INVENTORY OF PERSONAL PROPERTY AND HOUSEHOLD FURNISHINGS

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INVENTORY OF PERSONAL PROPERTY AND HOUSEHOLD FURNISHINGS THIS IS THE PERSONAL INVENTORY OF AND Date: The attached itemized lists may be used as summary sheets during your personal inventory, prior to pack-out day. For a complete itemized list of specific personal and household goods, use additional sheets to list and describe the items listed under "Article" and attach the sheets to each summary sheet provided. For example, under the category Women's Clothing Coats: 10 items; 1970-1993; $15.00 - $2,000 On a separate sheet list your coats, etc., write a short description, the actual year purchased, price and value. When all of your personal items in this category have been described, attach all sheets to the summary sheet. When the packers arrive, another inventory will be made and a general description of the contents of each box will be on the packer's inventory. This document is a "statement" of what the packer has packed up for you and the condition of your goods at the time of packing. Your own inventory is more specific and will help you identify your belongings, as well as have estimated values for each item in case of loss. The publication It's Your Move, from the Office of Logistics Management (Transportation), is available online at http://www.state.gov/m/dghr/flo/rsrcs/pubs/77356.htm and provides a helpful chapter entitled "Why You Need an Inventory." Overseas Briefing Center (OBC), a division of the Transition Center at FSI / Arlington, Virginia Room E-2126 / Tel: 703-302-7277 / FSIOBCInfoCenter@state.gov Internet: http://www.state.gov/m/fsi/tc Intranet: http://fsi.state.gov/fsi/tc January 2015

WOMEN S CLOTHING Coats Dresses Hosiery Lingerie Pants Shirts/Blouses Shoes Skirts Sportswear Suits Sweaters Others

MEN S CLOTHING Accessories Coats Jackets Pants Shirts Shoes Socks Sportswear Suits Sweaters Ties Ties/Handkerchief sets Underwear Others

CHILDREN S CLOTHING* Name: Coats Dresses Jackets Pants Shirts Shoes Socks Sportswear Sweaters T-shirts Underwear Others *Do a separate inventory for each child

BABY CLOTHING AND EQUIPMENT Name: Coats Changing Table Chest Crib Dresses Hand-carried bed High Chair Jackets Pants Playpen Rocker Shirts Shoes Socks Stroller Sweaters T-Shirts Underwear Others

HOUSEHOLD FURNISHINGS LIVING ROOM Bookcase Books/Manuscripts Carpet/Rugs Chairs Clocks Curtains/Draperies Desk Fireplace Equipment Lamps Mirrors Musical Equipment(s) (include piano) Pictures Records/tapes/CDs Sofas Stereo Equipment Tables Televisions VCRs Miscellaneous (bric-a-brac)

HOUSEHOLD FURNISHINGS DINING ROOM Accessories Buffet/Sideboard Carpets/Rugs China Cabinet China Curtains/Draperies Glassware Pictures/Mirrors Table/Chairs Miscellaneous ',

HOUSEHOLD FURNISHINGS KITCHEN Appliances Buffet China Cabinet Cleaning Equipment Clocks Kitchen Cabinet Kitchen Utensils Major Appliances Table/Chairs Telephone(s) Vacuum Miscellaneous

HOUSEHOLD FURNISHINGS BATHROOM Bath Mats Bath Towels Hand Towels Guest Towels Medicine Cabinet Personal Items Scales Shelves Shower Curtains Tables Wash Towels

HOUSEHOLD FURNISHINGS DEN/FAMILY ROOM/HOME OFFICE Bookcase Chairs Clocks/Mirrors Computer Equipment Curtains/Draperies Desk Lamps Radio Sofas Stereo Tables Television VCR Miscellaneous

HOUSEHOLD FURNISHINGS MASTER BEDROOM Bed Frame Box Springs/Mattress Bureaus Carpets/Rugs Chairs Chests Clocks/Mirrors Curtains/Shades Desk Dressing Table Dresser Linens/Bedding Miscellaneous

HOUSEHOLD FURNISHINGS BEDROOM* Bed Frame Box Springs/Mattress Bureaus Carpets/Rugs Chairs Chests Clocks/Mirrors Curtains/Shades Desk Dressing Table Dresser Linens/Bedding Miscellaneous *Do a separate inventory for each bedroom

HOUSEHOLD FURNISHINGS GARAGE/OUTDOOR Accessories Auto/Work Tools Barbecue Grill/Equipment Bicycles Chairs Garden Tools Outdoor Furniture Power Equipment Sporting Equipment Tables Miscellaneous,

LINENS *Do a separate inventory for each bedroom

COMPUTER EQUIPMENT/SOFTWARE

FINE ARTS (PAINTINGS, PICTURES, TAPESTRIES) SILVERWARE

JEWELRY FURS ORIENTAL RUGS

CAMERAS AND PHOTOGRAPHIC EQUIPMENT Books, DVDs, CDs

SUMMARY ARTICLE TOTAL VALUE Women's Clothing Men's Clothing Children's Clothing Baby Clothing and Equipment Living Room Dining Room Den/Family Room/Home Office Kitchen Master Bedroom Other Bedrooms Bathroom Linens Garage/Outdoor Fine Arts Silverware Jewelry Furs Oriental Rugs Cameras Books, DVDs, CDs Computer Equipment Total Value

I, the undersigned, do solemnly swear that these assembled pages constitute a complete list of my personal and household effects now in my possession at Address Signature(s) Subscribed and sworn to before me this day of 20. Signature of Witness Note: These inventory pages can be duplicated, completed, folded, and stapled together to constitute an official listing of your personal property.