OWNER’S INSURANCE PREMIUM CREDIT REQUEST
(cont.)E. SMOKE DETECTOR LOCATIONS
7 Furnace Room cl Kitchen cl Bedrooms cl Attic
23 Basement 0 Living Room 0 Dining Room cl Hall
F. BURGLARY DETECTING DEVICE LOCATIONS:
7 Front Door cl Basement Door Cl Rear Door cl All Exterior Doors
3 1st floor Wwlows cl All windows cl Interior locations
g All Accessible Openings, Including Skylights, Air Conditioners and Vents
G. ADDlTlONAL PERTINENT INFORMATION:
Date:
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