OWNER’S INSURANCE PREMIUM CREDIT REQUEST

(cont.)

E. SMOKE DETECTOR LOCATIONS

Furnace Room

Kitchen

Bedrooms

Basement

Living Room

Dining Room

F. BURGLARY DETECTING DEVICE LOCATIONS:

 

Front Door

Basement Door

Rear Door

1st Floor Windows

All windows

Interior locations

All Accessible Openings, Including Skylights, Air Conditioners and Vents

Attic

Hall

All Exterior Doors

G. ADDITIONAL PERTINENT INFORMATION:

Signature:

 

Date:

– 60 –

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Honeywell VISTA-21IPSIA manual Cont