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Household Goods List [PDF]
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Date__________
Part G. Household Goods and Furnishings
Room/Description |
Replacement Value |
Room Total |
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Living Room |
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Carpets/Rugs |
$ _________________ |
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Sofas, Chairs |
$ _________________ |
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Tables |
$ _________________ |
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Lamps |
$ _________________ |
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Pictures/Mirrors |
$ _________________ |
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Window Coverings |
$ _________________ |
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TVs, Stereos |
$ _________________ |
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Computer |
$ _________________ |
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Other (list) |
$ _________________ |
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Total Living Room |
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$ _________________ |
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Kitchen |
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Appliances |
$ _________________ |
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Small Appliances |
$ _________________ |
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Table, Chairs |
$ _________________ |
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Cookware |
$ _________________ |
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Dishes, Utensils |
$ _________________ |
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Other (list) |
$ _________________ |
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Total Kitchen |
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$ _________________ |
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Dining Room |
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Carpet/Rugs |
$ _________________ |
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Table, Chairs |
$ _________________ |
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Buffet, Sideboard |
$ _________________ |
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China, Glassware |
$ _________________ |
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Silver |
$ _________________ |
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Pictures/Mirrors |
$ _________________ |
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Other (list) |
$ _________________ |
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Total Dining Room |
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$ _________________ |
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Bedrooms |
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Carpet/Rugs |
$ _________________ |
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Beds |
$ _________________ |
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Bedding |
$ _________________ |
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Bureaus, Dressers |
$ _________________ |
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Pictures/Mirrors |
$ _________________ |
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Desk, Chairs, Tables |
$ _________________ |
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TVs, Stereos |
$ _________________ |
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Computer |
$ _________________ |
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Other (list) |
$ _________________ |
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Total Bedrooms |
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$ _________________ |
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Family Room/Den |
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Sofas, Chairs |
$ _________________ |
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Tables, Chairs |
$ _________________ |
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Pictures/Mirrors |
$ _________________ |
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TVs, Stereos |
$ _________________ |
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Computer |
$ _________________ |
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Other (list) |
$ _________________ |
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Total Family Room/Den |
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$ _________________ |
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Garage/Car Port/Shed |
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Tools |
$ _________________ |
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Lawn Mower |
$ _________________ |
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Grill |
$ _________________ |
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Lawn Furniture |
$ _________________ |
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Hobby/Sport Equipment |
$ _________________ |
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Other (list) |
$ _________________ |
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Total Garage/Car Port/Shed |
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$ _________________ |
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TOTAL HOUSEHOLD |
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$ _________________ |
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