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