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Homeowner Inventory Worksheet
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Be prepared. Having a written inventory of your personal belongings will help you prove a loss, substantiate any claim and ensure you do not forget any items you may own when faced with submitting a claim on your policy.
Name: Address:
City: State:
Insurance Carrier: ZIP Code:
Agent: Insurance Carrier Telephone Number:
Policy Number: Agent Telephone Number:

Hint: File all receipts for items purchased with your homeowner inventory to assist you in determining the value of your items. Remember to add newly purchased items to your inventory to keep it up to date. (You may print the form by selecting "File, Print" from the browser tool bar and complete it by hand.)

Living Room/Dining Room
Quantity
Item
Purchase Price
Current Value
Chairs, Sofas
Tables, Lamps
Rugs, Carpets
Blinds, Curtains, Draperies, Linens
Radio, Television, VCR, DVD, Stereo Equipment
Art Objects, Pictures, Paintings
Mirrors, Clocks
Books
Records, Cartridges, Cassettes, CDs, DVDs
China, Glassware, Silverware
Buffet, China Cabinet
Total:
 
Kitchen, Breakfast Room, Laundry
Quantity
Item
Purchase Price
Current Value
Tables, Chairs
Floor Coverings, Blinds, Curtains
Refrigerator, Freezer
Stove, Microwave, Dishwasher
Coffee Maker, Blender, Food Processor
Toaster, Toaster Oven
Cabinets
China, Dishes, Pans, Utensils
Radio, Television
Irons, Ironing Board
Washing Machine, Dryer
Total:
 
Bathrooms
Quantity
Item
Purchase Price
Current Value
Linens, Towels
Rugs, Bath Mats, Shower Curtains, Drapes
Electric Razors
Scale, Sun Lamp
Medicine Cabinet Contents
Total:
 
Bedrooms
Quantity
Item
Purchase Price
Current Value
Beds, Dressers, Additional Furniture
Spreads, Sheets, Pillows, Blankets, Comforters
Rugs
Blinds, Curtains
Wardrobe, Vanity
Radio, Television
Lamps
Total:
 
Library, Den, Sunroom, Gameroom
Quantity
Item
Purchase Price
Current Value
Books, Bookcases
Rugs, Carpets
Curtains, Drapes
Radio, Television, VCR, DVD, Stereo Equipment
Art Objects
Chairs, Sofas
Tables, Desks
Lamps, Clocks
Typewriter
Game Table (s), Personal Computer
Total:
 
Clothing Items (for men)
Quantity
Item
Purchase Price
Current Value
Coats, Jackets
Suits
Pants
Shirts
Sweaters, Sportswear
Undergarments, Socks
Robes, Sleepwear
Shoes, Boots
Belts, Neckties
Hats, Gloves
Jewelry
Total:

Clothing Items (for women)
Quantity
Item
Purchase Price
Current Value
Coats, Jackets
Suits
Slacks
Skirts, Dresses
Shirts, Blouses
Sweaters, Sportswear
Undergarments, Socks, Hosiery
Robes, Sleepwear
Shoes, Boots
Belts
Hats, Gloves, Handbags
Jewelry
Total:

Hobby, Household, Sporting Equipment
Quantity
Item
Purchase Price
Current Value
Air Conditioners
Bicycles
Binoculars
Cameras, Projectors
Computer Hardware
Computer Printer
Computer Software
Computer Stand
Dehumidifier
Fishing Equipment
Garden Hose
Garden Statuary
Golf Clubs, Tennis Racquets
Heaters
Hunting Equipment
Lawn Mower, Edger, Clipper
Power Tools
Snow Blower
Tools
Toys
Trunks, Luggage
Total:
 
Summary of Rooms/Items
Quantity
Rooms/Items
Purchase Price
Current Value
Living Room
Dining Room
Kitchen, Breakfast Room, Laundry
Library, Den, Sunroom, Gameroom
Master Bedroom
Second Bedroom
Guest Bedroom
Bathroom(s)
Clothing Items for Men:
Clothing Items for Women:
Total:
Disclaimer: While Personal Insurance Center can assist you in assessing your insurance needs, the content of this site is for informational purposes only. Contact your independent agent for a complete analysis of your insurance needs and specific policy terms and conditions.

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