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    Taking a Household Inventory

Use this form to get started on your inventory.   List major items in each room.  Note serial numbers, purchase prices, present value, and dates of purchase where possible. Attach any available receipts. Ask your insurance representative to assist you if you have questions.

You also can take advantage of free, downloadable Home Inventory Software, developed by the Insurance Information Institute, to help you document and store important information about your belongings.

Be as thorough as possible. The more detailed the inventory is, the more effective it can assist you and your adjuster if you experience a loss.

Living Room

Article Name and Brief Physical Description Date of Purchase     Purchase Price Serial Number    
Carpets/Rugs ____ /____/____ $ #
. ____ /____/___ $ #
Curtains/Drapes ____ /____/____ $ #
. ____ /____/____ $ #
Sofas ____ /____/____ $ #
. ____ /____/____ $ #
Chairs ____ /____/____ $ #
. ____ /____/____ $ #
Coffee Tables ____ /____/____ $ #
End Tables ____ /____/____ $ #
Desk ____ /____/____ $ #
Wall Hangings ____ /____/____ $ #
Clocks ____ /____/____ $ #
Lamps ____ /____/____ $ #
Television ____ /____/____ $ #
Radio/Stereo ____ /____/____ $ #
Records/Tapes/CD's ____ /____/____ $ #
. ____ /____/____ $ #
Books ____ /____/____ $ #
. ____ /____/____ $ #
Musical Instruments ____ /____/____ $ #
Plants/Planters ____ /____/____ $ #
Mirrors ____ /____/____ $ #
Accessories ____ /____/____ $ #
. ____ /____/____ $ #
Other ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
TOTAL $

Dining Room

Article Name and Brief Physical Description Date of Purchase    Purchase Price Serial Number    
Carpets/Rugs
____ /____/____ $ #
Curtains/Drapes ____ /____/____ $ #
Buffet ____ /____/____ $ #
Table ____ /____/____ $ #
Chairs ____ /____/____ $ #
China Cabinet ____ /____/____ $ #
China ____ /____/____ $ #
Silverware ____ /____/____ $ #
Glassware ____ /____/____ $ #
Clocks ____ /____/____ $ #
Lamps/Fixtures ____ /____/____ $ #
. ____ /____/____ $ #
Wall Hangings ____ /____/____ $ #
Serving Table/Cart ____ /____/____ $ #
Other ____ /____/____ $ #
. ____ /____/____ $ #
TOTAL $

Bathroom

Article Name and Brief Physical Description Date of Purchase   Purchase Price Serial Number    
Carpets/Rugs ____ /____/____ $ #
Cloths Hamper ____ /____/____ $ #
Curtains/Drapes ____ /____/____ $ #
Dressing Table ____ /____/____ $ #
Electrical Appliances ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
Scale ____ /____/____ $ #
Shower Curtains ____ /____/____ $ #
Linens ____ /____/____ $ #
. ____ /____/____ $ #
Other ____ /____/____ $ #
. ____ /____/____ $ #
TOTAL $

Kitchen

Article Name and Brief Physical Description Date of Purchase   Purchase Price Serial Number    
Tables ____ /____/____ $ #
. ____ /____/___ $ #
Chairs ____ /____/____ $ #
. ____ /____/____ $ #
Curtains ____ /____/____ $ #
Cabinets ____ /____/____ $ #
. ____ /____/____ $ #
Lighting Fixtures ____ /____/____ $ #
Bowls ____ /____/____ $ #
Pots/Pans ____ /____/____ $ #
Utensils ____ /____/____ $ #
. ____ /____/____ $ #
Cutlery ____ /____/____ $ #
. ____ /____/____ $ #
Dishes ____ /____/____ $ #
. ____ /____/____ $ #
Refrigerator ____ /____/____ $ #
Stove ____ /____/____ $ #
Dishwasher ____ /____/____ $ #
Disposal Unit ____ /____/____ $ #
Freezer ____ /____/____ $ #
Washer ____ /____/____ $ #
Dryer ____ /____/____ $ #
Small Appliances ____ /____/____ $ #
. ____ /____/____ $ #
Clocks ____ /____/____ $ #
Radios ____ /____/____ $ #
Step Stool ____ /____/____ $ #
Food/Supplies ____ /____/____ $ #
. ____ /____/____ $ #
Other ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
TOTAL $

Bedrooms

Article Name and Brief Physical Description Date of Purchase     Purchase Price Serial Number    
Bookcases ____ /____/____ $ #
. ____ /____/___ $ #
Chairs ____ /____/____ $ #
Carpet/Rugs ____ /____/____ $ #
Curtains/Drapes ____ /____/____ $ #
Beds ____ /____/____ $ #
. ____ /____/____ $ #
Mattresses ____ /____/____ $ #
. ____ /____/____ $ #
Cedar Chest ____ /____/____ $ #
Desks ____ /____/____ $ #
Dressers ____ /____/____ $ #
. ____ /____/____ $ #
Dressing Tables ____ /____/____ $ #
Night Tables ____ /____/____ $ #
Lamps ____ /____/____ $ #
Mirrors ____ /____/____ $ #
Clocks ____ /____/____ $ #
Radios ____ /____/____ $ #
Sewing Machines ____ /____/____ $ #
Televisions ____ /____/____ $ #
. ____ /____/____ $ #
Tiolet Articles ____ /____/____ $ #
. ____ /____/____ $ #
Wall Hangings ____ /____/____ $ #
Clothing ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
Other ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
TOTAL $

Garage/Basement/Attic

Article Name and Brief Physical Description Date of Purchase         Purchase Price Serial Number      
Furniture ____ /____/____ $ #
. ____ /____/____ $ #
Luggage/Trunks ____ /____/____ $ #
. ____ /____/____ $ #
Sports Equipment ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
Toys ____ /____/____ $ #
. ____ /____/____ $ #
Outdoor Games ____ /____/____ $ #
. ____ /____/____ $ #
Ornamental Lawn Items ____ /____/____ $ #
Lawn Mower ____ /____/____ $ #
. ____ /____/____ $ #
Shovels ____ /____/____ $ #
Spreader ____ /____/____ $ #
Sprinklers/Hoses ____ /____/____ $ #
Wheelbarrow ____ /____/____ $ #
Weed-Wacker ____ /____/____ $ #
Snow Blower ____ /____/____ $ #
Garden Tools/Supplies ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
Ladders/Step Stools ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
Work Bench ____ /____/____ $ #
Carpentry Tools/Supplies ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
Canned Goods/Supplies ____ /____/____ $ #
Pet Supplies ____ /____/____ $ #
Other ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
TOTAL $

Porch/Patio

Article Name and Brief Physical Description Date of Purchase     Purchase Price Serial Number  
Chairs ____ /____/____ $ #
. ____ /____/____ $ #
Tables ____ /____/____ $ #
Umbrella ____ /____/____ $ #
Floor Coverings ____ /____/____ $ #
Lamps ____ /____/____ $ #
Outdoor Cooking Equipment ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
Plants/Planters ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
Other ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
. ____ /____/____ $ #
TOTAL $