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Residence Inventory
How much can you lose?
 Click here to download this form in PDF format.
Click here to download Adobe Acrobat.
To claim under your insurance policy for loss damage to your
personal property, it’s necessary to provide the adjuster with a complete inventory
of the property destroyed or damaged. Obviously, this is difficult if you try to rely upon
your memory. We suggest you complete this inventory checklist. It takes time but it will
be worth while. Some day it may save you hundreds of dollars. When the inventory is
complete, you may find that you could lose much more than you thought. You may also find
that your present insurance falls below your total insured value. In this case, Steers
will be pleased to arrange additional protection for you. Important - Keep this inventory
in a safe place away from your home.
LIVING ROOM |
Article |
Estimated
Value |
| Chesterfield |
|
| Chair(s) |
|
| Lamp(s) |
|
| Table(s) |
|
| Radio |
|
| HiFi - Stereo |
|
| TV Set |
|
| Rug(s) and Carpet(s) |
|
| Bric-a-brac |
|
| Clock(s) |
|
| Paintings, Pictures |
|
| Curtains, Drapes |
|
| Piano or other Musical Instruments |
|
| |
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| Other: |
|
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|
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|
| |
|
| |
|
| TOTAL |
$ |
DINING ROOM |
| Table |
|
| Chairs |
|
| China Cabinet |
|
| Buffet |
|
| Serving Table |
|
| Rug(s) and Carpet(s) |
|
| Curtains, Drapes |
|
| Electric Appliances |
|
| |
|
| |
|
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|
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| Other: |
|
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|
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| TOTAL |
$ |
FAMILY - REC. ROOM |
| Chair(s) |
|
| Curtains and Drapes |
|
| Chesterfield |
|
| Table(s) |
|
| Lamp(s) |
|
| Rug(s) and Carpet(s) |
|
| Desk |
|
| Bric-a-brac |
|
| Other: |
|
| |
|
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|
| |
|
| |
|
| TOTAL |
$ |
KITCHEN |
| Step-stool |
|
| Table |
|
| Dinette Set |
|
| Electric Appliances |
|
| Dishes |
|
| Cutlery |
|
| Utensils |
|
| Pots and Pans |
|
| Bowl, etc. |
|
| Stove |
|
| Refrigerator |
|
| Other: |
|
| |
|
| |
|
| |
|
| TOTAL |
$ |
BATHROOMS |
| |
|
| |
|
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|
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|
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|
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|
| TOTAL |
$ |
VERANDAH OR PATIO |
| Chair(s) |
|
| Dining Set |
|
| Sofa |
|
| Glider |
|
| Table(s) |
|
| Outdoor Cooking Equipment |
|
| |
|
| |
|
| |
|
| |
|
| Other: |
|
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|
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|
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|
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|
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| TOTAL |
$ |
BEDROOM NO. 1 |
| Chair(s) |
|
| Bed(s) |
|
| Bedding |
|
| Night Table |
|
| Dressing Table |
|
| Bench |
|
| Chest of Drawers |
|
| Mirror(s) |
|
| Rugs(s) |
|
| Lamp(s) |
|
| Bric-a-brac |
|
| Toilet Articles |
|
| Clock(s) |
|
| Curtain(s), Drapes |
|
| Other: |
|
| |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
| TOTAL |
$ |
| |
|
BEDROOM NO. 2 |
| Chair(s) |
|
| Bed(s) |
|
| Bedding |
|
| Night Table |
|
| Dressing Table |
|
| Bench |
|
| Chest of Drawers |
|
| Mirror(s) |
|
| Rug(s) |
|
| Lamp(s) |
|
| Bric-a-brac |
|
| Toilet Articles |
|
| Clock(s) |
|
| Curtains, Drapes |
|
| Other: |
|
| |
|
| |
|
| |
|
| |
|
| TOTAL |
$ |
BEDROOMS NO. 3 |
| Chair(s) |
|
| Bed(s) |
|
| Bedding |
|
| Night Table |
|
| Dressing Table |
|
| Bench |
|
| Chest of Drawers |
|
| Mirror |
|
| Rug(s) |
|
| Lamp(s) |
|
| Bric-a-brac |
|
| Toilet Articles |
|
| Clock(s) |
|
| Curtains, Drapes |
|
| Other: |
|
| |
|
| |
|
| |
|
| TOTAL |
$ |
BEDROOM NO. 4 |
| Chair(s) |
|
| Bed(s) |
|
| Bedding |
|
| Night Table |
|
| Dressing Table |
|
| Bench |
|
| Chest of Drawers |
|
| Mirror(s) |
|
| Rug(s) |
|
| Lamp(s) |
|
| Bric-a-brac |
|
| Toilet Articles |
|
| Clock(s) |
|
| Curtains, Drapes |
|
| Other: |
|
| |
|
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|
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|
| TOTAL |
$ |
OTHER ROOMS(S) |
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|
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|
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|
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| TOTAL |
$ |
LINENS and CLOTHING |
| Coats |
|
| Raincoats |
|
| Jackets |
|
| Suits |
|
| Dresses |
|
| Sport Coats |
|
| Shirts |
|
| Slacks |
|
| Sweaters |
|
| Blousers |
|
| Skirts |
|
| Belts |
|
| Handkerchiefs |
|
| Socks |
|
| Hosiery |
|
| Ties |
|
| Underwear |
|
| Lingerie |
|
| Sleepwear |
|
| Shoes |
|
| Boots |
|
| Rubbers |
|
| Slippers |
|
| Hats |
|
| Handbags |
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| Sportswear |
|
| |
|
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|
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|
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| Sheets |
|
| Pillow Cases |
|
| Spreads |
|
| Quilts |
|
| Blankets |
|
| Towels |
|
| Face Cloths |
|
| Guest Towels |
|
| |
|
| TOTAL |
$ |
| |
|
BASEMENT, GARAGE
(excluding car) |
| |
|
| Work Bench |
|
| Tools: |
|
| |
|
| |
|
| |
|
| Lawn Mower |
|
| Garden Tools |
|
| Furniture |
|
| Luggage |
|
| Washing Machine |
|
| Ironer |
|
| Cloths Drier |
|
| Games, Toys, etc. |
|
| Other: |
|
| |
|
| |
|
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|
| TOTAL |
$ |
MISCELLANEOUS |
| Sports Equipment |
|
| Christmas Decorations |
|
| Hobby Equipment: |
|
| Woodworking Machinery |
|
| |
|
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|
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|
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|
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|
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| TOTAL |
$ |
CHINA, CRYSTAL |
Article |
Estimated
Value |
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| TOTAL |
$ |
Silver, Jewelery
Furs, Stamp and
Coin Collections |
(Check with your Broker for
limits in present policies.) |
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|
| TOTAL |
$ |
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INITIAL INVENTORY |
|
| |
DATE |
REVISED |
|
| |
DATE |
| Comments: |
| |
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SUMMARY |
| Living Room |
|
| Family - Recreation Room |
|
| Kitchen |
|
| Bathroom(s) |
|
| Verandah or Patio |
|
| Bedroom No. 1 |
|
| Bedroom No. 2 |
|
| Bedroom No. 3 |
|
| Bedroom No. 4 |
|
| Other Room(s) |
|
| Linens and Clothing |
|
| China and Clothing |
|
| China and Crystal |
|
| Silver, Jewelry, Furs, and Coin Collection |
|
| Basement and Garage |
|
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|
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| Miscellaneous |
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|
| GRAND TOTAL |
$ |
| Present Insurance |
$ |
| Additional Insurance Needed |
$ |
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