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Homeowner name
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Address
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Departure Date
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Return Date
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Do you have a Security
System?
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Do you have security lights?
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Do you have any lights on
a timer?
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Any lights left on in the house?
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Name of your Security
Company?
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Animals left on property?
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If yes What type and
how many?
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Any vehicles left on
premises?
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Vehicle #1
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License Plate #
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Color
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Year
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Make
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Model
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Vehicle #2
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License Plate #
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Color
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Year
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Make
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Model
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Vehicle #3
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License Plate #
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Color
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Year
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Make
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Model
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Emergency Contact
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Home Phone #
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Work Phone #
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Cell Phone #
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Other Information you want us to know about.
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Your home email address.
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********** NOTICE**********
By filling out this house watch form you should realize that the Double Oak Police
Department can not and will not be responsible for any damage or theft to your property
while you are away.
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