Personal Property Inventory

Name: ______________________ Date: _______________________

BUILDING INSURABLE VALUES
Dwelling (Year built)  
Present cost to build (excluding foundation)  
Less _____ % depreciation  
Present sound value  
Garage, Other Buildings (Year built)  
Present cost to build (excluding foundation)  
Less _____ % depreciation  
Present sound value  
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.

Fulmont Mutual Insurance Company
Main Office: P.O. Box 487, Johnstown, NY 12095-0487

Page: __________ of __________