Fill and Sign the Personal Property Inventory Questionnaire Form

Personal Property Inventory Questionnaire Page of Name: Date: Personal Property Inventory 1. 2. 3. LIVING AREAS # of items Original Cost Present Value # of items Original Cost Present Value # of items Original Cost Present Value Carpets, rugs Window treatments Sofa, sectional Straight Chairs Slip covers Pillows Tables Desks Coffee table Planters Lamps Pictures/Art Wall hangings Mirrors Accessories Clocks Fireplace fixtures Entertainment table/consoles Lounge Chairs Computers Calculators TOTALS Page of Name: Date: Personal Property Inventory 1. 2. 3. DINING AREAS # of items Original Cost Present Value # of items Original Cost Present Value # of items Original Cost Present Value Carpets, rugs Window treatments Sofa, sectional Straight Chairs Slip covers Pillows Tables Buffet Hutch, China Cabinet Planters Lamps Pictures/Art Wall hangings Mirrors Accessories Clocks Fireplace fixtures Serving Table Snack Bar stools Misc. TOTALS Page of Name: Date: Personal Property Inventory 1. 2. 3. BEDROOMS # of items Original Cost Present Value # of items Original Cost Present Value # of items Original Cost Present Value Carpets, rugs Window treatments Beds, springs Mattresses Dressers Chests Chaise Lounges Chairs Benches Night Stands Lamps Pictures/Art Wall hangings Mirrors Tables Clocks Baby cribs/equipment Entertainment table/consoles Lounge Chairs TV Media Equip. Blankets Quilts Pillows Sheets, linens Other TOTALS Page of Name: Date: Personal Property Inventory MEN’S BOY’S PERSONAL EFFECTS # of items Original Cost Present Value # of items Original Cost Present Value Pants Shirts Sport Coats Suits Formal Attire Overcoats Sweaters Beachwear Shorts T-shirts Shoes Boots Hats, caps Ties Socks Clocks Underwear Pajamas Robes Men’s jewelry Luggage Misc. TOTALS Page of Name: Date: Personal Property Inventory WOMEN’S GIRL’S PERSONAL EFFECTS # of items Original Cost Present Value # of items Original Cost Present Value Pants/Jeans Shirts Jackets/Blazers Suits Formalwear Day dresses Sweaters Skirts Shorts T-shirts Blouses Boots Hats, caps Shoes Socks Beachwear Underwear/ Lingerie Pajamas Robes Men’s jewelry Purses/handbags Hosiery/scarves Costume jewelry Luggage Misc. TOTALS Page of Name: Date: Personal Property Inventory JEWELRY # of items Original Cost Present Value Watches Rings Necklaces Chokers Pendants Bracelets Earrings Pins, Brooches Misc. TOTALS FURS # of items Original Cost Present Value Coats Jackets Wraps/Stoles Capes Gloves Scarves Other TOTALS FINE ART # of items Original Cost Present Value Paintings Statuary Etchings Lithographs Figurines Bracelets Other TOTALS Page of Name: Date: Personal Property Inventory CHINA, LINENS # of items Original Cost Present Value China, dinnerware Luncheon set Breakfast set Serving pieces Misc. Table cloths Napkins Place mats Runners TOTALS CRYSTAL # of items Original Cost Present Value Goblets Glasses Pitchers Decanters Bowls Punch Bowl set Liqueur Vases Dishes Serving pieces Other TOTALS Page of Name: Date: Personal Property Inventory SILVER # of items Original Cost Present Value Place settings Serving Pieces Platters, trays Bowls Dishes Chafing dishes Tea Service Pitchers Candle Holders Other TOTALS 1. 2. 3. BATHROOMS # of items Original Cost Present Value # of items Original Cost Present Value # of items OriginalCost Present Value Towels Hampers Accessories Scales Dressers Carpets, rugs Curtains Shower Curtain Other TOTALS Page of Name: Date: Personal Property Inventory HOBBIES/ LEISURE # of items Original Cost Present Value Golf Clubs Fishing Tackle Guns, firearms Tennis equip. Camping equip. Skis Bowling equip. Bicycles Billiards Boats, motors Play equip. Games Pianos Musical Instruments Televisions CD players DVD players Radios Albums Movies Tape Recorders Video equip. Art Supplies Power tools Hand tools Toys Card Tables Chairs Books Other TOTALS Page of Name: Date: Personal Property Inventory YARD # of items Original Cost Present Value Outdoor furniture Pool accessories Cooking equipment Power mowers Lawn sweepers Snow plows Tillers Edgers, trimmers Blowers Garden hoses Sprinklers Garden equip. Garden tools Other TOTALS MISC. # of items Original Cost Present Value Appliances Fans Heaters De-humidifiers Air conditioners Other TOTALS Page of Name: Date: Personal Property Inventory INVENTORY SUMMARY See page Original Cost Present Value Living Areas 1. 2. 3. Dining Area Bedrooms 1. 2. 3. 4. 5. Personal Effects – Men’s Personal Effects – Boy’s Personal Effects – Women’s Personal Effects – Girl’s Jewelry China, Linens Crystal Furs Fine Art Silver Hobbies/ Leisure Yard Bedding Bathroom Misc. TOTALS