OWNER’S INSURANCE PREMIUM
CREDIT REQUEST
(cont.)
E. SMOKE DETECTOR LOCATIONS:
~ Furnace Room
~ Kitchen
~ Bedrooms
~ Attic
~ Basement ~ Living Room ~ Dining Room
~ Hall
F.
BURGLARY DETECTING DEVICE LOCATIONS:
~
Front Door
~ Basement Door ~ Rear Door
~ All Exterior Doors
~ 1st Floor Windows
~ All windows ~ Interior Locations
~ All Accessible Openings, Including Skylights, Air Conditioners and Vents
S. ADDITIONAL PERTINENT INFORMATION:
Signature:
Date:
-3B -
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