problems in any of the following areas: plumbing, waste- water, gas, oil, electric lines, ductwork or heating

system? Yes _____ No _____ If yes, please explain the problems and provide any relevant documentation relating to these problems:

__________________________________________________________________________________________________________

18) Is there any item which affects the health or safety of the occupants of the home? Yes _____ No _____ If yes, please fully explain:

__________________________________________________________________________________________________________

REPORT TO HOME OWNERS - Page 12