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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. North Dakota State University does not discriminate on the basis of race, color, national origin, religion, sex, gender identity, disability, age, status as a U.S. veteran, sexual orientation, marital status, or public assistance status. Direct inquiries to the Vice President for Equity, Diversity and Global Outreach, 205 Old Main, (701) 231-7708. This publication will be made available in alternative formats for people with disabilities upon request, 701 231-7881.
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