HOMEOWNERS INSURANCE INVENTORY
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1 Standing up for Texas Families HOMEOWNERS INSURANCE INVENTORY Texas Watch is a non-profit, non-partisan advocacy organization working to improve consumer and insurance protections for Texas families. TEXAS WATCH 815 BRAZOS ST, SUITE 603 AUSTIN, TEXAS TOLL-FREE (888)
2 YOUR HOME AND PERSONAL PROPERTY INVENTORY When filing a claim, observe the following tips: Take Documentation. Make a comprehensive inventory of the household items lost in the storm, and keep receipts from emergency repairs and temporary housing costs. Track Communications with Your Insurance Company. Keep a log of all communications with your insurance carrier, including anytime they fail to return a call or miss a scheduled appointment. Be Careful What You Sign. Do not sign anything you do not fully understand. Make sure all documents are explained thoroughly so that you know what you are signing and how it will affect your claim. Ask for Proof. If your insurer tells you that you are not covered, require them to offer proof. The burden is on the carrier to point to the exclusion in your policy. Complain if Necessary. If you believe that you are being treated unfairly by your insurance carrier, file a complaint with the Texas Department of Insurance (TDI) by calling their toll-free Consumer Helpline: 1(800) or via their website at When preparing your inventory, try to include as much information as possible. Also, pictures can be an important addition to your inventory. When possible, be sure to photograph your more valuable possessions. Description Brand/Model Serial Number Condition Purchase Price Replacement Cost Current Value When/Where Purchased When you ve completed your inventory, be sure to store a copy in a safe deposit box or some other secure location don t keep it in your house. An up to date inventory is very important should you suffer a loss. 1(888)
3 CONTACT INFORMATION Insurance Company: Toll-Free Claim Line: Name of Adjuster: Adjuster s Phone Number: Attach a Photograph of your home here. Name: Address: State: Zip: Lot: Block: Section: Date of Original Inventory: Revised: Revised: Revised: 1(888)
4 HOME INFORMATION Year Built: Square Footage: House Purchase Date: Previous Owner(s): Mortgage Holder: Location of Plot Plan: Location of Deed of Trust: Builder: Lot Price: Coverage: Homeowners Flood Appraisals: Amount Amount Amount Amount Year Year Year Year Exterior Element s (condition): 1. Brick Brand Contractor Date Cost 2. Roof Brand Contractor Date Cost 3. Siding Brand Contractor Date Cost 4. Gutters Brand Contractor Date Cost 5. Sides of House Brand Contractor Date Cost 6. Trim Brand Contractor Date Cost 7. Shutters Brand Contractor Date Cost 8. Doors Brand Contractor Date Cost 9. Other Brand Contractor Date Cost 1(888)
5 HOME INFORMATION Capital Improvements: 1. Item Date 2. Item Date 3. Item Date 4. Item Date 5. Item Date Yard Plantings: 1. Variety Date Planted 2. Variety Date Planted 3. Variety Date Planted 4. Variety Date Planted 5. Variety Date Planted 6. Variety Date Planted 7. Variety Date Planted 8. Variety Date Planted 9. Variety Date Planted 10. Variety Date Planted Attach an aerial view/photograph of your property here. Show house, garage, other buildings and plantings. 1(888)
6 LIVING ROOM Dimensions: Walls & Windows: 1. Wall Material 2. Trim & Doors Stain/Paint Brand/ 3. Ceiling Material 4. Ceiling Lights 5. Window 1 Window 2 Window 3 Window 4 6. Miscellaneous Flooring: Material/Type Attach a photo of your living room and its contents here. 1(888)
7 Living Room Contents: Carpet/Rugs Sofas Chairs Ottoman Tables Lamps Clocks Pictures Art/Sculpture Ceiling Fans Telephone Mirrors Curtains/Window Coverings Fireplace Fixtures Piano/Organ Entertainment Center Television Stereo Components VCR/CD Player DVD Player Records/CDs Audio/Video Tapes Desk & Computer Components Miscellaneous/Other 1(888)
8 DINING ROOM Dimensions: Walls & Windows: 1. Wall Material 2. Trim & Doors Stain/Paint Brand/ 3. Ceiling Material 4. Ceiling Lights 5. Window 1 Window 2 Window 3 Window 4 6. Miscellaneous Flooring: Material/Type Attach a photo of your dining room and its contents here. 1(888)
9 Dining Room Contents: Carpets/Rugs Table(s) Chairs Buffet China Closet Linen China Glassware Silver Mirrors Pictures Lighting Fixtures Lamps Ceiling Fan Curtains & Window Coverings Miscellaneous 1(888)
10 KITCHEN & UTILITY ROOM Dimensions: Walls & Windows: 1. Wall Material 2. Trim & Doors Stain/Paint Brand/ 3. Ceiling Material 4. Ceiling Lights 5. Window 1 Window 2 Window 3 Window 4 6. Miscellaneous Flooring: Material/Type Attach a photo of your kitchen and utility rooms and their contents here. 1(888)
11 Kitchen Contents: Table Chairs Stove/Oven Microwave Oven Refrigerator Freezer Dishwasher Garbage Disposal/Trash Compactor Small Appliances Ceiling Lights/Fan Clock Cookware Telephone Cooking Utensils Dishes Flatware Glassware Personal Computer/Television/Radio Miscellaneous Utility Room Dimensions: Contents: Washing Machine Clothes Dryer Iron Ironing Board 1(888)
12 FAMILY ROOM/DEN Dimensions: Walls & Windows: 1. Wall Material 2. Trim & Doors Stain/Paint Brand/ 3. Ceiling Material 4. Ceiling Lights 5. Window 1 Window 2 Window 3 Window 4 6. Miscellaneous Flooring: Material/Type Attach a photo of your family room/den and its contents here. 1(888)
13 Family Room/Den Contents: Carpet/Rugs Sofas Chairs Ottoman Tables Lamps Clocks Pictures Art/Sculpture Ceiling Fans Telephone Mirrors Curtains/Window Coverings Fireplace Fixtures Piano/Organ Entertainment Center Television Stereo Components VCR/CD Player DVD Player Records/CDs Audio/Video Tapes Desk & Computer Components Miscellaneous/Other 1(888)
14 MASTER BEDROOM Dimensions: Walls & Windows: 1. Wall Material 2. Trim & Doors Stain/Paint Brand/ 3. Ceiling Material 4. Ceiling Lights 5. Window 1 Window 2 Window 3 Window 4 6. Miscellaneous Flooring: Material/Type Attach a photo of your master bedroom and its contents here. 1(888)
15 Master Bedroom Contents: Carpets/Rugs Bed/Headboard/Footboard Mattresses Box Springs Bedding Bureaus Dressers Mirrors Desk Computer Equipment Chairs & Tables Telephone Lamps Clock/Radio/Stereo Pictures Curtains Ceiling Lights/Fan Miscellaneous 1(888)
16 BEDROOM NO. 2 Dimensions: Walls & Windows: 1. Wall Material 2. Trim & Doors Stain/Paint Brand/ 3. Ceiling Material 4. Ceiling Lights 5. Window 1 Window 2 Window 3 Window 4 6. Miscellaneous Flooring: Material/Type Attach a photo of your bedroom 2 and its contents here. 1(888)
17 Bedroom 2 Contents: Carpets/Rugs Bed/Headboard/Footboard Mattresses Box Springs Bedding Bureaus Dressers Mirrors Desk Computer Equipment Chairs & Tables Telephone Lamps Clock/Radio/Stereo Pictures Curtains Ceiling Lights/Fan Miscellaneous 1(888)
18 BEDROOM NO. 3 Dimensions: Walls & Windows: 1. Wall Material 2. Trim & Doors Stain/Paint Brand/ 3. Ceiling Material 4. Ceiling Lights 5. Window 1 Window 2 Window 3 Window 4 6. Miscellaneous Flooring: Material/Type Attach a photo of your office/bedroom 3 and its contents here. 1(888)
19 Bedroom 3 Contents: Carpets/Rugs Bed/Headboard/Footboard Mattresses Box Springs Bedding Bureaus Dressers Mirrors Desk Computer Equipment Chairs & Tables Telephone Lamps Clock/Radio/Stereo Pictures Curtains Ceiling Lights/Fan Miscellaneous 1(888)
20 OFFICE/BEDROOM NO. 4 Dimensions: Walls & Windows: 1. Wall Material 2. Trim & Doors Stain/Paint Brand/ 3. Ceiling Material 4. Ceiling Lights 5. Window 1 Window 2 Window 3 Window 4 6. Miscellaneous Flooring: Material/Type Attach a photo of your office/bedroom 4 and its contents here. 1(888)
21 Office/Bedroom 4 Contents: Carpets/Rugs Bed/Headboard/Footboard Mattresses Box Springs Bedding Bureaus/Dressers Mirrors Desk & Accessories Computer Equipment Chairs & Tables Telephone Lamps Clock/Radio/Stereo Pictures Curtains Ceiling Lights/Fan Miscellaneous 1(888)
22 MASTER/BATHROOM NO. 1 Dimensions: Walls & Windows: 1. Wall Material 2. Trim & Doors Stain/Paint Brand/ 3. Ceiling Material 4. Ceiling Lights 5. Window 1 Window 2 Window 3 Window 4 6. Miscellaneous Flooring: Material/Type Attach a photo of your mater/bathroom 1 and its contents here. 1(888)
23 Master/Bathroom 1 Contents: Medicine Cabinet Medications Scale Linens Mirrors Rugs Hair Dryer Electric Razor Hair Iron/Rollers Clothes Hamper Durable Medical Equipment Chair Table Miscellaneous 1(888)
24 BATHROOM NO. 2 Dimensions: Walls & Windows: 1. Wall Material 2. Trim & Doors Stain/Paint Brand/ 3. Ceiling Material 4. Ceiling Lights 5. Window 1 Window 2 Window 3 Window 4 6. Miscellaneous Flooring: Material/Type Attach a photo of your bathroom 2 and its contents here. 1(888)
25 Bathroom 2 Contents: Medicine Cabinet Medications Scale Linens Mirrors Rugs Hair Dryer Electric Razor Hair Iron/Rollers Clothes Hamper Durable Medical Equipment Chair Table Miscellaneous 1(888)
26 GARAGE/CARPORT/SHED Dimensions: Walls & Windows: 1. Wall Material 2. Trim & Doors Stain/Paint Brand/ 3. Ceiling Material 4. Ceiling Lights 5. Window 1 Window 2 Window 3 Window 4 6. Miscellaneous Flooring: Material/Type Attach a photo of your garage/carport/shed and its contents here. 1(888)
27 Garage/Carport/Shed Contents: Automotive Tools Carpenter s Tools Tool Boxes & Storage Containers Lawn Mower Lawn Equipment Garden Tools Grill Outdoor Furniture Snow Blower Miscellaneous 1(888)
28 BASEMENT/ATTIC Dimensions: Walls & Windows: 1. Wall Material 2. Trim & Doors Stain/Paint Brand/ 3. Ceiling Material 4. Ceiling Lights 5. Window 1 Window 2 Window 3 Window 4 6. Miscellaneous Flooring: Material/Type Basement & Attic Contents: Luggage Antiques Electronics Miscellaneous 1(888)
29 HOBBY/SPORTS EQUIPMENT Contents: Coin Collections Stamp Collections Other Collections Power Tools Hand Tools Games Camera Equipment Bicycles & Equipment Ski Equipment Ice Skates Roller Skates/Blades Camping Equipment Guns Fishing Equipment Tennis Equipment Golf Clubs Bowling Equipment Exercise Equipment Miscellaneous 1(888)
30 SILVER, JEWELRY & COLLECTIBLES Item Date Purchased Original Cost 1(888)
31 PERSONAL ITEMS Men/Boys: Overcoats Raincoats Suits Sport Jackets Slacks Shirts Sweaters Sportswear Ties Belts Underwear Socks Pajamas Bathrobes Slippers Shoes Hats Gloves Toys Miscellaneous 1(888)
32 Women/Girls: Coats Jackets Suites Dresses Skirts Slacks Blouses Sweaters Sportswear Stockings Lingerie Sleepwear Robes Slippers Shoes Handbags Hats Gloves Scarves Toys Miscellaneous 1(888)
33 SUMMARY (Use this section to make any additional notes when discussing your claim with your insurance agent.) Living Room Dining Room Kitchen & Utility Room Family Room/Den Master Bedroom Bedroom No. 2 Bedroom No. 3 Office/Bedroom No. 4 Bathroom No. 1 Bathroom No. 2 Garage/Carport/Shed Hobby/Sports Equipment Silver Jewelry & Collectibles Personal Items Men/Boys HOMEOWNERS INSURANCE INVENTORY Women/Girls 1(888)
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NEW CLIENT MANAGEMENT APPLICATION
Management and Rental (Ver. 8-22-2011) NEW CLIENT MANAGEMENT APPLICATION CLIENT INFORMATION LAST NAME FIRST NAME MIDDLE NAME DATE OF BIRTH DRIVER S LICENSE NO. STATE SOCIAL SECURITY NUMBER PRESENT ADDRESS