Crystal Treasures, Inc.

Home Inventory Report

Sample Home Inventory

Report

ForJohn & Jane Smith

ByCrystal Treasures, Inc.

Home Inventory Serviceswww.crystaltreasuresinc.com

Home Inventory Digital Report

•Report & Photos on CD

•Video on DVD

Home Inventory Report

Elegant ExecutiveBlack Leather 3-Ring Binder Stored Safely In A Decorative Box

Recommendations1 Place the digital copy of your home inventory

report, photos and video in your safe deposit box.

2 Upon completion of your home inventory, review your insurance policy with your agent.

3 If you have a 2nd home that needs to be inventoried, contact CTi. CTi inventory homes from coast to coast.

4 Post the CTi Warning Operation I.D. Stickers.

5 Have your "Priceless Keepsakes" such as family photos, scrapbooks, videos transferred onto a CD/DVD and stored in a fireproof, waterproof and secured location.

6 Keep all receipts

SECTION 1

Recommendations

Vital Legal / Sentimental Documents

Y/N S/D F/P W/P S D/P Policy

Wills/Trust Papers

Y N N N Y N

Life Insurance Policy

Y N N N Y N

Homeowners Insurance Policy

Y N N N Y N

Mortgage Y N Y N Y N

Stocks Y N N N Y N

IRA Y N N N Y N

Birth Certificates

Y N N N Y N

SECTION 2

Vital Legal /Sentimental Documents

Priceless Keepsakes Inventory Analysis

Y/N CD DVD S/D F/P W/P S

Family Photos-Weddings- Graduations

YY

NN

NN

NN

YN

NN

NN

Family 35mm Slides-Birthday-Anniversary

YY

NN

NN

YY

YY

NN

NN

Family VHSVideos-Graduation-Military

YY

NN

NN

YY

YY

YY

YY

LP Vinyl Records Y N N/A N N N N

Audio Cassettes Y N N/A N N N N

SECTION 3

Priceless Keepsakes Inventory Analysis

Section Room Description Appraised ValueActual Value

1 Kitchen $22,650.00

2 Living Room $41,275.00

3 Dining Room $22,000.00

4 Home Theatre $15,500.00

5 Deck Furniture $17,700.00

6 Collectibles $27,375.00

7 Specialty Assets $10,250.00

8 Clothing $26,350.00

SECTION 4

Total Home Inventory

Value

Qty Mfg., Description

SN# Model# Appraised or Actual Value

Date of Purchase

Kitchen1 Dacor, Range,

Stainless SteelB123 Dacor2

22A$1250.00 2/2008

1 Dacor, Refrigerator, Stainless Steel

B113 Dacor333B

$5400.00 2/2008

1 Cuisinart, Supreme Super Blender

12CCNB

Cur123blen

$125.00 1/2007

1 Jura, Capresso Impressa Coffee Maker

XNC127899

Jura157 $225.00 1/2007

1 Set

Kitchen Table with 6 Baronet Chairs, Brown

N/A Bar89657765

$12,250.00 6/2006

1 Solingen, West Germany, Tableware Set w/Case

N/A GWest23487

$3,400.00 8/2008

SECTION 5

Inventory Room by Room

- Kitchen -

Qty Mfg., Description

SN# Model# Appraised or Actual Value

Date of Purchase

Living Room1 Hitachi Director

Series, Flat Panel, LCD HD TV 42" Screen

2221VBNN

HTV123342

$3,650.00 6/2008

1 Panasonic, HD DVD Player

C1234113

PANDVD11

$125.00 2/2008

1 Yamaha, Grand Piano w/Piano Bench, Disklabier, Black/Ebony

1234KKKHJ

YAMAHA123

$32,900.00 1/2007

1 Astro Gamma Sofa, Black

1234GRAM

ASTRO133

$2,300.00 4/2007

1 Martha Stewart Collection End Table , Brown

12345 MS1224556

$1750.00 12/2007

1 Ralph Lauren, Lamp, 5'

N/A LAMP1234

$550.00 9/2006

SECTION 6

Inventory Room by Room- Living Room -

Qty Description Artists Appraised or Actual Value

Date of Purchase

Collectibles1 Artwork:

Decorative Painting "Two Ladies & a Child" w/ Frame, 44" X 56"

Belleusz $1,250.00 6/2008

1 Artwork: Painting "Gypsy", 19th Century, 38" x 30 w/Frame

Szantha Mariz $11,225.00 12/2008

1 Artwork: Painting "Men & Women At The Sea", 4' x 3'

J. Soher $7,900.00 12/2007

1 Clock: Leonard DaVinci, 19th Century, 30" Tall

Smith $2,500.00 4/2007

1 Grandfather Clock, Brown, 7'

Smith $4,500.00 5/2006

SECTION 7

Inventory - Collectibles –

IncludesFine Art, Sculptures,

Antiques, Coins, Wines, and More…

Qty Title Stars Actual Value

Date of Purchase

DVD’s1 Jurassic Park Trevor Morgan $12.00 6/2004

1 Jurassic Park - The Lost World

Trevor Morgan $18.00 12/2005

1 Matrix Keanu Reeves $18.00 12/2007

1 Martix Reloaded Keanu Reeves $20.00 1/2008

1 The Lord Of The Rings: The Fellowship Of The Ring

Elijah Wood $18.00 1/2001

Software1 QuickBooks

Premier 2007 For Windows

N/A $1,200.00 3/2007

1 Quicken Deluxe 2008 For Windows

N/A $250.00 3/2008

SECTION 8

Inventory - Specialty Assets –

IncludesJewelry, Firearms,

Window Treatments, Books, DVD’s, CD’s,

Videos, Computer Games, Computer

Software, and More…

SECTION 9

Receipts

SECTION 10

Photos

ADDITIONAL SERVICES

Home Inventory Report Storage Services

Home Security Inspection Services

Tangible Personal Property List Services

CONTACTEMAIL

crystaltreasures@charter.net

WEBSITE www.crystaltreasuresinc.com

2009 copyright by Crystal Treasures, Inc.