LIVING ROOM
Carpeting - wall to wall and rugs (throughout the house) $________________
Curtains/Draperies (throughout the house) $________________
All Furniture and Knick-Knacks (approximate value) $________________
Air Conditioners/Fans/Heaters (throughout the house) $________________
Lamps/Lampshades $________________
Miscellaneous furniture etc. $________________
Pictures/Frames etc. $________________
APPROXIMATE TOTAL VALUE:$________________
DINING ROOM
Fine China $_________________
Silverware (flatware) $_________________
Coffee and Tea Service $_________________
All Furniture/Fixtures $_________________
Chandeliers (throughout the house) $_________________
Linens (Tablecloths, Napkins, Etc.) $_________________
Stemware and Other Glassware $_________________
Sconces and Other Wall Items $_________________
APPROXIMATE TOTAL VALUE:$_________________
KITCHEN
All Appliances (including exhaust fans) $_________________
Flooring Replacement Cost $_________________
Cabinets/Contents $_________________
Furniture $_________________
Pots/Pans/Other Cooking Vessels $_________________
Everyday Dinnerware $_________________
Everyday Flatware $_________________
Spice Racks/Contents $_________________
Pantry Closet Contents $_________________
APPROXIMATE TOTAL VALUE:$_________________
FAMILY ROOM
All Electronics/Stereos/Speakers/Earphones
TV's (throughout the house) $_________________
Telephone/Answering Equipment (throughout the house) $_________________
Toys/Games/CD's, etc. $_________________
Video Games/Systems $_________________
Books/Bookcases (throughout the house) $_________________
Computer/Terminals $_________________
APPROXIMATE TOTAL VALUE:$_________________
BEDROOMS
Furniture/Fixtures $_________________
Suits/Dresses/Coats $_________________
Shoes/Socks/Stockings $_________________
Sheets/Blankets/Comforters $_________________
Cosmetics $_________________
APPROXIMATE TOTAL VALUE:$_________________
BATHROOM
Bath tub/Shower/Toilet $_________________
Fixtures $_________________
Towels/Linens/Bathmats $_________________
Assorted Cosmetics/Perfumes $_________________
Hair Dryers/Curling Irons $_________________
APPROXIMATE TOTAL VALUE:$_________________
GARAGE
Automotive Equipment $_________________
Lawn Mowers $_________________
Snow Blower $_________________
Bikes/Tricycles/Scooters etc. $_________________
Sleds/Skis/Skiing Equipment, etc. $_________________
Garage Door Openers $_________________
Sporting Goods/Golf Clubs/Fishing Gear, etc. $_________________
Boat/Boating Equipment $_________________
APPROXIMATE TOTAL VALUE:$_________________
BASEMENT
Vacuum Cleaner/Cleaning Equipment $_________________
Guns/Ammunition $_________________
Storage Items $_________________
Oil/Gas Burners $_________________
Hot Water Heater Tank $_________________
Ping Pong/Pool Tables $_________________
APPROXIMATE TOTAL VALUE:$_________________