2 Air Conditioners Garbage Disposal 5 Point tune-up Standard Seer Upgrade Plumbing Unknown Pre-existing Conditions Heating Electrical Freon Recovery Water Heater (up to 50 Gal) Circuit Boards Line Clearing up to 6ft Dishwasher Oven/Range Microwave Refrigerator with Ice Maker & Dispenser Washer Dryer
Note: This plan requires a $75 (deductible) service fee
Choose Deluxe Package*
T
Seller`s Coverage
Seller`s Coverage
No Deductible
No Deductible
Stoppage Coverage
Stoppage Coverage
Double Oven
Double Oven
Pool or Spa (with shared equipment)
Pool or Spa (with shared equipment)
Additional Pool OR Spa Additional Pump & Motor
Additional Pool OR Spa Additional Pump & Motor
Extended Plumbing
Extended Plumbing
Each Additional Air Conditioner
Each Additional Air Conditioner
Each Additional Water Heater
Each Additional Water Heater
Emergency Service
Emergency Service
Garage Door Opener
Garage Door Opener
Water Softener
Water Softener
Second Refrigerator
Second Refrigerator
Stand Alone Freezer
Stand Alone Freezer
Coverage Total
Homeowner`s application
Address to be covered*
Street 2:
Apt/Unit #
City:*
State:*
Zip Code:*
Phone:
Home Owner/ Buyer`s Mailing Address
Home Owner/Buyer`s Name*
Send confirmation Email to:*
Enter valid email
Home Owner Mailing Address:*
Home Owner Mail Street 2:
Home Owner Mailing City:*
Home Owner Mailing State:*
Home Owners Mailing Zip Code:*
Agent`s Information
Agents Name
Phone:
Agent Code
BFS assigned Salescode
Real Estate Company
Agents Email address
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Closing Company
Closing Company
Closing Date
Escrow Officer
Email address
Phone:
Fax:
If Seller`s Coverage has been selected, seller`s coverage begins when this application is submitted and expires 6 Months from the listing date. Sellers Coverage includes AC, Heating, Minor Plumbing & Electric and Water Heater.