Household Inventory Record. Room Totals/RC. Summary

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1 Household Inventory

2 Household Inventory Whether you re still unpacking boxes from your recent move or whether your boxes of memorabilia have been stashed away for years, the contents in your home are valuable. Your house or apartment would not be a home without your belongings. Trying to appraise your belongings would be a difficult task without an organized format to follow. This brochure enables you to record an accurate assessment of your belongings. Should a loss occur, your completed inventory will help you to readily identify the extent of the loss. ERIE recognizes how important your personal belongings are to you. And it is important to us to provide you with the service you deserve. Therefore, we have designed this home inventory form. The following instructions will aid you in completing this form. Simply enter the RC (replacement cost current cost to replace the article) of each item, then total each room. Estimate any items necessary. Enter each room total on page 2. Then add the entire column to determine the value of your contents. Enter your present personal property insurance limit and compare this amount to your total contents value. Name Initial Inventory Revised Household Inventory Record Summary Living Room Family Room Dining Room Recreation Room Kitchen Bathroom China & Glassware Silver Linen Closets Men s Clothing Boy s Clothing Women s Clothing Girl s Clothing Basement, Attic, Garage Hobbies, Sports Bedroom #1 Bedroom #2 Bedroom #3 Bedroom #4 Jewelry Miscellaneous Other Rooms Room Totals/RC IMPORTANT: If the amount of insurance protection on your contents is lower than the value shown, contact your ERIE Agent so your policy can be properly adjusted. Total Contents $ Present Personal Property Insurance Limit $ Keep this inventory in a safe place outside your home.

3 Living Family Dining Rec Room Room Room Room Kitchen RC RC RC RC Carpets, Rugs, Pads $ $ $ $ Tables Chairs Couch/Sofa Bed Love Seat Desk & Contents Chests Lamps/Table, Floor VCR/Compact Disc Piano & Music Record Player Records/Tapes Entertainment Center Radio TV Fireplace Clocks Pictures Mirrors Curtains & Blinds Draperies Tapestries Paintings Vases/Figurines Bookcases/Books Plants Pillows China Cabinet Buffet Serving Tables Candle Sticks Pool Table Card Table/Chairs Picture Frames Electrical Equipment Ceiling Fan Tables $ Chairs & Stools Utensils Cabinets Pots & Pans Stove Refrigerator Freezer Mixer Toaster Dishwasher Storage Containers Food Clocks Radio/TV Curtains/Blinds Canisters Microwave Oven Microwave Stand Food Processor Linen Closets Table Linens/Napkins $ Sheets/Pillowcases Blankets Towels Iron Ironing Board Heating Pad Scale Bedspreads Totals $ $ $ $ RC =

4 Bathroom Floor Covering $ Chests Towels Mirrors Scales Mats Electric Razor Electric Toothbrush Medicine/Supplies Vanity Curtains Tables Hamper Hair Dryer Curling Iron Electric Rollers China & Crystal Glassware China Pattern Name $ No. of Pieces Crystal Pattern Name Clothing Men s Boy s Women s Girl s RC RC RC RC Suits $ $ $ $ Sport Coats Top Coats Raincoats Furs Jackets Boots Shoes/Slippers Sweaters Shirts Blouses Shorts Pants Dresses Formal Wear Skirts Socks Lingerie/Hosiery Underwear/Sleepwear Ties Hats/Gloves Handbags Briefcases No. of Pieces Silver Silver Pattern Name $ No. of Settings Totals $ $ $ $ RC =

5 Bedrooms #1 #2 #3 #4 RC RC RC RC Floor Covering $ $ $ $ Beds/Crib Mattresses & Springs Pillows & Covers Sheets Comforters/Quilts Blankets Bedspreads Chairs Lounge Tables Dressers Chests Bureaus Toilet Sets Cosmetics Lamps/Floor, Table Mirrors Desk & Contents Pictures Curtains & Blinds Draperies Clocks Radio TV VCR/Compact Disc Vaporizer Humidifier Nursery Monitor Figurines Jewelry Rings $ Watches Earrings Pins Necklaces Bracelets Charms Gems Tie Bars/Tie Tacks Cuff Links Basement, Attic, Garage Washer $ Dryer Tubs Work Bench Tools Furniture Bar/Bar Supplies Lamps Piano Shelving Canned Goods Freezer Frozen Foods Lawn Mower Garden Tools Hose Bar-B-Q Dehumidifier Christmas Decorations Baby Equipment Luggage Tires/Rims Ladder Totals $ $ $ $ RC =

6 Hobbies-Sports Boats $ Motors Golf Equipment Photo Equipment Hunting Equipment Fishing Equipment Collections Toys Bicycles Power Tools Musical Equipment Exercise Equipment Camping Equipment Ski Equipment Tractor Camcorder Miscellaneous Air Conditioner $ Fans Sewing Machine Sun Lamps Vacuum Cleaner Hand-held Vacuum Typewriter Card Table/Chairs TV Trays Picnic Table & Benches Patio Furniture Home Computer/Printer Answering Machine File Cabinet

7 Erie Insurance offers a broad range of services to meet your personal insurance needs, including auto, boat and a variety of home and tenant insurance policies. ERIE also offers a variety of business insurance products to meet the needs of both small and large businesses. Erie Family Life Insurance offers a complete line of products to meet individual and business life insurance needs.* ERIE embraces the principle of equal professional service. That means that every applicant, Customer and claimant receives the high caliber service that is our hallmark. ERIE does not tolerate unlawful discrimination, and we expect our Agents to adhere strictly to that nondiscriminatory philosophy as well. ERIE assesses each risk on its own merits and relies on objective underwriting criteria designed to evaluate the nature and extent of each risk. ERIE insurance services are provided by one or more of the following insurers: Erie Insurance Exchange, Erie Insurance Company, Erie Insurance Property & Casualty Company, or Flagship City Insurance Company (home offices: Erie, Pennsylvania) or Erie Insurance Company of New York (home office: Rochester, New York). Companies not licensed in all states. Visit erieinsurance.com for details. *Life insurance not available in New York. Home Office 100 Erie Insurance Place Erie, PA S20 9/ Erie Indemnity Company

Household Inventory. For all your insurance needs. Equal professional service. We ve got you covered. It s our true blue promise.

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