Living Room
Item
Qty
Model/Serial #/Description
Year
Purchased
Cost – R =Replacement
P = Purchase
Floor Coverings
Window Coverings
Couches
Chairs
End Tables
Coffee Tables
Wall Units
Bookcases
Desks
TVs
DVD Player / VCRs
Stereos
Telephones
DVDs / Movies
CDs
Books
Artwork
Vases
Plants / Planters
Mirrors
Lamps / Light Fixtures
Clocks
Fireplace Accessories
Room Total
$
Dining Room
Item
Qty
Model/Serial #/Description
Year
Purchased
Cost – R =Replacement
P = Purchase
Floor Coverings
Window Coverings
Tables
Chairs
Buffets
China Cabinets
China
Silverware
Crystal
Liquor Cabinet
Linens
Artwork
Clocks
Lamps / Light Fixtures
Room Total
$
Family Room / Den / Home Office
Item
Qty
Model/Serial #/Description
Year
Purchased
Cost – R =Replacement
P = Purchase
Floor Coverings
Window Coverings
Couches
Chairs
End Tables
Coffee Tables
Wall Units
Bookcases
Desks
TVs
DVD Players / VCRs
Stereos
Video Game Systems
Computers
Printers/Scanners/Fax
Cameras
Camcorders
Telephones
DVDs / Movies
CDs
Video Games
Computer Software
Books
Toys & Games
Lamps / Light Fixtures
Clocks
Artwork
Room Total
$
Kitchen
Item
Qty
Model/Serial #/Description
Year
Purchased
Cost – R =Replacement
P = Purchase
Floor Coverings
Window Coverings
Tables
Chairs
Stools
Fridge
Stove
Dishwasher
Microwave
Coffee Maker
Toaster Oven
Food Processor
Freezer
Pots & Pans
Bowls / Bake ware
Dishes
Glasses / Cups
Cutlery
Utensils
Telephones
Stereos
Clocks
Artwork
Lamps / Light Fixtures
Cookbooks
Room Total
$
Bathroom – Total of all Bathrooms in Home
Item
Qty
Model/Serial #/Description
Year
Purchased
Cost – R =Replacement
P = Purchase
Floor Coverings
Window Coverings
Medicine Cabinet
Medicine
Toiletries
Shelving
Bath Linens / Towels
Bathroom Scale
Small Appliances
Wall Hangings
Room Total
$
Laundry Room / Garage / Basement
Item
Qty
Model/Serial #/Description
Year
Purchased
Cost – R =Replacement
P = Purchase
Floor Coverings
Window Coverings
Washers
Dryers
Ironing Boards
Irons
Laundry Hampers
Vacuums
Cleaning Equipment
Portable Heaters
Air Conditioners
Dehumifiders
Exercise Equipment
Sporting Equipment
Sewing Machines
Luggage
Holiday Decorations
Lawnmowers
Snowblowers
Garden Tools
Power Tools
Other Tools
Ladders
Workbenches
Shelving
BBQ’s
Patio Furniture
Bicycles
Room Total
$
Bedroom #1
Item
Qty
Model/Serial #/Description
Year
Purchased
Cost – R =Replacement
P = Purchase
Floor Coverings
Window Coverings
Beds
Mattresses
Bed Linens
Dressers
Night Tables
Wardrobes
Shelving
Contents of Shelving
Desks
TVs
Stereos
Clocks
Telephones
Lamps
Artwork
Chairs
Chests / Contents
Room Total
$
Bedroom #2
Item
Qty
Model/Serial #/Description
Year
Purchased
Cost – R =Replacement
P = Purchase
Floor Coverings
Window Coverings
Beds
Mattresses
Bed Linens
Dressers
Night Tables
Wardrobes
Shelving
Contents of Shelving
Desks
TVs
Stereos
Clocks
Telephones
Lamps
Artwork
Chairs
Chests / Contents
Room Total
$
Bedroom #3
Item
Qty
Model/Serial #/Description
Year
Purchased
Cost – R =Replacement
P = Purchase
Floor Coverings
Window Coverings
Beds
Mattresses
Bed Linens
Dressers
Night Tables
Wardrobes
Shelving
Contents of Shelving
Desks
TVs
Stereos
Clocks
Telephones
Lamps
Artwork
Chairs
Chests / Contents
Room Total
$
Bedroom #4
Item
Qty
Model/Serial #/Description
Year
Purchased
Cost – R =Replacement
P = Purchase
Floor Coverings
Window Coverings
Beds
Mattresses
Bed Linens
Dressers
Night Tables
Wardrobes
Shelving
Contents of Shelving
Desks
TVs
Stereos
Clocks
Telephones
Lamps
Artwork
Chairs
Chests / Contents
Room Total
$
Clothing – Person #1
Item
Dress Pants
Casual Pants
Jeans
Shorts
Skirts
Dresses
Sweaters
Shirts / Blouses
Suits
Coats
Jackets
Raingear
Hats
Gloves
Scarves
Ties
Belts
Jewelry
Watches
Undergarments
Swimwear
Shoes
Boots
Formal Attire
Wedding Attire
Clothing – Person #2
Cost
Total $
Item
Dress Pants
Casual Pants
Jeans
Shorts
Skirts
Dresses
Sweaters
Shirts / Blouses
Suits
Coats
Jackets
Raingear
Hats
Gloves
Scarves
Ties
Belts
Jewelry
Watches
Undergarments
Swimwear
Shoes
Boots
Formal Attire
Wedding Attire
Cost
Total $
Clothing – Person #3
Item
Dress Pants
Casual Pants
Jeans
Shorts
Skirts
Dresses
Sweaters
Shirts / Blouses
Suits
Coats
Jackets
Raingear
Hats
Gloves
Scarves
Ties
Belts
Jewelry
Watches
Undergarments
Swimwear
Shoes
Boots
Formal Attire
Wedding Attire
Clothing – Person #4
Cost
Total $
Item
Dress Pants
Casual Pants
Jeans
Shorts
Skirts
Dresses
Sweaters
Shirts / Blouses
Suits
Coats
Jackets
Raingear
Hats
Gloves
Scarves
Ties
Belts
Jewelry
Watches
Undergarments
Swimwear
Shoes
Boots
Formal Attire
Wedding Attire
Cost
Total $
Miscellaneous Items
(Items not covered in above lists; such as furs, jewelry, guns, collections, musical equipment,
etc.)
Item
Qty
Model/Serial
Model/Serial #/Description
#/Description
Year
Purchased
Cost – R =Replacement
P = Purchase
Credit Card Records
Name of Credit Card
Company
Address & Phone #
Card #
Insurance Policy Records
Kind of Insurance
Policy #
Expiry
Contact Info
Expiry