LHW | Order Your Home Warranty Online

Landmark Home Warranty
P.O. Box 526318
Salt Lake City, UT 84152

Phone: 1-866-306-2999
Fax: 1-866-306-1888

Order Online
(* = Required Field)

Please fill out the following information to place your order for warranty coverage or

PROPERTY TO BE COVERED:

Street Address: *

City: *

State: *

Zip: *

HOME BUYER INFORMATION:

Buyer First Name:

Buyer Last Name:

Phone #:

HOME SELLER INFORMATION:

Seller First Name:

Seller Last Name:

Phone #:

AGENT INFORMATION:

Party Responsible for Payment:

Party Placing Order:

Buyer Agent First Name:

Buyer Agent Last Name:

Buyer Agent Email:

Buyer Company Name:

Buyer Office Phone #:

Seller Agent First Name:

Seller Agent Last Name:

Seller Agent Email:

Seller Company Name:

Seller Office Phone #:

CLOSING COMPANY INFORMATION:

Closing Company Name:

Officer First Name:

Officer Last Name:

Main Office Phone #:

Fax #:

Estimated Close Date:

*	"I have read, understood, and agree to the Terms of Coverage."
(Please CLICK HERE to review the Terms of Coverage.)

STANDARD COVERAGES:


	Standard Home Buyer/Home Seller Coverage ($45 Trade Call Fee)	$ 295.00
	Condo/Mobile Home for Buyer	$ 225.00
	Condo/Mobile Home for Seller	$ 295.00
	New Construction (Years 2-5)	$ 525.00
	Duplex	$ 490.00
	Triplex	$ 590.00
	Fourplex	$ 690.00
	Seller's Optional Heat & Air Coverage (not available to Condo/Mobile Home)	$ 50.00

OPTIONS AVAILABLE - BUYER ONLY:


	Best Buy! Save $50! Includes the following: Premier Coverage Kitchen Refrigerator Washer/Dryer (Per Set)	$ 100.00
	Premier Coverage	$ 50.00
	Swimming Pool - Spa - Hot Tub - Portable Spa	$ 125.00
	Additional Pool or Spa Equipment	$ 75.00
	Well Pump	$ 100.00
	Booster Pump (includes well pump coverage)	$ 150.00
	Washer/Dryer (per set)	$ 75.00
	Kitchen Refrigerator	$ 25.00
	Wet Bar Refrigerator	$ 25.00
	Kitchen Refrigerator (Built-in)	$ 50.00
	Septic Tank Pumping	$ 25.00
	Septic Tank	$ 50.00
	Limited Roof Leak Repair	$ 100.00
	Sub-zero Refrigerator (Built-in)	$ 75.00

Estimated Order Total:

0.00

*	I hereby declare that to the best of my knowledge and belief, all systems of the property to be covered by this warranty are currently in good working order or are listed below. I understand that excluded items will be reinstated when Landmark Home Warranty receives proof of repair.

Exclusions:
Additional Order Details:

Please ensure that your order is complete before processing.