OWNER’S INSURANCE PREMIUM CREDIT REQUEST (cont.)
i. SMOKE DETECTOR LOCATIONS:
cl
Furnace Room cl Kitchen Cl
Bedrooms cl
Attic
cl Basement cl Living Room cl Dining Room 0 Hall
:. BURGLARY DETECTING DEVICE LOCATIONS:
cl Front Door cl
Basement Door Cl Rear Door cl All Exterior Doors
cl 1st Floor windows cl All windows Cl Interior Locations
El All Accessible Openings, Including Skylights, Air Conditioners and Vents
;. ADDITIONAL PERTINENT INFORMATION:
Signature: Date:
-36-