BUILDING INSURABLE VALUES Dwelling Built to Build $ (Not including foundations) Less % Depreciation $ Sound $ Personal Property Inventory The extra protection you need. Garage, Other Buildings Built to Build $ Less % Depreciation $ Sound $ Recommendation: Supplementing the Personal Property Inventory with a photo or video record of room contents, plus bills of sale, receipts and appraisals of items of special value, provides documentation to establish losses with the greatest possible accuracy. 1900 South 1th Ave. West Bend, WI 53095 (262) 334-5571 thesilverlining.com WB-1009 (3/09)
LIVING AREAS 1 2 PRESENT INSURANCE Total Premium Term Annual Renewal Premium Due Company of Agency Carpets, rugs Draperies Curtains Sofas, sectionals Studio couches Lounge chair Occasional chairs Straight chairs Slip covers Pillows Tables Table accessories Desks Secretaries Desk accessories Room dividers Planters Lamps Pictures Wall hangings Mirrors Decor Clocks Fireside fixtures TV tables - 2 - - 15 -
SUMMARY OF YOUR 3 DINING AREAS Kind of Insurance Insurable Amount/Limits of insurance Remarks HOMEOWNERS Insurance Dwelling Garage, Other Buildings Additional Living Expense Personal Property on premises Personal Property away Family/Personal Liability ALL RISKS for valuables TOTAL Recreational Vehicle Insurance Watercraft/ATV/snowmobile LIABILITY insurance TOTAL AUTOMOBILE Insurance Amount/Limits of Insurance Car #1 Car #2 Bodily Injury Liability Property Damage Liability Medical Payments Collision/Upset Damage other than collision Motorcycle Motor home TOTAL HEALTH insurance Kind Amount Disability income Buffet, credenza Major Medical China cabinet, hutch Hospitalization Kind Amount Serving tables Other Snack bar stools LIFE insurance - 14 - - 3 -
BEDROOMS 1 2 SUMMARY OF INVENTORY See Page Carpets, rugs LIVING AREAS Draperies 1 2 Curtains 2 2 Beds, springs 3 3 Mattresses DINING AREAS 3 Dressers BEDROOMS Chests 1 4 Vanities 2 4 Chaise lounges 3 5 Chairs 4 5 Benches PERSONAL EFFECTS Tables Men s 6 Night stands Boy s 6 Desks Women s 7 Secretaries Girl s 7 Lamps JEWELRY Pictures CHINA, LINENS Wall hangings CRYSTAL Mirrors FURS Vanity appt. s FINE ARTS Decor SILVER 9 Baby cribs RECREATION 9 Playpens LEISURE 10 Bassinettes KITCHEN 10 Bathinettes YARD 10 Nursery access. UTILITY 11 APPLIANCES 11 BEDDING, BATHROOM 12 MISC., BOOKS 12-4 - - 13 -
BEDDING 3 4 Blankets, Spreads Quilts Remarks Pillows Sheets Pillow cases Electric blankets Mattress pads BATHROOMS Towels Wash cloths Cloths hampers Bath accessories Bath mats Bath scales Carpets, rugs Draperies, curtains MISC. Air conditioners Fans, heaters De-humidifiers/humidifiers Air purifiers BOOKS - 12 - - 5 -
PERSONAL EFFECTS Suits Men s Boy s UTILITY Clothes washers Clothes dryers Formal attire Irons Sports coats Sewing machines Sports jackets Vacuum cleaners Slacks Floor polishers Overcoats Rug shampooers Topcoats Cleaning supplies Sweaters Sportswear Beach wear Shorts Hats, caps Gloves Shoes, loafers Slippers YARD Outdoor furniture Boots Pool accessories Belts Cooking equipment Shirts Power mowers Ties Lawn sweepers Socks Snow plows Underwear Tillers Handkerchiefs Edgers, trimmers Pajamas Garden hose Robes Sprinklers Billfolds Spreaders Lighters, cases Garden equipment Men s jewelry Fire pit Luggage Landscape Electric razors Lighting/decor - 6 - - 11 -
LEISURE Golf clubs Fishing tackle KITCHEN Stoves Refrigerators PERSONAL EFFECTS Day dresses Women s Girl s Guns, firearms Freezers Party dresses Bowling equipment Dish washers Formals Archery sets Cookware Suits Tennis equipment Cutlery Coats Camera equipment Utensils Jackets Boats, motors, equipment Foods Sweaters Camping equipment Liquors, wines Skirts Ice skates Clocks Blouses Ski equipment Decor Slacks, jeans Bicycles Microwave Shorts Billiard tables Water cooler Beach wear Ping Pong tables Wine chiller Sportswear Card tables Hats, gloves Chairs APPLIANCES Purses, billfolds Games Rotisseries Shoes, slippers Toys Roasters Galoshes, boots Playground equip. Coffee makers Belts Coin collections Mixers, blenders Hosiery, scarfs Stamp collections Toasters Handkerchiefs Art supplies Waffle irons Lingerie Power tools Grills, griddles Robes Hand tools Fry pans Housecoats Other equipment Knives Sleep wear Musical instruments Sharpeners Umbrellas Piano/organ/keyboard Can openers Luggage Roller blades Elect. toothbrushes ume jewelry Skateboards Slow cookers Cosmetics Scooter Coffee grinder Hair dryers/irons - 10 - - 7 -
JEWELRY CHINA, LINENS SILVER Watches China, dinnerware Place settings Rings Luncheon sets Serving pieces Necklaces Breakfast sets Platters, trays Pendants Dishes, bowls Bracelets Chafing dishes Earrings Tea service Pins, brooches Table cloths Pitchers Napkins Candle holders Place mats Other pieces FURS Coats Capes Jackets Stoles Scarfs CRYSTAL ELECTRONICS Shrugs Goblets Television sets Glasses, tumblers Stereo system Sherbet, parfait CDs Punch bowl sets Radios Cocktail glasses DVDs Liqueur glasses CD player Pitchers DVD player FINE ARTS Decanters VCR Paintings Bowls, vases Surround Sound Etchings Dishes Projection System Statuary mp3 player Figurines Cell phone Other art Computer equipment Rugs Laptop Collectibles Software - - - 9 -