McFarlan Rowlands Insurance Brokers Inc.
HOUSEHOLD INVENTORY

Keeping this inventory current will ease the process of filing a claim.  Print this page, fill it out, and store it in a safe place.  If possible, store this document off of your premises (such as in a safety deposit box).   Alternatively, you can record your inventory with a video camera.  Use this page as a guide to what you might wish to include on the video tape.

Name:  
Address:  
Date:  
HALL
Tables ~ Rugs ~ Stair Carpet ~ Door Mats ~ Drapes ~ Pictures ~ Mirrors ~ Vases
HALL Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       
       
       
       
       
       
       

TOTALS

      
LIVING ROOM
Chesterfield ~ Chairs ~ Tables ~ Lamps ~ Bookcases ~ Piano ~ Radio ~ T. V. Sets ~ Stereo Equipment ~ Pictures ~ Drapes ~ Rugs ~ Vases
LIVING ROOM Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       
       
       
       
       

TOTALS

      
DINING ROOM
Buffet Table ~ Chairs ~ Drapes ~ Cabinets ~ Mirrors ~ Pictures ~ Clock ~ Vases ~ Rugs ~ China ~ Glassware ~ Flat Silver ~ Tea Sets
DINING ROOM Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       
       
       
       
       

TOTALS

      
KITCHEN
Table ~ Chairs ~ Stove ~ Stools ~ Canisters ~ Clock ~ Radio ~ Cutlery ~ Utensils ~ Refrigerator ~ Freezer ~ Electrical Appliances ~ Microwave Oven ~ Dishwasher
KITCHEN Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       
       
       
       
       

TOTALS

      
HOUSEHOLD EQUIPMENT
Washer ~ Dryer ~ Toaster ~ Mixer ~ Fans ~ Roaster ~ Vacuum Cleaner ~ Polisher ~ Hairdryer ~ Sewing Machine ~ Air Conditioning Unit
HOUSEHOLD EQUIPMENT Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       
       
       
       
       

TOTALS

      
RECREATION ROOM
Bookcases ~ Lamps ~ Toys ~ Games ~ Rugs ~ Stereo Equipment ~ Bar Equipment and Accessories
RECREATION ROOM Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       
       
       
       
       

TOTALS

      
BEDROOM 1
Beds ~ Mattresses ~ Pillows ~ Chairs ~ Tables ~ Lamps ~ Drapes ~ Bureau ~ Chests ~ Bookcases ~ Pictures ~ Mirrors ~ Dressing Table ~ Rugs ~ Linens ~ Sheets ~ Blankets ~ Towels ~ Tablecloths
BEDROOM 1 Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       
       
       
       
       

TOTALS

      
BEDROOM 2
Beds ~ Mattresses ~ Pillows ~ Chairs ~ Tables ~ Lamps ~ Drapes ~ Bureau ~ Chests ~ Bookcases ~ Pictures ~ Mirrors ~ Dressing Table ~ Rugs ~ Linens ~ Sheets ~ Blankets ~ Towels ~ Tablecloths
BEDROOM 2 Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       
       
       
       
       

TOTALS

      
BEDROOM 3
Beds ~ Mattresses ~ Pillows ~ Chairs ~ Tables ~ Lamps ~ Drapes ~ Bureau ~ Chests ~ Bookcases ~ Pictures ~ Mirrors ~ Dressing Table ~ Rugs ~ Linens ~ Sheets ~ Blankets ~ Towels ~ Tablecloths
BEDROOM 3 Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       
       
       
       
       

TOTALS

      
FURS & JEWELRY
Watches ~ Rings ~ Bracelets ~ Necklaces ~ Brooches ~ Earrings ~ Cuff Links ~ Fur Coats ~ Fur Jackets and Stoles
FURS & JEWELRY Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       
       
       
       
       

TOTALS

      
CLOTHING (HUSBAND AND WIFE)
Dresses ~ Skirts ~ Shorts ~ Lingerie ~ Coats ~ Purses ~ Rainwear ~ Suits ~ Topcoats ~ Overcoats ~ Sportswear ~ Jackets ~ Slacks ~ Sweaters ~ Shirts ~ Hats ~ Gloves ~ Shoes ~ Robes ~ Evening Clothes
CLOTHING (Husband and Wife) Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       

TOTALS

      
CLOTHING (CHILDREN)
Dresses ~ Skirts ~ Sweaters ~ Coats ~ Shoes ~ Rainwear ~ Snowsuits ~ Accessories ~ Suits ~ Shirts ~ Jackets ~ Slacks
CLOTHING (Children) Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       

TOTALS

      
BOOKS
Encyclopedias ~ Dictionaries ~ First Editions
BOOKS Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       

TOTALS

      
SPORTS AND HOBBIES
Cameras ~ Photo Equipment ~ Projectors ~ Golf Clubs ~ Fishing Equipment ~ Tennis Racquets ~ Skis ~ Stamps ~ Coins ~ Musical Instruments
SPORTS AND HOBBIES Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       

TOTALS

      
ART OBJECTS
Paintings ~ Statuary ~ Antiques ~ Souvenirs
ART OBJECTS Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       

TOTALS

      
GARAGE OR SHED
Tools ~ Garden Equipment ~ Lawn Furniture
GARAGE OR SHED Original
Cost		 Year
Bought		 Replacement
Value
       
       
       
       
       
       
       

TOTALS

      

 

SUMMARY TOTALS
SECTIONS Original
Cost		 Replacement
Value
HALL    
LIVING ROOM    
DINING ROOM    
KITCHEN    
HOUSEHOLD EQUIPMENT    
RECREATION ROOM    
BEDROOM 1    
BEDROOM 2    
BEDROOM 3    
FURS AND JEWELRY    
CLOTHING (Husband and Wife)    
CLOTHING (Children)    
BOOKS    
SPORT AND HOBBIES    
ART OBJECTS    
GARAGE OR SHED    

TOTAL

    

 

CREDIT CARDS
COMPANY CARD NUMBER EXPIRES