Ð 3 8 Ð
OWNER'S INSURANCE PREMIUM
CREDIT REQUEST (cont.)
E . SMOKE DETECTOR LOCATIONS:
Ê Ê Furnace Room
Ê Ê Kitchen
Ê Ê Bedrooms
Ê Ê Attic
Ê Ê Basement
Ê Ê Living Room
Ê Ê Dining Room
Ê Ê Hall
F . BURGLARY DETECTING DEVICE LOCATIONS:
Ê Ê Front Door
Ê Ê Basement Door
Ê Ê Rear Door
Ê Ê All Exterior Doors
Ê Ê 1st Floor Windows
Ê Ê All windows
Ê Ê Interior Locations
Ê Ê All Accessible Openings, Including Skylights, Air Conditioners and Vents
G . ADDITIONAL PERTINENT INFORMATION:
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Signature:
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Date: _______________________