Table of Contents
Advertisement
E.
SMOKE DETECTOR LOCATIONS:
Furnace Room
Basement
F.
BURGLARY DETECTING DEVICE LOCATIONS:
Front Door
1st Floor Windows
All Accessible Openings, Including Skylights, Air Conditioners and Vents
G. ADDITIONAL PERTINENT INFORMATION:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Signature: ____________________________________________________ Date: _________________________________
OWNER'S INSURANCE PREMIUM
CREDIT REQUEST (cont.)
Kitchen
Bedrooms
Living Room
Dining Room
Basement Door
Rear Door
All windows
Interior Locations
–42–
Attic
Hall
All Exterior Doors
Advertisement
Table of Contents
