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 |
|
G . ADDITIONAL PERTINENT INFORMATION:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Signature: ____________________________________________________ Date: _________________________________
– 3 8 –