Membership Application

(Check company(ies) for which you wish to apply)*

MHWC
Residential Warranty Company, LLC
HOME of Texas

1. Full Legal Name of Applicant (Individual or Co.):*

MHWC will contact you regarding any additional confidential information that may be needed.

2. Name of CEO of Applicant Firm:*

3. Contact Name:*

Person who handles the paperwork.

4. Street address (for UPS shipments) and P.O. Box (include both if applicable):

Address:*

City:*

State:*

Zip Code:*

P.O. Box:

City:

State:

Zip Code:

5. Which address above do you prefer we use for regular correspondence?

Street Address
P.O. Box

6. Telephone Number:*

Including area code.

7. Fax Number:

Including area code.

8. E-mail Address:*

9. Check the organization under which the Applicant firm is doing business:

Corporation
“S” Corporation
Partnership
Sole Proprietorship
LLC
Other

'Other' organization type:

10. Date Applicant Firm was Founded:

11. Name of Parent Company (if applicable):

If Applicant is a subsidiary, or if parent company is a member of MHWC, RWC, or HOME, please indicate.

12. CEO of Parent Company:

If applicable.

13. Has Applicant, any of its Principals or firms with which any Principal was affiliated:

13a. Filed for bankruptcy or been adjudicated as bankrupt within the last 7 years?*

If Yes, an alternate security is required. Please contact your MHWC Account Executive or the Corporate Office.

13b. Been expelled, suspended or refused registration by a warranty program?*

13b2. If Yes, please provide an explanation:

14. Number of homes/projects Applicant sold in each of the past 5 years. (If applicant firm has less than 2 years building experience, additional requirements may be necessary.)

Homes Sold in 2022:*

Homes Sold in 2021:*

Homes Sold in 2020:*

Homes Sold in 2019:*

Homes Sold in 2018:*

15. If built under another company name, identify company and principals:

16. List all Principals/Organizations owning 10% or more of Applicant:*

Name:	Title:	Yrs Experience - This Co:	Yrs Experience - Home Building:

MHWC will contact you regarding any additional confidential information that may be needed.

17. Do you have Commercial General Liability Insurance?*

If yes, a copy of your Insurance Certificate from your CGL carrier is required. See #25 for instructions on how to submit.

18. Check all that apply:*

Builder/Dealer
Manufacturer
Site Builder
Remodeler

19. Type of homes constructed:*

HUD-Code (Manufactured)
Modular
Panelized
Log
Site Built

20. List Manufacturer(s) if homes are HUD-Code (Manufactured), Modular, Panelized, or Log:

21. # homes expected to be built in next 12 mos:*

22. # homes expected to be warranted in the next 12 mos:*

23. Average Sales Price:*

24. State(s) in which Applicant builds:

Use 2-letter state abbreviation. In certain states, MHWC may request documentation regarding state licensing/registration. You will be contacted if this request applies to you.

25. To submit a complete application for Membership, the following documents may be required. Minimum criteria must be met for approval.
• Membership Application (Application will be electronically sent to MHWC when you click “Submit” below)
• Membership Agreement (Form located in “Forms Library”)
• Inventory Enrollment Form (Editable form located in “Forms Library”)
• Incentive Program Agreement (Contact your Account Executive for applicability)
• Non-refundable Application Fee of $150 (Mail to MHWC or call to pay by credit card.)
• Underwriting will notify you if any additional information may be needed based on experience, program selection, type of homes to be enrolled, etc.
• Copy of Insurance Certificate from CGL Carrier (Upload Mail/E-Mail to MHWC)

I have read this statement and understand what documents are required for this application.

26. INVESTIGATION: The Applicant firm hereby authorizes MHWC to conduct such investigation of the Applicant’s activities and make such inquiries and obtain credit reports as may be necessary for its determination of Applicant’s financial and technical ability to meet its obligations to purchasers. Applicant hereby directs all credit reporting agencies to make available to MHWC any information in the possession of such agencies.
I hereby attest that all information provided to MHWC in conjunction with this Application for Membership including all attachments is true and correct including the attached financial statement. I understand that I will be held personally responsible for any loss incurred by MHWC as a result of any and all falsified information and that provision of falsified information is a breach of the Membership Agreement and grounds for immediate cancellation of membership in the MHWC program.
I understand the application fee is non-refundable.

This application has been executed by or on behalf of the Applicant on 09/21/2023.

By:*

Name of Principal

I have read & understand this statement and I agree. By clicking this statement I am electronically signing this application as the Principal of the Applicant.

Name

This field is for validation purposes and should be left unchanged.

Membership Application

4. Street address (for UPS shipments) and P.O. Box (include both if applicable):

13. Has Applicant, any of its Principals or firms with which any Principal was affiliated:

14. Number of homes/projects Applicant sold in each of the past 5 years. (If applicant firm has less than 2 years building experience, additional requirements may be necessary.)

Manufacturers and Builders/Dealers:

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Membership Application

4. Street address (for UPS shipments) and P.O. Box (include both if applicable):

13. Has Applicant, any of its Principals or firms with which any Principal was affiliated:

14. Number of homes/projects Applicant sold in each of the past 5 years. (If applicant firm has less than 2 years building experience, additional requirements may be necessary.)

Manufacturers and Builders/Dealers:Sign Up for Product Announcements & Special Offers

Upcoming Events

Manufacturers and Builders/Dealers:

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