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OWNER’S lNSURANCE PREMIUM
CREDIT REQUEST (cont.)
:.
SMOKE DETECTOR LOCATIONS:
❑ Furnace Fioom
❑ Kitchen ❑ B(?ciromrls m Atii.
❑ 13asf?rnent ❑ Li.ingl%.fn
❑ Dining Room
~ Hall
‘ . BURGLARY DETECTING DEVICE LOCATIONS:
~ l=rol-ltDoor
❑ BasemerltDoor
❑ Rear c)ool’
❑ All Exterior Door.
❑ I.t F1..rWindow.s ❑ Allwinclows
❑ Interior Locations
❑ All Accessible Openings, Including Sl@igMs, Air Conditioners and Vents
; . ADDITIONAL PERTINENT INFORMATION:
Signature”
Date:
–38–