Ð38Ð
OWNER'S INSURANCE PREMIUM
CREDIT REQUEST (cont.)
E . SMOKE DETECTOR LOCATIONS:
ÊÊ Furnace Room Ê Ê Kitchen Ê Ê Bedrooms Ê Ê Attic
ÊÊ Basement Ê Ê Living Room Ê Ê Dining Room Ê Ê Hall
F . BURGLARY DETECTING DEVICE LOCATIONS:
ÊÊ Front Door Ê Ê Basement Door Ê Ê Rear Door Ê Ê All Exterior Doors
ÊÊ 1st Floor Windows Ê Ê All windows Ê Ê Interior Locations
ÊÊ All Accessible Openings, Including Skylights, Air Conditioners and Vents
G . ADDITIONAL PERTINENT INFORMATION:
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Signature: __________________________________________________ Date: _______________________
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