![](http://pdfasset.owneriq.net/6/56/6563f1a6-a7aa-49cd-95bf-21f22b3e3ea9/6563f1a6-a7aa-49cd-95bf-21f22b3e3ea9-bg25.png)
– 37 –
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: _____________________