Home Inventory Contents List

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Err:502

TOTAL ESTIMATED VALUE OF ALL ITEMS:

Jamie Stark

NAME:

Insurance company:

Humongous Insurance

Insurance company policy number:

Insurance agent:
Insurance agent phone:

(435) 555-0187

PHONE:

10/12/2016

Insurance company phone:

131 Orange Blossom Way, Apt 6

ADDRESS:

INVENTORY DATE:

Insurance agent address:

Rene Valdes
(800) 555-0156
6789 Palm Street, Moline FL 68897

Item/
description

Make/
model

Living Room

Item 1

Manufacturer 1

33XCBH3

5/2/2010

Online

$2,000.00

$2,000.00

Yes

Home Office

Item 2

Manufacturer 2

55-678B

11/6/2010

Computer Store

$1,500.00

$1,000.00

No

Living Room

Item 3

Manufacturer 3

7865SS-J3

3/15/2011

Furniture store

$560.00

$550.00

Dining Room

Item 4

Manufacturer 4

768087

6/1/2011

Online

$240.00

Family Room

Item 5

Manufacturer 5

80-JBNR

8/19/2011

Computer Store

$300.00

TOTALS

Date
purchased

PHO99H4

Room/
area

Item #

Serial number/
ID number

(800) 555-0123

Err:502

Where purchased

Purchase
price

Err:502

Page 1 of 2

Estimated
current value

Notes

Photo?

No

$200.00

Yes

$290.00

No

Err:502

Room Lookup
To add to this list, type your entry directly below the
last row in the table.

Room/Area
Basement
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Dining Room
Family Room
Garage
Home Office
Kitchen
Living Room
Master Bedroom