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North Dakota State University Household InventoryFE-223 (Revised), September 2006 Click here for an Adobe Acrobat pdf file suitable for printing. (38KB) � NAME____________________ ADDRESS___________________________________________ Keep a copy of this form outside your home, perhaps in a safety-deposit box or with a financial adviser. In addition to completing this inventory, photographing or videotaping your possessions provides further detail and also can be helpful for identification purposes. Keep a copy of the tape in a fire/flood-safe place. Check with local law enforcement offices for information on marking and registration of household articles. Be sure to update this list as items are deleted or added. � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- LIVING ROOM FURNITURE ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ WINDOW COVERINGS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � RUGS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � ELECTRONICS ______________________________________ ___________ ___________ Audio/Video ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ �� ACCESSORIES ______________________________________ ___________ ___________ Fine Arts ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ Lighting Fixtures ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- DINING ROOM FURNITURE ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ WINDOW COVERINGS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � RUGS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � DISHES ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � SILVER ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � GLASSWARE ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � ACCESSORIES ______________________________________ ___________ ___________ Lighting Fixtures ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- FAMILY ROOM, DEN OR OFFICE FURNITURE ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � ELECTRONICS ______________________________________ ___________ ___________ Audio/Video ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � EQUIPMENT ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ Computer ______________________________________ ___________ ___________ Printer ______________________________________ ___________ ___________ Musical Instrument ______________________________________ ___________ ___________ � WINDOW COVERINGS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � RUGS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � ACCESSORIES ______________________________________ ___________ ___________ Lighting Fixtures ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- KITCHEN MAJOR APPLIANCES ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ SMALL APPLIANCES ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � COOKWARE ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ STORAGE CONTAINERS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � DISHES ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � GLASSWARE ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � CUTLERY ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � LINEN ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ WINDOW COVERINGS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � ACCESSORIES ______________________________________ ___________ ___________ Lighting Fixtures ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � MISC. ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- BEDROOM 1 FURNITURE ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � BED LINEN ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � CLOTHING ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ Shoes ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ WINDOW COVERINGS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � ACCESSORIES ______________________________________ ___________ ___________ Lighting Fixtures ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � MISC. ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ Jewelry ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ Pictures ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- BEDROOM 2 FURNITURE ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � BED LINEN ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � CLOTHING ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ Shoes ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ WINDOW COVERINGS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � ACCESSORIES ______________________________________ ___________ ___________ Lighting Fixtures ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � MISC. ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ Jewlery ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ Pictures ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- BEDROOM 3 FURNITURE ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � BED LINEN ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � CLOTHING ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ Shoes ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ WINDOW COVERINGS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � ACCESSORIES ______________________________________ ___________ ___________ Lighting Fixtures ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � MISC. ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ Jewlery ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ Pictures ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- BATHROOM(S) LINENS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- HEALTH EQUIPMENT ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- OTHER ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- EXERCISE EQUIPMENT ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- LAUNDRY EQUIP. ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- STORAGE LUGGAGE ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ SPORTS EQUIPMENT ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � SPECIALTY TOYS ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � OTHER ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � � PURCHASE ITEM DESCRIPTION DATE COST ---------------------------------------------------------------- GARAGE/BASEMENT TIRES ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � YARD EQUIPMENT ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � YARD FURNITURE ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � OTHER ______________________________________ ___________ ___________ ______________________________________ ___________ ___________ � Attach or insert additional pages if needed. FE-223 (Revised), September 2006 A more recent version of this publication may be available on our web site: www.ag.ndsu.edu County commissions, North Dakota State University and U.S. Department of Agriculture cooperating. Duane Hauck, director, Fargo, N.D. Distributed in furtherance of the acts of Congress of May 8 and June 30, 1914. We offer our programs and facilities to all people regardless of race, color, national origin, religion, gender, disability, age, veteran’s status or sexual orientation; and are an equal opportunity institution. This publication will be made available in alternative formats for people with disabilities upon request, (701) 231-7881. |
County Commissions, North Dakota State University and U.S. Department of Agriculture cooperating. Duane Hauck, Director, Fargo, North Dakota. Distributed in furtherance of the Acts of Congress of May 8 and June 30, 1914. We offer our programs and facilities to all persons regardless of race, color, national origin, religion, gender, disability, age, veteran's status or sexual orientation; and are an equal opportunity institution. This publication will be made available in alternative formats for people with disabilities upon request, 701 231-7881.
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