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OWNER’S INSURANCE PREMIUM CREDIT REQUEST
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
1
st
Floor Windows
All windows
I
nterior locations
All Accessible Openings, Including Skylights, Air Conditioners and Vents
G. ADDITIONAL PERTINENT INFORMATION:
Signature:
Date: