For office use only:

Date Entered:

Notice of Condition Form

Request # :

9500 Hillwood Drive Suite 200

Las Vegas Vegas, NV 89134

(702) 360-3200 ext. 259 Fax (702) 233-8094

COMMUNITY NAME:

DATE:

NAME:

STREET ADDRESS:

LOT:

BLDG/UNIT#:

WORK PHONE:

HOME PHONE:

OTHER:

PERSON TO CONTACT:

BEST TIME TO CONTACT:

HOMEOWNER PLEASE NOTE:

Service calls are made Monday through Friday, 7:30 a.m. to 3:30 p.m.

All service requests must be sent directly to the Client Services Department of Christopher Homes using the below listed methods.

All requests for service must be placed in writing. PLEASE USE THIS FORM ONLY when requesting warranty service. If additional forms are needed, please contact the Client Services Department at the number listed above.

ITEM

ROOM

DESCRIPTION OF ITEM REQUESTED

When requesting Warranty Service, this form is to be faxed, e-mailed(cs@christopherhomes.com) or mailed to Christopher Homes Client Services Office at the address above. After review of this list by you and our representative, the items that are covered by warranty will be scheduled and corrected by the Builder using best efforts to have the work completed in an appropriate period of time.

(SIGN PRIOR TO SUBMITTING IF MAILING OR FAXING )

Client Signature:

Date:

(TO BE SIGNED UPON SATISFACTORY COMPLETION OF ALL ITEMS LISTED)

Client Signature:

Date: