mirrors shelves books bookcases chests fireplace equipment musical instrument desk clocks radios stereo television ... p
Living Room Item
Original Cost Purchase Date
Den/Family Room Serial/I.D. Number
Current Value
sofa chairs tables lamps draperies area rugs mirrors shelves books bookcases chests fireplace equipment musical instrument desk clocks radios stereo television DVD player CD player MP3 player CDs DVDs home theater big screen TV tel. answ. mach. cell phone pager fine arts pictures ornaments collections
Item
Original Cost Purchase Date
Serial/I.D. Number
Current Value
Subtotal
0.00 $______________
sofa chairs tables lamps draperies area rugs mirrors shelves books bookcases chests fireplace equipment musical instruments office equipment desk clocks radios stereo television DVD player CD player MP3 player CDs DVDs home theater big screen TV tel. answ. machine auxiliary heat toys sewing machine game tables fine arts pictures ornaments
(coins, stamps, etc.)
other
Subtotal
0.00 $______________
Kitchen Item
Original Cost Purchase Date
Bathroom Serial/I.D. Number
Current Value
table & chairs refrigerator stove microwave oven freezer stove dishwasher appliances dishes glassware silverware pots & pans utensils cookbooks hutch curtains area rugs linens supplies clock radio tel. ans. machine fine arts pictures ornaments other
Item
Original Cost Purchase Date
Serial/I.D. Number
Current Value
Subtotal
0.00 $______________
mirrors scale clothes hamper medicine cabinet shelves electric appliances linens cosmetics medicines curtains area rugs lamps clock radio heater ornaments pictures supplies other
Subtotal
0.00 $______________
Dining Room Item
Original Cost Purchase Date
Bedrooms Serial/I.D. Number
Current Value
table & chairs buffet silverware glassware dishes draperies linens area rugs lamps clock fine arts lamps clock fine arts pictures ornaments other
Item
Original Cost Purchase Date
Serial/I.D. Number
Current Value
Subtotal
0.00 $______________
beds dressers chests dressing tables nightstands mirrors lamps clocks radios desks chairs draperies area rugs linens shelves books bookcases television stereo telephone toys nursery supplies fine arts ornaments pictures other
