living room - PHD Insurance Brokers, Inc.

Property Video Inventory Checklist
LIVING ROOM
Item
Rugs
Curtains/Drapes
Sofa
Love seat
Chairs
Coffee Table
End Tables
Ottoman
Desk
Pictures
Mirrors
Vases
Lamps
Armoire
Closet Contents
Curio
Sideboard
Grandfather Clock
Ottoman
Wall Shelf Unit
Cabinets and Contents
Bookcase
Books
Clocks
Musical Instruments
Fireplace Equipment
Miscellaneous
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #1
(See Page 37)
Page | 4
Property Video Inventory Checklist
FAMILY/DEN ROOM
Item
Bookcases
Books
Cabinets and Contents
Tables
Card Table
Lamps
Chairs
Couch
Closet Contents
Wall Shelves
Fireplace Equipment
Musical Instruments
Rugs
Miscellaneous
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #2
(See Page 37)
Page | 5
Property Video Inventory Checklist
Foyer
Item
Chairs
Quan.
Model #/Description
Year Purchased
Cost
Tables
Lamps
Floor Covering
Plants/Planters
Umbrella Stand
Miscellaneous
Total Investment
Total #3
(See Page 37)
Page | 6
Property Video Inventory Checklist
DINING ROOM
Item
Rugs
Curtains/Drapes
Table Linens/Napkins
Buffet
Dining Table
Dining Chairs
China Cabinet
China
Crystal
Silverware/Goldware
Cabinets
Wall Shelves
Serving Cart
Clock
Tea/Coffee Set
Lamps/Fixtures
Pictures
Mirrors
Miscellaneous
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #4
(See Page 37)
Page | 7
Property Video Inventory Checklist
KITCHEN
Item
Blender
Coffee Pot
Can Opener
Food Processor
Freezer
Mixer
Microwave
Popcorn Popper
Refrigerator
Electric Skillet
Small Appliances
Stove
Dishwasher
Dishes
Glasses
Utensils
Crystal
Cutlery
Pots and Pans
Silverware
Serving Forks
Serving Spoons
Cabinets
Tables
Linens
Chairs
Clocks
Radio
Step Stool
Television
Miscellaneous
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #5
(See Page 37)
Page | 8
Property Video Inventory Checklist
HALLWAY #1
Item
Chairs/Benches
Quan.
Model #/Description
Year Purchased
Cost
Closet Contents
Framed Photos
Lamps
Linens
Tables
Paintings
Mirrors
Decorative
Rugs
Miscellaneous
Total Investment
Total #6
(See Page 37)
Page | 9
Property Video Inventory Checklist
HALLWAY #2
Item
Chairs/Benches
Quan.
Model #/Description
Year Purchased
Cost
Closet Contents
Framed Photos
Lamps
Linens
Tables
Paintings
Mirrors
Decorative
Rugs
Miscellaneous
Total Investment
Total #7
(See Page 37)
Page | 10
Property Video Inventory Checklist
MASTER BEDROOM
Item
Curtains/Drapes
Rugs
Bed
Bedding
Mattress
Box Spring
Dresser
Dressing Table
Closet Contents
Chest
Night Tables
Lamps/Fixtures
Chairs
Desk
Armoire
Sewing Machine
Clocks
Radio
Television
DVD/Blue Ray Player
Mirrors
Pictures
Bookcase
Books
Miscellaneous
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #8
(See Page 37)
Page | 11
Property Video Inventory Checklist
SECOND BEDROOM
Item
Curtains/Drapes
Rugs
Bed
Bedding
Mattress
Box Spring
Dresser
Dressing Table
Closet Contents
Chest
Night Tables
Lamps/Fixtures
Chairs
Desk
Armoire
Sewing Machine
Clocks
Radio
Television
DVD/Blue Ray Player
Mirrors
Pictures
Bookcase
Books
Miscellaneous
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #9
(See Page 37)
Page | 12
Property Video Inventory Checklist
THIRD BEDROOM
Item
Curtains/Drapes
Rugs
Bed
Bedding
Mattress
Box Spring
Dresser
Dressing Table
Closet Contents
Chest
Night Tables
Lamps/Fixtures
Chairs
Desk
Armoire
Sewing Machine
Clocks
Radio
Television
DVD/Blue Ray Player
Mirrors
Pictures
Bookcase
Books
Miscellaneous
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #10
(See Page 37)
Page | 13
Property Video Inventory Checklist
FOURTH BEDROOM
Item
Curtains/Drapes
Rugs
Bed
Bedding
Mattress
Box Spring
Dresser
Dressing Table
Closet Contents
Chest
Night Tables
Lamps/Fixtures
Chairs
Desk
Armoire
Sewing Machine
Clocks
Radio
Television
DVD/Blue Ray Player
Mirrors
Pictures
Bookcase
Books
Miscellaneous
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #11
(See Page 37)
Page | 14
Property Video Inventory Checklist
MASTER BATHROOM
Item
Clothes Hamper
Quan.
Model #/Description
Year Purchased
Cost
Curtains/Drapes
Electrical Appliances
Scale
Shower Curtain/Door
Linens
Toilet Articles
Pictures
Lamps/Fixtures
Mirrors
Radio
Hair Dryer/Other
Miscellaneous
Total Investment
Total #12
(See Page 37)
Page | 15
Property Video Inventory Checklist
SECOND BATHROOM
Item
Clothes Hamper
Quan.
Model #/Description
Year Purchased
Cost
Curtains/Drapes
Electrical Appliances
Scale
Shower Curtain/Door
Linens
Toilet Articles
Pictures
Lamps/Fixtures
Mirrors
Radio
Hair Dryer/Other
Miscellaneous
Total Investment
Total #13
(See Page 37)
Page | 16
Property Video Inventory Checklist
THIRD BATHROOM
Item
Clothes Hamper
Quan.
Model #/Description
Year Purchased
Cost
Curtains/Drapes
Electrical Appliances
Scale
Shower Curtain/Door
Linens
Toilet Articles
Pictures
Lamps/Fixtures
Mirrors
Radio
Hair Dryer/Other
Miscellaneous
Total Investment
Total #14
(See Page 37)
Page | 17
Property Video Inventory Checklist
FOURTH BATHROOM
Item
Clothes Hamper
Quan.
Model #/Description
Year Purchased
Cost
Curtains/Drapes
Electrical Appliances
Scale
Shower Curtain/Door
Linens
Toilet Articles
Pictures
Lamps/Fixtures
Mirrors
Radio
Hair Dryer/Other
Miscellaneous
Total Investment
Total #15
(See Page 37)
Page | 18
Property Video Inventory Checklist
CLOTHING
Item
Men’s Clothing
Suits
Sport Coats
Dress Slacks
Ties
Dress Shirts
Casual Shirts
Shoes
Quan.
Model #/Description
Year Purchased
Cost
Women’s Clothing
Suits
Jackets
Blouses
Dress Slacks
Dresses
Shoes
Children’s Clothing
Shirts
Jackets
Pants
Dresses
Shoes
Miscellaneous
Total Investment
Total #16
(See Page 37)
Page | 19
Property Video Inventory Checklist
LAUNDRY ROOM
Item
Washer
Dryer
Soaps/Bleaches
Linens
Other
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #17
(See Page 37)
Page | 20
Property Video Inventory Checklist
HOME OFFICE
Item
Desk
Chairs
Couch
Computer
Laptop
Printer
Scanner
Fax Machine
Answering Machine
Telephone
Television
DVD/Blue Ray Player
Stereo
Camera
Bookcase
Books
Tables
Lamps/Fixtures
Miscellaneous
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #18
(See Page 37)
Page | 21
Property Video Inventory Checklist
LIBRARY
Item
Chairs
Quan.
Model #/Description
Year Purchased
Cost
Desk
Telephone
Bookcase
Tables
Couch
Lamps/Pictures
Umbrella Stand
Books
File Cabinet
Miscellaneous
Total Investment
Total #19
(See Page 37)
Page | 22
Property Video Inventory Checklist
GYM/WORKOUT ROOM/SPORTS EQUIPMENT
Item
TV
Barbells/Weights
Bikes
Bowling Equipment
Fishing Equipment
Gold Equipment
Skis
Swim and Diving Gear
Tennis Rackets
Treadmill
Pilates Equipment
Mats
Videos
DVD/Blue Ray Player
Equipment Racks
Scales
Mirrors
Miscellaneous
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #20
(See Page 37)
Page | 23
Property Video Inventory Checklist
ATTIC
Item
Luggage/Trunk
Quan.
Model #/Description
Year Purchased
Cost
Toys/Games
Holiday Decorations
Keepsakes
Furniture
Miscellaneous
Total Investment
Total #21
(See Page 37)
Page | 24
Property Video Inventory Checklist
BASEMENT
Item
Rugs
Quan.
Model #/Description
Year Purchased
Cost
Dehumidifier
Hand Tools
Heating Unit
Luggage
Other Equipment
Chairs
Tables
Workbench
Miscellaneous
Total Investment
Total #22
(See Page 37)
Page | 25
Property Video Inventory Checklist
GARAGE
Item
Power Tools
Quan.
Model #/Description
Year Purchased
Cost
Hand Tools
Gardening Tools
Other Tools
Lawnmower
Edger
Weed Eater
Lawn Furniture
Shovels/Rakes
Ladder
Spreader
Chemicals/Paints
Emergency Supplies
Freezer
Auto Equipment
Miscellaneous
Total Investment
Total #23
(See Page 37)
Page | 26
Property Video Inventory Checklist
FRONT PORCH
Item
Chair
Quan.
Model #/Description
Year Purchased
Cost
Tables
Umbrella
Floor Covering
Plants/Planters
Decorations
Other
Total Investment
Total #24
(See Page 37)
Page | 27
Property Video Inventory Checklist
DECK/PATIO
Item
Chairs
Quan.
Model #/Description
Year Purchased
Cost
Tables
Umbrella
Floor Covering
Plants/Planters
Barbecue
Barbecue Accessories
Sprinklers/Hoses
Lamps/Pictures
Decorative Items
Fountain
Outdoor Games
Miscellaneous
Total Investment
Total #25
(See Page 37)
Page | 28
Property Video Inventory Checklist
POOL/JACUZZI
Item
Chairs
Quan.
Model #/Description
Year Purchased
Cost
Tables
Umbrella
Floor Covering
Plants/Planters
Pool Sweeper
Pool Cover
Jacuzzi
Accessories
Miscellaneous
Total Investment
Total #26
(See Page 37)
Page | 29
Property Video Inventory Checklist
APPLIANCES/ELECTRONICS
Item
DVD/Blue Ray Players
Quan.
Model #/Description
Year Purchased
Cost
Calculators
Computers
Computer Accessories
Stereo Equipment
Televisions
Video Equipment
Game Systems
Video Camera
Camera
Miscellaneous
Total Investment
Total #27
(See Page 37)
Page | 30
Property Video Inventory Checklist
COLLECTOR’S ITEMS/HOBBIES
Item
Bric-a-Brac
Quan.
Model #/Description
Year Purchased
Cost
Antiques
Figurines
Art Objects
Paintings
Collections
Craft Materials
Photography
Musical Instruments
Toys
Total Investment
Total #28
(See Page 37)
Page | 31
Property Video Inventory Checklist
JEWELRY AND FURS
Item
Men’s Watches
Quan.
Model #/Description
Year Purchased
Cost
Women’s Watches
Necklaces
Bracelets
Men’s Rings
Women’s Rings
Brooches
Earrings
Others
Total Investment
Total #29
(See Page 37)
Page | 32
Property Video Inventory Checklist
FINE CHINA
Item
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #30
(See Page 37)
Page | 33
Property Video Inventory Checklist
CHILDREN’S TOYS
Item
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #31
(See Page 37)
Page | 34
Property Video Inventory Checklist
MISCELLANEOUS
Item
Air Conditioner
Window Units
Quan.
Model #/Description
Year Purchased
Cost
Air Conditioner
Heaters
Fans
Vacuum Cleaner
Blinds
Total Investment
Total #32
(See Page 37)
Page | 35
Property Video Inventory Checklist
OTHER
Item
Total Investment
Quan.
Model #/Description
Year Purchased
Cost
Total #33
(See Page 37)
Page | 36
Property Video Inventory Checklist
TOTAL SHEET
Total Number
Total #1
Total #2
Total #3
Total #4
Total #5
Total #6
Total #7
Total #8
Total #9
Total #10
Total #11
Total #12
Total #13
Total #14
Total #15
Total #16
Total #17
Total #18
Total #19
Total #20
Total #21
Total #22
Total #23
Total #24
Total #25
Total #26
Total #27
Total #28
Total #29
Total #30
Total #31
Total #32
Total #33
Item Category
Living Room
Family/Den Room
Foyer
Dining Room
Kitchen
Hallway #1
Hallway #2
Master Bedroom
Second Bedroom
Third Bedroom
Fourth Bedroom
Master Bathroom
Second Bathroom
Third Bathroom
Fourth Bathroom
Clothing
Laundry Room
Home Office
Library Room
Gym/Workout Room/Sports Equipment
Attic
Basement
Garage
Front Porch
Deck/Patio
Pool/Jacuzzi
Appliances/Electronics
Collector’s Items/Hobbies
Jewelry and Furs
Fine China
Children’s Toys
Miscellaneous
Other
Number of
Items
Total Number of
Items
Cost
Total Cost
$
Page | 37
Property Video Inventory Checklist
PHOTO DOCUMENTATION
Homeowner’s Address
Photo No.
Date Taken:
Taken By:
Location:
Photo No.
Date Taken:
Taken By:
Location:
Page | 38
Property Video Inventory Checklist
PHOTO DOCUMENTATION
Homeowner’s Address
Photo No.
Date Taken:
Taken By:
Location:
Photo No.
Date Taken:
Taken By:
Location:
Page | 39
Property Video Inventory Checklist
PHOTO DOCUMENTATION
Homeowner’s Address
Photo No.
Date Taken:
Taken By:
Location:
Photo No.
Date Taken:
Taken By:
Location:
Page | 40