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Key Estates Home Enrollment Form
After you register with Key Estates, you are ready to start enrolling homes. Simply fill out this form to start the process.
Key Estates Home Enrollment (Realtors)
"
*
" indicates required fields
Who is purchasing this warranty?
*
Please Select An Option
Seller
Buyer
Other
Home Info:
Street Address
*
City
*
State
*
Select Your State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Real Estate Professional:
Realtor Name
*
Key Estates ID #
Real Estate Email
*
Phone
*
Seller Info:
Seller Full Name
*
Email
*
Seller Cell Phone
*
Seller Home Phone
Buyer Info:
Buyer Full Name
*
Email
*
Buyer Cell Phone
*
Buyer Home Phone
Listing Info:
Listing Date
*
MM slash DD slash YYYY
Listing Expiration Date
*
MM slash DD slash YYYY
Listing Price
*
Age of Home
*
Closing Date
MM slash DD slash YYYY
Coverage Selection(s):
Free 180 Day Listing Period?
*
Select an Option
Yes
No
Real Estate Pros can select Free Listing Period Coverage if the Seller is purchasing the warranty (180 days from listing date maximum on Appliances & Mechanical Systems only).
Plan Term:
*
Select a Term
1 Year
2 Years
Warranty Premium (1 Year)
*
Select a Premium
Appliance & Systems ($425.00)
Structural Components ($175.00)*
Warranty Premium (2 Years)
*
Select a Premium
Appliance & Systems ($765)
Structural Components ($320*)
Optional Coverage Requested (Select all that apply):
Guardian Package ($39)
Freezer ($33)
Ice Maker ($17)
Pool Only ($110)
Pool/Spa Combination ($138)
Roof Leak Repair ($83)
Septic ($39)
Spa Only ($94)
Well Pump ($44)
Optional Coverage Requested (Select all that apply):
Guardian Package ($69)
Freezer ($59)
Ice Maker ($30)
Pool Only ($198)
Pool/Spa Combination ($248)
Roof Leak Repair ($149)
Septic ($69)
Spa Only ($168)
Well Pump ($79)
Guardian Package (1 Year)
Price:
Guardian Package
Price:
Freezer ( 1 Year)
Price:
Freezer
Price:
Ice Maker (1 Year)
Price:
Ice Maker
Price:
Pool Only (1 Year)
Price:
Pool Only
Price:
Spa Only (1 Year)
Price:
Spa Only
Price:
Pool/Spa Combo (1 Year)
Price:
Pool/Spa Combo
Price:
Roof Leak Repair (1 Year)
Price:
Roof Leak Repair
Price:
Septic (1 Year)
Price:
Septic
Price:
Well Pump (1 Year)
Price:
Well Pump
Price:
Additional HVAC System
Quantity
Price:
$88.00
Quantity
Additional Water Heater
Quantity
Price:
$44.00
Quantity
Additional Boiler
Quantity
Price:
$88.00
Quantity
Additional HVAC System
Quantity
Price:
$158.00
Quantity
Additional Water Heater
Quantity
Price:
$79.00
Quantity
Additional Boiler
Quantity
Price:
$158.00
Quantity
In order to get Structural Coverage from Key Estates Warranty, we first need to conduct a structural inspection on the home. Call
866.394.5135, ext. 2215
for pricing and scheduling. Structural coverage is not currently available in Colorado or in certain counties in Texas that are designated as active soil areas. Call for availability.
Total
Payment & Terms:
THE MAXIMUM LIMIT OF LIABILITY IS $25,000 FOR ALL CLAIMS MADE UNDER THE APPLIANCE & SYSTEMS WARRANTY AND $100,000 UNDER THE STRUCTURAL COVERAGE WARRANTY. Payment must be received within ten (10) days of closing or coverage will not be issued. If payment is not received and a claim is made after closing, coverage will be denied. If purchasing the Structural Coverage, the cost of the structural inspection Warranty MUST be paid at time of order. Balance of Fee may be paid at closing. The Structural Inspection will be scheduled once payment is received. PLEASE NOTE: The Effective and Expiration Dates for this Warranty are defined in “Key Estates Certified Warranty Coverage – Sections: Repair Coverage and Term” and will be listed in the Confirmation Letter sent by Key Estates to the Purchaser upon receipt of the Key Estates certification, the completed application and applicable fees. Seller’s Coverage is available for 180 days from the listing date. The Real Estate Professional may receive a fee for services rendered in marketing & administering the sale of this Warranty from Key Estates. By submitting this application, the parties to this real estate transaction certify that all covered appliances, systems and structural components, if applicable, are sound and in good working order at the time of Warranty purchase and that the coverage as outlined in the Warranty is accepted. If the Structural Inspection component is selected and paid for, the Structural Inspection will be performed by a qualified engineer, who will prepare a written report of the findings of the inspection for the Purchaser. A summary of this report will also be provided to Key Estates to assist with the evaluation and issuance of any extended warranty coverage also selected by the Purchaser. By submitting this application, the parties to this real estate transaction agree to this disclosure. A copy of this application, terms and conditions and a confirmation receipt will be returned to you within 60 days to confirm enrollment, provided Key Estates certifies the inspection of your home. Refer to the Warranty for terms, conditions and limitations.
Consent
*
I have read and understand this statement and I agree. I affirm that I am authorized to enroll this home for warranty coverager. By clicking this statement, I am electronically signing this enrollment form and submitting the home for coverage.
*
Payment Options:
*
Select an Option
Pay Now
Pay at Closing
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Security Code
Cardholder Name
Billing Street Address
*
Billing Street City
*
Billing State
*
Select Your State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Key Estates Warranty will return a confirmation email to you upon receipt of this form. You may use that email as your invoice for payment purposes.
Consent
Check this box if a separate payment invoice is also needed for closing.
Email
This field is for validation purposes and should be left unchanged.
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