You are on page 1of 120

A B C D E F G H I J K

2
TIPS TO GET YOU STARTED: Last Updated:
4/10/2014
* Provide as much detail as possible. All personal property, regardless of how small or is age, has a value.
* Include vintage or antiques that may no longer be manufactured or available for purchase.
3 * Don’t throw anything away until it has been documented and your adjuster has authorized you to do so.
* Make your list room by room and take your time. Try to create a mental picture of what the room contained. Don’t forget the inside of closets, drawers, and cabinets.
* Photograph or dictate the inventory of each room to record the quality, size and appearance of your items. This allows you to work offsite easily.

* Based on your insurance type, business inventory stock, or items used for business purposes, may need to be listed separately.
4
5 PERSONAL PROPERTY HOME INVENTORY FOR:
6 NAME: (family name - policy holder name)
7 ADDRESS: (your address)
8 POLICY NUMBER: (your insurance policy)
9 CLAIM NUMBER: (claim number from insurance company)
10 DATE OF LOSS: (month-day-year)
11 TOTAL
12 POLICY LIMITS: $0.00 REPLACEMENT VALUE: $0.00
13

14 Click on the name or category to see the property items - insert/delete rows to customize:
15 Bedroom Storage Cabinets Automotive Pets
16 Bedroom Closet Kitchen Baby/Toddler Items Sporting Goods
17 Bathroom Kitchen Pantry Crafts Toys
18 Bathroom Vanity Refrigerator Contents Electronics/Computers
19 Linen Closet Freezer Contents Emergency Supplies/Kits
20 Living Room Garage/Tools Gourmet/Luxury/Collectibles
21 Family Room/Library Tool Shed Health Care Products
22 Dining Room Attic Holiday Décor
23 Home Office Basement Movies
24 Game Room Garden/Yard Music/CDs
25 Laundry Room/Cleaning Musical Equipment
26
27 Inventory Example
28 (this is a separate worksheet within this file)
29 Category BEDROOM For Insurance Adjuster

1 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
31 Bedroom Air conditioner - portable 0 $0.00 $0.00
32 Bedroom Air conditioner - window 0 $0.00 $0.00
33 Bedroom Armoire 0 $0.00 $0.00
34 Bedroom Artwork (List separately) 0 $0.00 $0.00
35 Bedroom Baby - bassinette 0 $0.00 $0.00
36 Bedroom Baby - bedding 0 $0.00 $0.00
37 Bedroom Baby - bottle 0 $0.00 $0.00
38 Bedroom Baby - changing table 0 $0.00 $0.00
39 Bedroom Baby - crib 0 $0.00 $0.00
40 Bedroom Baby - diapers 0 $0.00 $0.00
41 Bedroom Baby - mobile 0 $0.00 $0.00
42 Bedroom Baby - monitor 0 $0.00 $0.00
43 Bedroom Baby - powder 0 $0.00 $0.00
44 Bedroom Baby - stroller 0 $0.00 $0.00
45 Bedroom Baseball cap 0 $0.00 $0.00
46 Bedroom Bed - bunk type 0 $0.00 $0.00
47 Bedroom Bed blankets 0 $0.00 $0.00
48 Bedroom Bed bolsters 0 $0.00 $0.00
49 Bedroom Bed box spring 0 $0.00 $0.00
50 Bedroom Bed canopy 0 $0.00 $0.00
51 Bedroom Bed comforter 0 $0.00 $0.00
52 Bedroom Bed dust ruffle 0 $0.00 $0.00
53 Bedroom Bed duvet cover 0 $0.00 $0.00
54 Bedroom Bed foot board 0 $0.00 $0.00
55 Bedroom Bed frame 0 $0.00 $0.00
56 Bedroom Bed headboard 0 $0.00 $0.00
57 Bedroom Bed mattress 0 $0.00 $0.00
58 Bedroom Bed mattress pad 0 $0.00 $0.00
59 Bedroom Bed pillow cases / shams 0 $0.00 $0.00
60 Bedroom Bed pillows 0 $0.00 $0.00
61 Bedroom Bed quilt 0 $0.00 $0.00
62 Bedroom Bed reading pillow 0 $0.00 $0.00
63 Bedroom Bed riser 0 $0.00 $0.00
64 Bedroom Bed sheets 0 $0.00 $0.00
65 Bedroom Bed skirt 0 $0.00 $0.00
66 Bedroom Bed spread 0 $0.00 $0.00
67 Bedroom Bed throw blanket 0 $0.00 $0.00
68 Bedroom Bed throw pillows 0 $0.00 $0.00
69 Bedroom Belt 0 $0.00 $0.00
70 Bedroom Belt buckle 0 $0.00 $0.00
71 Bedroom Bible 0 $0.00 $0.00
72 Bedroom Book light 0 $0.00 $0.00
73 Bedroom Books - comic (List separately) 0 $0.00 $0.00
74 Bedroom Books - hardbound (List separately) 0 $0.00 $0.00
75 Bedroom Books - paperback (List separately) 0 $0.00 $0.00
76 Bedroom Calendar 0 $0.00 $0.00
77 Bedroom Candle holder/stick 0 $0.00 $0.00
78 Bedroom Candles 0 $0.00 $0.00
79 Bedroom Cat bed/cat tree 0 $0.00 $0.00
80 Bedroom CD'S (List separately) 0 $0.00 $0.00
81 Bedroom Cell phone 0 $0.00 $0.00
82 Bedroom Cell phone - charger 0 $0.00 $0.00
83 Bedroom Cell phone - downloaded songs 0 $0.00 $0.00

2 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
84 Bedroom Cell phone - games 0 $0.00 $0.00
85 Bedroom Cell phone - ringtones 0 $0.00 $0.00
86 Bedroom Cell phone carrying case 0 $0.00 $0.00
87 Bedroom Cigar - case 0 $0.00 $0.00
88 Bedroom Cigar - cutter 0 $0.00 $0.00
89 Bedroom Cigar - humidor 0 $0.00 $0.00
90 Bedroom Cigarette lighter 0 $0.00 $0.00
91 Bedroom Cigarettes 0 $0.00 $0.00
92 Bedroom Cigars 0 $0.00 $0.00
93 Bedroom Clock - alarm 0 $0.00 $0.00
94 Bedroom Clock - wall 0 $0.00 $0.00
95 Bedroom Collectables - (List separately) 0 $0.00 $0.00
96 Bedroom Coin purse 0 $0.00 $0.00
97 Bedroom Computer 0 $0.00 $0.00
98 Bedroom Computer - lap top 0 $0.00 $0.00
99 Bedroom Computer - lap top accessories (List separately) 0 $0.00 $0.00
100 Bedroom Computer - lap top carrying case 0 $0.00 $0.00
101 Bedroom Computer cords / cables 0 $0.00 $0.00
102 Bedroom Computer external hard drive back up 0 $0.00 $0.00
103 Bedroom Computer games (List each separately) 0 $0.00 $0.00
104 Bedroom Computer memory stick / flash drive 0 $0.00 $0.00
105 Bedroom Computer monitor 0 $0.00 $0.00
106 Bedroom Computer mouse 0 $0.00 $0.00
107 Bedroom Computer mouse pad 0 $0.00 $0.00
108 Bedroom Computer printer 0 $0.00 $0.00
109 Bedroom Computer printer cartridges 0 $0.00 $0.00
110 Bedroom Computer printer paper 0 $0.00 $0.00
111 Bedroom Computer software (List separately) 0 $0.00 $0.00
112 Bedroom Computer speakers / sub woofer 0 $0.00 $0.00
113 Bedroom Computer surge protector 0 $0.00 $0.00
114 Bedroom Computer web camera 0 $0.00 $0.00
115 Bedroom Decorative pillows 0 $0.00 $0.00
116 Bedroom Diffuser 0 $0.00 $0.00
117 Bedroom Digital camera 0 $0.00 $0.00
118 Bedroom Digital camera - carrying case 0 $0.00 $0.00
119 Bedroom Digital video camera 0 $0.00 $0.00
120 Bedroom Dog bed 0 $0.00 $0.00
121 Bedroom Doll stairs/steps 0 $0.00 $0.00
122 Bedroom Doll house 0 $0.00 $0.00
123 Bedroom Figurines (list separately) 0 $0.00 $0.00
124 Bedroom Fire safe 0 $0.00 $0.00
125 Bedroom Fish aquarium 0 $0.00 $0.00
126 Bedroom Fish aquarium accessories - list separately 0 $0.00 $0.00
127 Bedroom Frames - desk (list sizes) 0 $0.00 $0.00
128 Bedroom Frames - wall (list sizes) 0 $0.00 $0.00
129 Bedroom Furniture - bench 0 $0.00 $0.00
130 Bedroom Furniture - bookcases 0 $0.00 $0.00
131 Bedroom Furniture - chest of drawers 0 $0.00 $0.00
132 Bedroom Furniture - computer desk / table 0 $0.00 $0.00
133 Bedroom Furniture - computer printer stand / table 0 $0.00 $0.00
134 Bedroom Furniture - desk chair 0 $0.00 $0.00
135 Bedroom Furniture - dresser 0 $0.00 $0.00
136 Bedroom Furniture - file cabinet 0 $0.00 $0.00

3 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
137 Bedroom Furniture - framed mirror 0 $0.00 $0.00
138 Bedroom Furniture - hat rack 0 $0.00 $0.00
139 Bedroom Furniture - love seat 0 $0.00 $0.00
140 Bedroom Furniture - table 0 $0.00 $0.00
141 Bedroom Furniture - television stand 0 $0.00 $0.00
142 Bedroom Furniture - trunk 0 $0.00 $0.00
143 Bedroom Furniture -nightstand 0 $0.00 $0.00
144 Bedroom Gaming system - carrying case 0 $0.00 $0.00
145 Bedroom Gaming system - Game Boy 0 $0.00 $0.00
146 Bedroom Gaming system - games (List separately) 0 $0.00 $0.00
147 Bedroom Gaming system - Guitar Hero 0 $0.00 $0.00
148 Bedroom Gaming system - head phones 0 $0.00 $0.00
149 Bedroom Gaming system - internet access card 0 $0.00 $0.00
150 Bedroom Gaming system - joy stick 0 $0.00 $0.00
151 Bedroom Gaming system - Nintendo 0 $0.00 $0.00
152 Bedroom Gaming system - Nintendo DS 0 $0.00 $0.00
153 Bedroom Gaming system - PlayStation 0 $0.00 $0.00
154 Bedroom Gaming system - Sony PSP 0 $0.00 $0.00
155 Bedroom Gaming system - Wii 0 $0.00 $0.00
156 Bedroom Gaming system - X-box 0 $0.00 $0.00
157 Bedroom Gift cards (list separately) 0 $0.00 $0.00
158 Bedroom Gift certificates (list separately) 0 $0.00 $0.00
159 Bedroom Glasses 0 $0.00 $0.00
160 Bedroom Glasses case 0 $0.00 $0.00
161 Bedroom Gun accessories (list separately) 0 $0.00 $0.00
162 Bedroom Gun rack 0 $0.00 $0.00
163 Bedroom Guns (list separately) 0 $0.00 $0.00
164 Bedroom Handbags 0 $0.00 $0.00
165 Bedroom Hat rack 0 $0.00 $0.00
166 Bedroom Hearing aid 0 $0.00 $0.00
167 Bedroom Heater - room 0 $0.00 $0.00
168 Bedroom Heating blanket 0 $0.00 $0.00
169 Bedroom Hobbies - Arts & Crafts 0 $0.00 $0.00
170 Bedroom Hobbies - Creative Memories (list separately) 0 $0.00 $0.00
171 Bedroom Hobbies - Model rockets 0 $0.00 $0.00
172 Bedroom Hobbies - Model trains 0 $0.00 $0.00
173 Bedroom Hobbies - Remote control cars, planes, etc. 0 $0.00 $0.00
174 Bedroom Humidifier 0 $0.00 $0.00
175 Bedroom i pod 0 $0.00 $0.00
176 Bedroom i pod carrying case 0 $0.00 $0.00
177 Bedroom i pod downloaded songs (list quantity) 0 $0.00 $0.00
178 Bedroom i pod ear phones 0 $0.00 $0.00
179 Bedroom Jewelry - ankle bracelets 0 $0.00 $0.00
180 Bedroom Jewelry - body rings/studs 0 $0.00 $0.00
181 Bedroom Jewelry - box/case 0 $0.00 $0.00
182 Bedroom Jewelry - bracelets 0 $0.00 $0.00
183 Bedroom Jewelry - bracelets, ID 0 $0.00 $0.00
184 Bedroom Jewelry - brooch/pin 0 $0.00 $0.00
185 Bedroom Jewelry - costume 0 $0.00 $0.00
186 Bedroom Jewelry - cuff links 0 $0.00 $0.00
187 Bedroom Jewelry - earrings 0 $0.00 $0.00
188 Bedroom Jewelry - earrings, dangle, drop 0 $0.00 $0.00
189 Bedroom Jewelry - earrings, hoops 0 $0.00 $0.00

4 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
190 Bedroom Jewelry - earrings, studs 0 $0.00 $0.00
191 Bedroom Jewelry - fine gemstone 0 $0.00 $0.00
192 Bedroom Jewelry - heirloom 0 $0.00 $0.00
193 Bedroom Jewelry - necklaces 0 $0.00 $0.00
194 Bedroom Jewelry - necklaces, chain 0 $0.00 $0.00
195 Bedroom Jewelry - necklaces, pendant 0 $0.00 $0.00
196 Bedroom Jewelry - necklaces, strand 0 $0.00 $0.00
197 Bedroom Jewelry - rings 0 $0.00 $0.00
198 Bedroom Jewelry - tie pins 0 $0.00 $0.00
199 Bedroom Jewelry - tree 0 $0.00 $0.00
200 Bedroom Jewelry - watch 0 $0.00 $0.00
201 Bedroom Jewelry - watch, pocket 0 $0.00 $0.00
202 Bedroom Laundry basket 0 $0.00 $0.00
203 Bedroom Lighting - chandelier 0 $0.00 $0.00
204 Bedroom Lighting - floor/torch lamp 0 $0.00 $0.00
205 Bedroom Lighting - sconce 0 $0.00 $0.00
206 Bedroom Lighting - table lamps 0 $0.00 $0.00
207 Bedroom Lighting - wall lamps 0 $0.00 $0.00
208 Bedroom Mace 0 $0.00 $0.00
209 Bedroom Mattress 0 $0.00 $0.00
210 Bedroom Mattress cover/allergy protector 0 $0.00 $0.00
211 Bedroom Mattress pad/topper 0 $0.00 $0.00
212 Bedroom Memory foam pillow 0 $0.00 $0.00
213 Bedroom Mirror - wall 0 $0.00 $0.00
214 Bedroom Mobile 0 $0.00 $0.00
215 Bedroom Music box 0 $0.00 $0.00
216 Bedroom Music stand 0 $0.00 $0.00
217 Bedroom Musical instruments (List separately) 0 $0.00 $0.00
218 Bedroom Night light 0 $0.00 $0.00
219 Bedroom Nightstand lamp 0 $0.00 $0.00
220 Bedroom Paintings - list separately 0 $0.00 $0.00
221 Bedroom Pendant necklace 0 $0.00 $0.00
222 Bedroom Pepper spray 0 $0.00 $0.00
223 Bedroom Picture frames 0 $0.00 $0.00
224 Bedroom Piggy bank 0 $0.00 $0.00
225 Bedroom Pillows - body pillow 0 $0.00 $0.00
226 Bedroom Pillows - decorative 0 $0.00 $0.00
227 Bedroom Pillows - sleeping 0 $0.00 $0.00
228 Bedroom Portable air conditioner 0 $0.00 $0.00
229 Bedroom Portable air purifier 0 $0.00 $0.00
230 Bedroom Portable humidifier 0 $0.00 $0.00
231 Bedroom Portable oscillating fan 0 $0.00 $0.00
232 Bedroom Portable space heater 0 $0.00 $0.00
233 Bedroom Posters 0 $0.00 $0.00
234 Bedroom Potpourri 0 $0.00 $0.00
235 Bedroom Potted plants 0 $0.00 $0.00
236 Bedroom Prescription glasses 0 $0.00 $0.00
237 Bedroom Quilt 0 $0.00 $0.00
238 Bedroom Rain coat 0 $0.00 $0.00
239 Bedroom Reading glasses 0 $0.00 $0.00
240 Bedroom Reading lamp 0 $0.00 $0.00
241 Bedroom Robe hook 0 $0.00 $0.00
242 Bedroom Rug 0 $0.00 $0.00

5 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
243 Bedroom Safe/Fire box 0 $0.00 $0.00
244 Bedroom Scarf - knit 0 $0.00 $0.00
245 Bedroom Scarf - silk 0 $0.00 $0.00
246 Bedroom School backpack 0 $0.00 $0.00
247 Bedroom Shams 0 $0.00 $0.00
248 Bedroom Slippers 0 $0.00 $0.00
249 Bedroom Sports - equipment (List separately) 0 $0.00 $0.00
250 Bedroom Sports - uniform 0 $0.00 $0.00
251 Bedroom Sports memorabilia (List separately) 0 $0.00 $0.00
252 Bedroom Sunglasses 0 $0.00 $0.00
253 Bedroom Sunglasses case 0 $0.00 $0.00
254 Bedroom Telephone 0 $0.00 $0.00
255 Bedroom Telephone - answering machine 0 $0.00 $0.00
256 Bedroom Television - DVD player 0 $0.00 $0.00
257 Bedroom Television - DVD's (List separately) 0 $0.00 $0.00
258 Bedroom Television - LCD 0 $0.00 $0.00
259 Bedroom Television - Plasma 0 $0.00 $0.00
260 Bedroom Television - Tube 0 $0.00 $0.00
261 Bedroom Television - VHS movies (List separately) 0 $0.00 $0.00
262 Bedroom Television - VHS player 0 $0.00 $0.00
263 Bedroom Throw blanket 0 $0.00 $0.00
264 Bedroom Tote bag 0 $0.00 $0.00
265 Bedroom Toy box 0 $0.00 $0.00
266 Bedroom Toys - board games 0 $0.00 $0.00
267 Bedroom Toys - building sets 0 $0.00 $0.00
268 Bedroom Toys - costumes 0 $0.00 $0.00
269 Bedroom Toys - dolls / action figures 0 $0.00 $0.00
270 Bedroom Toys - stuffed 0 $0.00 $0.00
271 Bedroom Trophies 0 $0.00 $0.00
272 Bedroom Walker 0 $0.00 $0.00
273 Bedroom Wallet 0 $0.00 $0.00
274 Bedroom Wall décor 0 $0.00 $0.00
275 Bedroom Waste basket 0 $0.00 $0.00
276 Bedroom Wheelchair 0 $0.00 $0.00
277 Bedroom Window covering - blinds 0 $0.00 $0.00
278 Bedroom Window covering - drapery 0 $0.00 $0.00
279 Bedroom Writing pen - gold 0 $0.00 $0.00
280 Bedroom Writing pen - silver 0 $0.00 $0.00
281
282 Sub-Total: $0.00 $0.00 $0.00
283 Sales Tax (CA) 8.75%: $0.00
284 Delivery Charges: Total Total
Actual Cash
285 Bedroom Total: $0.00 Depreciation
Value (ACV)
286
287 Category BEDROOM CLOSET For Insurance Adjuster
Item Source Age Replacement Actual Cash
288 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
289 Bedroom Closet Backpack 0 $0.00 $0.00
290 Bedroom Closet Belt rack 0 $0.00 $0.00
291 Bedroom Closet Clothing - athletic supporter 0 $0.00 $0.00
292 Bedroom Closet Clothing - baseball hat 0 $0.00 $0.00
293 Bedroom Closet Clothing - bathing suits 0 $0.00 $0.00

6 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
294 Bedroom Closet Clothing - belts (List type) 0 $0.00 $0.00
295 Bedroom Closet Clothing - blazer 0 $0.00 $0.00
296 Bedroom Closet Clothing - blouses 0 $0.00 $0.00
297 Bedroom Closet Clothing - bras 0 $0.00 $0.00
298 Bedroom Closet Clothing - cape 0 $0.00 $0.00
299 Bedroom Closet Clothing - coats / jackets 0 $0.00 $0.00
300 Bedroom Closet Clothing - costume 0 $0.00 $0.00
301 Bedroom Closet Clothing - cowboy hat 0 $0.00 $0.00
302 Bedroom Closet Clothing - dress slacks (List separately) 0 $0.00 $0.00
303 Bedroom Closet Clothing - dresses - casual 0 $0.00 $0.00
304 Bedroom Closet Clothing - dresses - formal 0 $0.00 $0.00
305 Bedroom Closet Clothing - ear muffs 0 $0.00 $0.00
306 Bedroom Closet Clothing - exercise clothing 0 $0.00 $0.00
307 Bedroom Closet Clothing - fedora 0 $0.00 $0.00
308 Bedroom Closet Clothing - fez 0 $0.00 $0.00
309 Bedroom Closet Clothing - fur coats (List separately) 0 $0.00 $0.00
310 Bedroom Closet Clothing - garment bag 0 $0.00 $0.00
311 Bedroom Closet Clothing - gloves 0 $0.00 $0.00
312 Bedroom Closet Clothing - graduation cap 0 $0.00 $0.00
313 Bedroom Closet Clothing - graduation cape 0 $0.00 $0.00
314 Bedroom Closet Clothing - handkerchiefs 0 $0.00 $0.00
315 Bedroom Closet Clothing - hats (ladies) 0 $0.00 $0.00
316 Bedroom Closet Clothing - hats (men's) 0 $0.00 $0.00
317 Bedroom Closet Clothing - hoodies 0 $0.00 $0.00
318 Bedroom Closet Clothing - jogging suit 0 $0.00 $0.00
319 Bedroom Closet Clothing - leggings 0 $0.00 $0.00
320 Bedroom Closet Clothing - lingerie 0 $0.00 $0.00
321 Bedroom Closet Clothing - lounge pants 0 $0.00 $0.00
322 Bedroom Closet Clothing - martial arts gi 0 $0.00 $0.00
323 Bedroom Closet Clothing - mittens 0 $0.00 $0.00
324 Bedroom Closet Clothing - nightshirt 0 $0.00 $0.00
325 Bedroom Closet Clothing - pajamas 0 $0.00 $0.00
326 Bedroom Closet Clothing - pants - cargo 0 $0.00 $0.00
327 Bedroom Closet Clothing - pants - capri 0 $0.00 $0.00
328 Bedroom Closet Clothing - pants - dress 0 $0.00 $0.00
329 Bedroom Closet Clothing - pants - jeans 0 $0.00 $0.00
330 Bedroom Closet Clothing - pants hangers 0 $0.00 $0.00
331 Bedroom Closet Clothing - plastic hangers 0 $0.00 $0.00
332 Bedroom Closet Clothing - rain coat 0 $0.00 $0.00
333 Bedroom Closet Clothing - resort wear 0 $0.00 $0.00
334 Bedroom Closet Clothing - robe 0 $0.00 $0.00
335 Bedroom Closet Clothing - scarves - fabric 0 $0.00 $0.00
336 Bedroom Closet Clothing - scarves - fur 0 $0.00 $0.00
337 Bedroom Closet Clothing - scarves - knit 0 $0.00 $0.00
338 Bedroom Closet Clothing - shirts (List separately) 0 $0.00 $0.00
339 Bedroom Closet Clothing - shorts 0 $0.00 $0.00
340 Bedroom Closet Clothing - ski pants / bibs 0 $0.00 $0.00
341 Bedroom Closet Clothing - sleepwear 0 $0.00 $0.00
342 Bedroom Closet Clothing - slips 0 $0.00 $0.00
343 Bedroom Closet Clothing - snow 0 $0.00 $0.00
344 Bedroom Closet Clothing - socks 0 $0.00 $0.00
345 Bedroom Closet Clothing - suits (List separately) 0 $0.00 $0.00
346 Bedroom Closet Clothing - suspenders 0 $0.00 $0.00

7 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
347 Bedroom Closet Clothing - sweat pants 0 $0.00 $0.00
348 Bedroom Closet Clothing - sweat shirts 0 $0.00 $0.00
349 Bedroom Closet Clothing - sweater vest 0 $0.00 $0.00
350 Bedroom Closet Clothing - sweaters (List separately) 0 $0.00 $0.00
351 Bedroom Closet Clothing - swim wear cover 0 $0.00 $0.00
352 Bedroom Closet Clothing - swimsuit (ladies) 0 $0.00 $0.00
353 Bedroom Closet Clothing - swimsuit (men's) 0 $0.00 $0.00
354 Bedroom Closet Clothing - thermal underwear 0 $0.00 $0.00
355 Bedroom Closet Clothing - ties (List quantity) 0 $0.00 $0.00
356 Bedroom Closet Clothing - t-shirts (List quantity) 0 $0.00 $0.00
357 Bedroom Closet Clothing - tuxedo 0 $0.00 $0.00
358 Bedroom Closet Clothing - undergarments (List separately) 0 $0.00 $0.00
359 Bedroom Closet Clothing - undershirts 0 $0.00 $0.00
360 Bedroom Closet Clothing - underwear 0 $0.00 $0.00
361 Bedroom Closet Clothing - uniforms 0 $0.00 $0.00
362 Bedroom Closet Clothing - vests 0 $0.00 $0.00
363 Bedroom Closet Clothing - wedding dress 0 $0.00 $0.00
364 Bedroom Closet Clothing - wedding dress veil 0 $0.00 $0.00
365 Bedroom Closet Clothing - wooden hangers 0 $0.00 $0.00
366 Bedroom Closet Clothing hamper or basket 0 $0.00 $0.00
367 Bedroom Closet Door mirror 0 $0.00 $0.00
368 Bedroom Closet Duffle bag 0 $0.00 $0.00
369 Bedroom Closet Garment bag 0 $0.00 $0.00
370 Bedroom Closet Handbags - list separately 0 $0.00 $0.00
371 Bedroom Closet Hat box 0 $0.00 $0.00
372 Bedroom Closet Hat pins 0 $0.00 $0.00
373 Bedroom Closet Jewelry - ankle bracelets 0 $0.00 $0.00
374 Bedroom Closet Jewelry - box/case 0 $0.00 $0.00
375 Bedroom Closet Jewelry - brooch/pin 0 $0.00 $0.00
376 Bedroom Closet Jewelry - costume 0 $0.00 $0.00
377 Bedroom Closet Jewelry - cuff links 0 $0.00 $0.00
378 Bedroom Closet Jewelry - necklace 0 $0.00 $0.00
379 Bedroom Closet Jewelry - rings (List separately) 0 $0.00 $0.00
380 Bedroom Closet Jewelry - tie pins 0 $0.00 $0.00
381 Bedroom Closet Jewelry - wrist bracelets 0 $0.00 $0.00
382 Bedroom Closet Jewelry - wrist watch (List separately) 0 $0.00 $0.00
383 Bedroom Closet Laundry basket 0 $0.00 $0.00
384 Bedroom Closet Scarves - knit 0 $0.00 $0.00
385 Bedroom Closet Scarves - silk 0 $0.00 $0.00
386 Bedroom Closet Shoe - polishing kit 0 $0.00 $0.00
387 Bedroom Closet Shoe rack 0 $0.00 $0.00
388 Bedroom Closet Shoes - ballet flats 0 $0.00 $0.00
389 Bedroom Closet Shoes - boots 0 $0.00 $0.00
390 Bedroom Closet Shoes - bowling 0 $0.00 $0.00
391 Bedroom Closet Shoes - cleats 0 $0.00 $0.00
392 Bedroom Closet Shoes - clog 0 $0.00 $0.00
393 Bedroom Closet Shoes - dress 0 $0.00 $0.00
394 Bedroom Closet Shoes - hiking 0 $0.00 $0.00
395 Bedroom Closet Shoes - house slippers 0 $0.00 $0.00
396 Bedroom Closet Shoes - laces 0 $0.00 $0.00
397 Bedroom Closet Shoes - moccasins 0 $0.00 $0.00
398 Bedroom Closet Shoes - pumps 0 $0.00 $0.00
399 Bedroom Closet Shoes - running 0 $0.00 $0.00

8 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
400 Bedroom Closet Shoes - sandals 0 $0.00 $0.00
401 Bedroom Closet Shoes - shoe horn 0 $0.00 $0.00
402 Bedroom Closet Shoes - slippers 0 $0.00 $0.00
403 Bedroom Closet Shoes - tennis 0 $0.00 $0.00
404 Bedroom Closet Sleeping bag 0 $0.00 $0.00
405 Bedroom Closet Sun glasses case 0 $0.00 $0.00
406 Bedroom Closet Sunglasses 0 $0.00 $0.00
407 Bedroom Closet Tie rack 0 $0.00 $0.00
408 Bedroom Closet Tote bag 0 $0.00 $0.00
409 Bedroom Closet Umbrella 0 $0.00 $0.00
410 Bedroom Closet Walking cane 0 $0.00 $0.00
411 Bedroom Closet Wallet - ladies 0 $0.00 $0.00
412 Bedroom Closet Wallet - men's 0 $0.00 $0.00
413 Bedroom Closet Wig 0 $0.00 $0.00
414
415 Sub-Total: $0.00 $0.00 $0.00
416 Sales Tax (CA) 8.75%: $0.00
417 Delivery Charges: Total Total
Actual Cash
418 Bedroom Closet Total: $0.00 Depreciation
Value (ACV)
419
420 Category BATHROOM For Insurance Adjuster
Item Source Age Replacement Actual Cash
421 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
422 Bathroom Air freshener 0 $0.00 $0.00
423 Bathroom Artwork (List separately) 0 $0.00 $0.00
424 Bathroom Baby wipes 0 $0.00 $0.00
425 Bathroom Band-Aids 0 $0.00 $0.00
426 Bathroom Basket - wicker 0 $0.00 $0.00
427 Bathroom Bath beads 0 $0.00 $0.00
428 Bathroom Bath bench 0 $0.00 $0.00
429 Bathroom Bath mat - carpet 0 $0.00 $0.00
430 Bathroom Bath mat - rubber 0 $0.00 $0.00
431 Bathroom Bath rug 0 $0.00 $0.00
432 Bathroom Bath salts 0 $0.00 $0.00
433 Bathroom Bath towel - body 0 $0.00 $0.00
434 Bathroom Bath towel - finger 0 $0.00 $0.00
435 Bathroom Bath towel - hand 0 $0.00 $0.00
436 Bathroom Bath toys 0 $0.00 $0.00
437 Bathroom Bathrobe 0 $0.00 $0.00
438 Bathroom Beach towels 0 $0.00 $0.00
439 Bathroom Blood pressure monitor 0 $0.00 $0.00
440 Bathroom Blow dryer 0 $0.00 $0.00
441 Bathroom Body lotion 0 $0.00 $0.00
442 Bathroom Books - hard bound 0 $0.00 $0.00
443 Bathroom Books - paperback 0 $0.00 $0.00
444 Bathroom Bubble bath 0 $0.00 $0.00
445 Bathroom Candle 0 $0.00 $0.00
446 Bathroom Candle holder 0 $0.00 $0.00
447 Bathroom CD player 0 $0.00 $0.00
448 Bathroom CD's (List separately) 0 $0.00 $0.00
449 Bathroom Chapstick 0 $0.00 $0.00
450 Bathroom Conditioner 0 $0.00 $0.00

9 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
451 Bathroom Contact lens - tray 0 $0.00 $0.00
452 Bathroom Contact lens cleaner 0 $0.00 $0.00
453 Bathroom Contact lens saline 0 $0.00 $0.00
454 Bathroom Contact lenses 0 $0.00 $0.00
455 Bathroom Cotton balls 0 $0.00 $0.00
456 Bathroom Curing iron 0 $0.00 $0.00
457 Bathroom Dental floss 0 $0.00 $0.00
458 Bathroom Dental pick 0 $0.00 $0.00
459 Bathroom Dentures 0 $0.00 $0.00
460 Bathroom Deodorant 0 $0.00 $0.00
461 Bathroom Diffuser 0 $0.00 $0.00
462 Bathroom Epsom salt 0 $0.00 $0.00
463 Bathroom Eye drops 0 $0.00 $0.00
464 Bathroom Flat iron 0 $0.00 $0.00
465 Bathroom Framed picture 0 $0.00 $0.00
466 Bathroom Glass canisters 0 $0.00 $0.00
467 Bathroom Glasses 0 $0.00 $0.00
468 Bathroom Hair brush 0 $0.00 $0.00
469 Bathroom Hair color 0 $0.00 $0.00
470 Bathroom Hair comb 0 $0.00 $0.00
471 Bathroom Hair curlers 0 $0.00 $0.00
472 Bathroom Hair iron 0 $0.00 $0.00
473 Bathroom Hamper 0 $0.00 $0.00
474 Bathroom Hand sanitizer 0 $0.00 $0.00
475 Bathroom Hand towel 0 $0.00 $0.00
476 Bathroom Heart rate monitor 0 $0.00 $0.00
477 Bathroom Jewelry box 0 $0.00 $0.00
478 Bathroom Kleenex - decorative box cover 0 $0.00 $0.00
479 Bathroom Kleenex - facial tissue 0 $0.00 $0.00
480 Bathroom Lotion/soap pump 0 $0.00 $0.00
481 Bathroom Magazine rack 0 $0.00 $0.00
482 Bathroom Magazines 0 $0.00 $0.00
483 Bathroom Manicure tools 0 $0.00 $0.00
484 Bathroom Mesh baskets 0 $0.00 $0.00
485 Bathroom Mirror - dental 0 $0.00 $0.00
486 Bathroom Mirror - framed hanging 0 $0.00 $0.00
487 Bathroom Mirror - hand 0 $0.00 $0.00
488 Bathroom Mouthwash - Listerine 0 $0.00 $0.00
489 Bathroom Nail clippers 0 $0.00 $0.00
490 Bathroom Nail polish 0 $0.00 $0.00
491 Bathroom Nasal spray 0 $0.00 $0.00
492 Bathroom Night light 0 $0.00 $0.00
493 Bathroom Nose hair trimmer 0 $0.00 $0.00
494 Bathroom Organizer 0 $0.00 $0.00
495 Bathroom Pedicure tools 0 $0.00 $0.00
496 Bathroom Pedometer 0 $0.00 $0.00
497 Bathroom Pocket change holder 0 $0.00 $0.00
498 Bathroom Potpourri 0 $0.00 $0.00
499 Bathroom Pulse Oxymeter 0 $0.00 $0.00
500 Bathroom Pumice stone 0 $0.00 $0.00
501 Bathroom Q-tips 0 $0.00 $0.00
502 Bathroom Razor - disposable 0 $0.00 $0.00
503 Bathroom Razor - electric 0 $0.00 $0.00

10 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
504 Bathroom Rubbing alcohol 0 $0.00 $0.00
505 Bathroom Scale - body fat 0 $0.00 $0.00
506 Bathroom Scale - dial 0 $0.00 $0.00
507 Bathroom Scale - digital 0 $0.00 $0.00
508 Bathroom Scissors 0 $0.00 $0.00
509 Bathroom Shampoo 0 $0.00 $0.00
510 Bathroom Shampoo dispenser 0 $0.00 $0.00
511 Bathroom Shaving cream 0 $0.00 $0.00
512 Bathroom Shower caddy 0 $0.00 $0.00
513 Bathroom Shower cap 0 $0.00 $0.00
514 Bathroom Shower curtain 0 $0.00 $0.00
515 Bathroom Shower curtain hooks 0 $0.00 $0.00
516 Bathroom Shower curtain liner 0 $0.00 $0.00
517 Bathroom Shower head - handheld 0 $0.00 $0.00
518 Bathroom Shower organizer 0 $0.00 $0.00
519 Bathroom Soap - bar 0 $0.00 $0.00
520 Bathroom Soap - dish 0 $0.00 $0.00
521 Bathroom Soap - liquid 0 $0.00 $0.00
522 Bathroom Sponge 0 $0.00 $0.00
523 Bathroom Storage cabinet - free standing 0 $0.00 $0.00
524 Bathroom Sun tan lotion 0 $0.00 $0.00
525 Bathroom Teeth whitening kit 0 $0.00 $0.00
526 Bathroom Toilet - cleaner 0 $0.00 $0.00
527 Bathroom Toilet cleaning brush 0 $0.00 $0.00
528 Bathroom Toilet paper 0 $0.00 $0.00
529 Bathroom Toilet paper - decorative holder 0 $0.00 $0.00
530 Bathroom Toilet plunger 0 $0.00 $0.00
531 Bathroom Toilet seat cover 0 $0.00 $0.00
532 Bathroom Toiletries traveling case 0 $0.00 $0.00
533 Bathroom Tooth brush 0 $0.00 $0.00
534 Bathroom Tooth brush - electric 0 $0.00 $0.00
535 Bathroom Toothbrush holder 0 $0.00 $0.00
536 Bathroom Toothpaste 0 $0.00 $0.00
537 Bathroom Vaseline 0 $0.00 $0.00
538 Bathroom Wash cloth 0 $0.00 $0.00
539 Bathroom Waste basket 0 $0.00 $0.00
540 Bathroom Waterpik 0 $0.00 $0.00
541 Bathroom Window covering - blinds 0 $0.00 $0.00
542 Bathroom Window covering - drapery 0 $0.00 $0.00
543
544
545 Sub-Total: $0.00 $0.00 $0.00
546 Sales Tax (CA) 8.75%: $0.00
547 Delivery Charges: Total Total
Actual Cash
548 Bathroom Total: $0.00 Depreciation
Value (ACV)
549
550 Category BATHROOM VANITY For Insurance Adjuster
Item Source Age Replacement Actual Cash
551 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
552 Bathroom Vanity Aloe Vera gel 0 $0.00 $0.00
553 Bathroom Vanity Bobby pins 0 $0.00 $0.00
554 Bathroom Vanity Comb 0 $0.00 $0.00

11 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
555 Bathroom Vanity Cosmetics - acne treatment 0 $0.00 $0.00
556 Bathroom Vanity Cosmetics - acne cream 0 $0.00 $0.00
557 Bathroom Vanity Cosmetics - acne spot treatment 0 $0.00 $0.00
558 Bathroom Vanity Cosmetics - blush 0 $0.00 $0.00
559 Bathroom Vanity Cosmetics - body scrub 0 $0.00 $0.00
560 Bathroom Vanity Cosmetics - concealer makeup 0 $0.00 $0.00
561 Bathroom Vanity Cosmetics - eye cream 0 $0.00 $0.00
562 Bathroom Vanity Cosmetics - eye liner 0 $0.00 $0.00
563 Bathroom Vanity Cosmetics - eye shadow 0 $0.00 $0.00
564 Bathroom Vanity Cosmetics - face powder 0 $0.00 $0.00
565 Bathroom Vanity Cosmetics - facial cleanser 0 $0.00 $0.00
566 Bathroom Vanity Cosmetics - facial exfoliant 0 $0.00 $0.00
567 Bathroom Vanity Cosmetics - facial mask 0 $0.00 $0.00
568 Bathroom Vanity Cosmetics - facial moisturizer 0 $0.00 $0.00
569 Bathroom Vanity Cosmetics - false eye lashes 0 $0.00 $0.00
570 Bathroom Vanity Cosmetics - foundation 0 $0.00 $0.00
571 Bathroom Vanity Cosmetics - lip gloss 0 $0.00 $0.00
572 Bathroom Vanity Cosmetics - lip liner 0 $0.00 $0.00
573 Bathroom Vanity Cosmetics - lipstick (List separately) 0 $0.00 $0.00
574 Bathroom Vanity Cosmetics - make-up brushes 0 $0.00 $0.00
575 Bathroom Vanity Cosmetics - mascara 0 $0.00 $0.00
576 Bathroom Vanity Cosmetics - nail polish 0 $0.00 $0.00
577 Bathroom Vanity Cosmetics - nail polish remover 0 $0.00 $0.00
578 Bathroom Vanity Cosmetics - shower gel 0 $0.00 $0.00
579 Bathroom Vanity Cosmetics - specialty 0 $0.00 $0.00
580 Bathroom Vanity Cosmetics - specialty topical products (List separately) 0 $0.00 $0.00
581 Bathroom Vanity Cosmetics - toner 0 $0.00 $0.00
582 Bathroom Vanity Ear/Nose/Brow trimmer 0 $0.00 $0.00
583 Bathroom Vanity Emory board 0 $0.00 $0.00
584 Bathroom Vanity Eyelash curler 0 $0.00 $0.00
585 Bathroom Vanity Feminine napkins 0 $0.00 $0.00
586 Bathroom Vanity First Aid kit 0 $0.00 $0.00
587 Bathroom Vanity Flashlight 0 $0.00 $0.00
588 Bathroom Vanity Hair - clip 0 $0.00 $0.00
589 Bathroom Vanity Hair - curlers 0 $0.00 $0.00
590 Bathroom Vanity Hair - curling iron 0 $0.00 $0.00
591 Bathroom Vanity Hair - dryer 0 $0.00 $0.00
592 Bathroom Vanity Hair - flat iron 0 $0.00 $0.00
593 Bathroom Vanity Hair - gel 0 $0.00 $0.00
594 Bathroom Vanity Hair - mousse 0 $0.00 $0.00
595 Bathroom Vanity Hair - sculpting cream/lotion 0 $0.00 $0.00
596 Bathroom Vanity Hair - spray 0 $0.00 $0.00
597 Bathroom Vanity Hairbrush 0 $0.00 $0.00
598 Bathroom Vanity Hairbrush - round 0 $0.00 $0.00
599 Bathroom Vanity Hand lotion 0 $0.00 $0.00
600 Bathroom Vanity Kleenex holder 0 $0.00 $0.00
601 Bathroom Vanity Loofa 0 $0.00 $0.00
602 Bathroom Vanity Manicure set 0 $0.00 $0.00
603 Bathroom Vanity Nail clippers 0 $0.00 $0.00
604 Bathroom Vanity Perfume (List separately) 0 $0.00 $0.00
605 Bathroom Vanity Prescription medicine (List separately) 0 $0.00 $0.00
606 Bathroom Vanity Pumice stone 0 $0.00 $0.00
607 Bathroom Vanity Razor/Shaver 0 $0.00 $0.00

12 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
608 Bathroom Vanity Shaving cream 0 $0.00 $0.00
609 Bathroom Vanity Tampons 0 $0.00 $0.00
610 Bathroom Vanity Vitamins (List separately) 0 $0.00 $0.00
611
612 Sub-Total: $0.00 $0.00 $0.00
613 Sales Tax (CA) 8.75%: $0.00
614 Delivery Charges: Total Total
Actual Cash
615 Bathroom Vanity Total: $0.00 Depreciation
Value (ACV)
616
617 Category LINEN CLOSET For Insurance Adjuster
Item Source Age Replacement Actual Cash
618 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
619 Linen Closet Bath mat 0 $0.00 $0.00
620 Linen Closet Bed rest pillow 0 $0.00 $0.00
621 Linen Closet Bed skirt 0 $0.00 $0.00
622 Linen Closet Blanket 0 $0.00 $0.00
623 Linen Closet Blanket - Double 0 $0.00 $0.00
624 Linen Closet Blanket - fleece 0 $0.00 $0.00
625 Linen Closet Blanket - King 0 $0.00 $0.00
626 Linen Closet Blanket - Queen 0 $0.00 $0.00
627 Linen Closet Blanket - Twin 0 $0.00 $0.00
628 Linen Closet Chair covers 0 $0.00 $0.00
629 Linen Closet Cloth napkin 0 $0.00 $0.00
630 Linen Closet Comforter 0 $0.00 $0.00
631 Linen Closet Comforter - down 0 $0.00 $0.00
632 Linen Closet Comforter - wool 0 $0.00 $0.00
633 Linen Closet Daybed bedding 0 $0.00 $0.00
634 Linen Closet Duvet cover 0 $0.00 $0.00
635 Linen Closet Electric blanket 0 $0.00 $0.00
636 Linen Closet Feather bed 0 $0.00 $0.00
637 Linen Closet Iron 0 $0.00 $0.00
638 Linen Closet Ironing board 0 $0.00 $0.00
639 Linen Closet Ironing board cover 0 $0.00 $0.00
640 Linen Closet Mattress pad 0 $0.00 $0.00
641 Linen Closet Mattress topper 0 $0.00 $0.00
642 Linen Closet Pillow case 0 $0.00 $0.00
643 Linen Closet Pillow protector 0 $0.00 $0.00
644 Linen Closet Pillows - decorative 0 $0.00 $0.00
645 Linen Closet Pillows - down 0 $0.00 $0.00
646 Linen Closet Pillows - hypoallergenic 0 $0.00 $0.00
647 Linen Closet Pillows - king 0 $0.00 $0.00
648 Linen Closet Pillows - standard 0 $0.00 $0.00
649 Linen Closet Pillows - throw 0 $0.00 $0.00
650 Linen Closet Placemat 0 $0.00 $0.00
651 Linen Closet Quilt 0 $0.00 $0.00
652 Linen Closet Sheet set 0 $0.00 $0.00
653 Linen Closet Sheets - cal king 0 $0.00 $0.00
654 Linen Closet Sheets - crib 0 $0.00 $0.00
655 Linen Closet Sheets - double 0 $0.00 $0.00
656 Linen Closet Sheets - flannel 0 $0.00 $0.00
657 Linen Closet Sheets - king 0 $0.00 $0.00
658 Linen Closet Sheets - queen 0 $0.00 $0.00

13 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
659 Linen Closet Sheets - toddler bed 0 $0.00 $0.00
660 Linen Closet Sheets - twin 0 $0.00 $0.00
661 Linen Closet Sheets - twin XL 0 $0.00 $0.00
662 Linen Closet Sleeping bag 0 $0.00 $0.00
663 Linen Closet Slip cover 0 $0.00 $0.00
664 Linen Closet Spray starch 0 $0.00 $0.00
665 Linen Closet Table runner 0 $0.00 $0.00
666 Linen Closet Tablecloth 0 $0.00 $0.00
667 Linen Closet Towel - bath 0 $0.00 $0.00
668 Linen Closet Towel - bath oversize 0 $0.00 $0.00
669 Linen Closet Towel - beach 0 $0.00 $0.00
670 Linen Closet Towel - dish 0 $0.00 $0.00
671 Linen Closet Towel - guest/tip 0 $0.00 $0.00
672 Linen Closet Towel - hand 0 $0.00 $0.00
673 Linen Closet Towel - wash cloth 0 $0.00 $0.00
674
675 Sub-Total: $0.00 $0.00 $0.00
676 Sales Tax (CA) 8.75%: $0.00
677 Delivery Charges: Total Total
Actual Cash
678 Linen Closet Total: $0.00 Depreciation
Value (ACV)
679
680 Category LIVING ROOM For Insurance Adjuster
Item Source Age Replacement Actual Cash
681 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
682 Living Room Art work 0 $0.00 $0.00
683 Living Room Ashes urn 0 $0.00 $0.00
684 Living Room Basket 0 $0.00 $0.00
685 Living Room Blanket/throw 0 $0.00 $0.00
686 Living Room Blinds/window covering 0 $0.00 $0.00
687 Living Room Blu-ray Disks 0 $0.00 $0.00
688 Living Room Blu-ray Player 0 $0.00 $0.00
689 Living Room Books 0 $0.00 $0.00
690 Living Room Candle stand 0 $0.00 $0.00
691 Living Room CDs 0 $0.00 $0.00
692 Living Room Chairs 0 $0.00 $0.00
693 Living Room Clock 0 $0.00 $0.00
694 Living Room Coffee table 0 $0.00 $0.00
695 Living Room Crystal bowl 0 $0.00 $0.00
696 Living Room Curtain rod 0 $0.00 $0.00
697 Living Room Curtains 0 $0.00 $0.00
698 Living Room Decorative figurines (List separately) 0 $0.00 $0.00
699 Living Room Desktop fountain 0 $0.00 $0.00
700 Living Room DVD player 0 $0.00 $0.00
701 Living Room DVDs (List separately) 0 $0.00 $0.00
702 Living Room End table 0 $0.00 $0.00
703 Living Room Fire place utensils 0 $0.00 $0.00
704 Living Room Flower vase 0 $0.00 $0.00
705 Living Room Frames - desk (list sizes) 0 $0.00 $0.00
706 Living Room Frames - wall (list sizes) 0 $0.00 $0.00
707 Living Room Grandfather clock 0 $0.00 $0.00
708 Living Room House plant 0 $0.00 $0.00
709 Living Room Hutch 0 $0.00 $0.00

14 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
710 Living Room Lighting - floor/torch lamp 0 $0.00 $0.00
711 Living Room Lighting - hanging lamp/chandelier/pendant 0 $0.00 $0.00
712 Living Room Lighting - table lamp 0 $0.00 $0.00
713 Living Room Lighting - wall sconce 0 $0.00 $0.00
714 Living Room Lladro figurines 0 $0.00 $0.00
715 Living Room Love seat 0 $0.00 $0.00
716 Living Room Mantel clock 0 $0.00 $0.00
717 Living Room Mirror - wall 0 $0.00 $0.00
718 Living Room Piano 0 $0.00 $0.00
719 Living Room Pillows - decorative 0 $0.00 $0.00
720 Living Room Plants 0 $0.00 $0.00
721 Living Room Sculptures 0 $0.00 $0.00
722 Living Room Sofa 0 $0.00 $0.00
723 Living Room Statue 0 $0.00 $0.00
724 Living Room Stereo 0 $0.00 $0.00
725 Living Room Stereo cabinet 0 $0.00 $0.00
726 Living Room Stereo speakers 0 $0.00 $0.00
727 Living Room Table 0 $0.00 $0.00
728 Living Room Television 0 $0.00 $0.00
729 Living Room Television - DVD player 0 $0.00 $0.00
730 Living Room Television - DVD's (List separately) 0 $0.00 $0.00
731 Living Room Television - LCD 0 $0.00 $0.00
732 Living Room Television - Plasma 0 $0.00 $0.00
733 Living Room Television - Tube 0 $0.00 $0.00
734 Living Room Television - VHS movies (List separately) 0 $0.00 $0.00
735 Living Room Television - VHS player 0 $0.00 $0.00
736 Living Room Television stand 0 $0.00 $0.00
737 Living Room Television wall mount 0 $0.00 $0.00
738 Living Room Throw blanket 0 $0.00 $0.00
739 Living Room Throw rug (List separately) 0 $0.00 $0.00
740 Living Room VCR player 0 $0.00 $0.00
741 Living Room VCR player tapes 0 $0.00 $0.00
742 Living Room Wall art 0 $0.00 $0.00
743 Living Room Wall shelves 0 $0.00 $0.00
744 Living Room Window covering - blinds 0 $0.00 $0.00
745 Living Room Window covering - drapery 0 $0.00 $0.00
746
747 Sub-Total: $0.00 $0.00 $0.00
748 Sales Tax (CA) 8.75%: $0.00
749 Delivery Charges: Total Total
Actual Cash
750 Living Room Total: $0.00 Depreciation
Value (ACV)
751
752 Category FAMILY ROOM/LIBRARY For Insurance Adjuster
Item Source Age Replacement Actual Cash
753 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
754 Family Room Air purifier 0 $0.00 $0.00
755 Family Room Art work 0 $0.00 $0.00
756 Family Room Basket 0 $0.00 $0.00
757 Family Room Books 0 $0.00 $0.00
758 Family Room Candle stand 0 $0.00 $0.00
759 Family Room Candleholder - brass 0 $0.00 $0.00
760 Family Room Candleholder - ceramic 0 $0.00 $0.00

15 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
761 Family Room Candleholder - glass 0 $0.00 $0.00
762 Family Room Candles - decorative 0 $0.00 $0.00
763 Family Room Candles - pillar 0 $0.00 $0.00
764 Family Room Candles - tea 0 $0.00 $0.00
765 Family Room CDs 0 $0.00 $0.00
766 Family Room Chairs 0 $0.00 $0.00
767 Family Room Clock 0 $0.00 $0.00
768 Family Room Coffee table 0 $0.00 $0.00
769 Family Room Crystal bowl 0 $0.00 $0.00
770 Family Room Decorative figurines (List separately) 0 $0.00 $0.00
771 Family Room End table 0 $0.00 $0.00
772 Family Room Fire starter/fatwood 0 $0.00 $0.00
773 Family Room Fireplace Andirons 0 $0.00 $0.00
774 Family Room Fireplace ash cans 0 $0.00 $0.00
775 Family Room Fireplace bellow 0 $0.00 $0.00
776 Family Room Fireplace brush 0 $0.00 $0.00
777 Family Room Fireplace burner kit (gas logs) 0 $0.00 $0.00
778 Family Room Fireplace candelabra 0 $0.00 $0.00
779 Family Room Fireplace child safety gate 0 $0.00 $0.00
780 Family Room Fireplace damper pull 0 $0.00 $0.00
781 Family Room Fireplace fender 0 $0.00 $0.00
782 Family Room Fireplace fireback 0 $0.00 $0.00
783 Family Room Fireplace fireback supports 0 $0.00 $0.00
784 Family Room Fireplace gas log – vented fireplace 0 $0.00 $0.00
785 Family Room Fireplace gas log – ventless fireplace 0 $0.00 $0.00
786 Family Room Fireplace gas valve key 0 $0.00 $0.00
787 Family Room Fireplace grate/log holder 0 $0.00 $0.00
788 Family Room Fireplace hearth rug 0 $0.00 $0.00
789 Family Room Fireplace ignition system (gas logs) 0 $0.00 $0.00
790 Family Room Fireplace log holder 0 $0.00 $0.00
791 Family Room Fireplace match holder 0 $0.00 $0.00
792 Family Room Fireplace mesh curtain 0 $0.00 $0.00
793 Family Room Fireplace popcorn popper 0 $0.00 $0.00
794 Family Room Fireplace screen – multipanel 0 $0.00 $0.00
795 Family Room Fireplace screen – single panel 0 $0.00 $0.00
796 Family Room Fireplace shovel 0 $0.00 $0.00
797 Family Room Fireplace spark guard 0 $0.00 $0.00
798 Family Room Fireplace tool set – 4 piece 0 $0.00 $0.00
799 Family Room Fireplace tool set – 5 piece 0 $0.00 $0.00
800 Family Room Fireplace utensils 0 $0.00 $0.00
801 Family Room Flower vase 0 $0.00 $0.00
802 Family Room Frames - desk (list sizes) 0 $0.00 $0.00
803 Family Room Frames - wall (list sizes) 0 $0.00 $0.00
804 Family Room Gaming system - carrying case 0 $0.00 $0.00
805 Family Room Gaming system - Game Boy 0 $0.00 $0.00
806 Family Room Gaming system - games (List separately) 0 $0.00 $0.00
807 Family Room Gaming system - Guitar Hero 0 $0.00 $0.00
808 Family Room Gaming system - head phones 0 $0.00 $0.00
809 Family Room Gaming system - internet access card 0 $0.00 $0.00
810 Family Room Gaming system - joy stick 0 $0.00 $0.00
811 Family Room Gaming system - Nintendo 0 $0.00 $0.00
812 Family Room Gaming system - Nintendo DS 0 $0.00 $0.00
813 Family Room Gaming system - PlayStation 0 $0.00 $0.00

16 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
814 Family Room Gaming system - Sony PSP 0 $0.00 $0.00
815 Family Room Gaming system - Wii 0 $0.00 $0.00
816 Family Room Gaming system - X-box 0 $0.00 $0.00
817 Family Room Grandfather clock 0 $0.00 $0.00
818 Family Room Heated seat cushion 0 $0.00 $0.00
819 Family Room House plant 0 $0.00 $0.00
820 Family Room Hutch 0 $0.00 $0.00
821 Family Room Lamp 0 $0.00 $0.00
822 Family Room Lighting - floor/torch lamp 0 $0.00 $0.00
823 Family Room Lighting - hanging lamp/chandelier 0 $0.00 $0.00
824 Family Room Lighting - table lamp 0 $0.00 $0.00
825 Family Room Lighting - wall sconce 0 $0.00 $0.00
826 Family Room Log carrier 0 $0.00 $0.00
827 Family Room Log wood carrier – canvas 0 $0.00 $0.00
828 Family Room Log wood basket 0 $0.00 $0.00
829 Family Room Love seat 0 $0.00 $0.00
830 Family Room LP records 0 $0.00 $0.00
831 Family Room Magazines 0 $0.00 $0.00
832 Family Room Mantel clock 0 $0.00 $0.00
833 Family Room Record (LP) player 0 $0.00 $0.00
834 Family Room Rug - accent 0 $0.00 $0.00
835 Family Room Rug - area 0 $0.00 $0.00
836 Family Room Rug - runner 0 $0.00 $0.00
837 Family Room Slipcovers 0 $0.00 $0.00
838 Family Room Sofa 0 $0.00 $0.00
839 Family Room Space air conditioner 0 $0.00 $0.00
840 Family Room Space heater 0 $0.00 $0.00
841 Family Room Statue 0 $0.00 $0.00
842 Family Room Stereo 0 $0.00 $0.00
843 Family Room Stereo speakers 0 $0.00 $0.00
844 Family Room Table 0 $0.00 $0.00
845 Family Room Television - Blu-ray movies (List separately) 0 $0.00 $0.00
846 Family Room Television - Blu-ray Player 0 $0.00 $0.00
847 Family Room Television - DVD player 0 $0.00 $0.00
848 Family Room Television - DVD's (List separately) 0 $0.00 $0.00
849 Family Room Television - LCD 0 $0.00 $0.00
850 Family Room Television - Plasma 0 $0.00 $0.00
851 Family Room Television - Tube 0 $0.00 $0.00
852 Family Room Television - universal remote 0 $0.00 $0.00
853 Family Room Television - VHS movies (List separately) 0 $0.00 $0.00
854 Family Room Television - VHS player 0 $0.00 $0.00
855 Family Room Television - wall mount 0 $0.00 $0.00
856 Family Room Television stand 0 $0.00 $0.00
857 Family Room Throw blanket 0 $0.00 $0.00
858 Family Room Throw rug 0 $0.00 $0.00
859 Family Room Wall art 0 $0.00 $0.00
860 Family Room Wall shelves 0 $0.00 $0.00
861 Family Room Window covering - blinds 0 $0.00 $0.00
862 Family Room Window covering - drapery 0 $0.00 $0.00
863
864 Sub-Total: $0.00 $0.00 $0.00
865 Sales Tax (CA) 8.75%: $0.00
866 Delivery Charges: Total Total

17 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
Actual Cash
867 Living Room/Library Total: $0.00 Depreciation
Value (ACV)
868
869 Category DINING ROOM For Insurance Adjuster
Item Source Age Replacement Actual Cash
870 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
871 Dining Room Artificial plants/flowers 0 $0.00 $0.00
872 Dining Room Bread basket 0 $0.00 $0.00
873 Dining Room Buffet 0 $0.00 $0.00
874 Dining Room Candle snuffer 0 $0.00 $0.00
875 Dining Room Candleholder 0 $0.00 $0.00
876 Dining Room Chair pad 0 $0.00 $0.00
877 Dining Room Chandelier 0 $0.00 $0.00
878 Dining Room China cabinet/hutch 0 $0.00 $0.00
879 Dining Room China set 0 $0.00 $0.00
880 Dining Room Clock 0 $0.00 $0.00
881 Dining Room Crystal glass set 0 $0.00 $0.00
882 Dining Room Curio cabinet 0 $0.00 $0.00
883 Dining Room Dining arm chairs 0 $0.00 $0.00
884 Dining Room Dining side chairs 0 $0.00 $0.00
885 Dining Room Dining table 0 $0.00 $0.00
886 Dining Room Dining table pads 0 $0.00 $0.00
887 Dining Room Flatware set 0 $0.00 $0.00
888 Dining Room Framed art 0 $0.00 $0.00
889 Dining Room Frames - desk (list sizes) 0 $0.00 $0.00
890 Dining Room Frames - wall (list sizes) 0 $0.00 $0.00
891 Dining Room Lighting - floor/torch lamp 0 $0.00 $0.00
892 Dining Room Lighting - hanging lamp/chandelier 0 $0.00 $0.00
893 Dining Room Lighting - table lamp 0 $0.00 $0.00
894 Dining Room Lighting - wall sconce 0 $0.00 $0.00
895 Dining Room Napkin rings/holders 0 $0.00 $0.00
896 Dining Room Napkins - cloth 0 $0.00 $0.00
897 Dining Room Nut bowl 0 $0.00 $0.00
898 Dining Room Placemats 0 $0.00 $0.00
899 Dining Room Rug 0 $0.00 $0.00
900 Dining Room Salt & Pepper shakers 0 $0.00 $0.00
901 Dining Room Server 0 $0.00 $0.00
902 Dining Room Serving cart 0 $0.00 $0.00
903 Dining Room Serving set 0 $0.00 $0.00
904 Dining Room Sideboard table 0 $0.00 $0.00
905 Dining Room Silver serving pieces 0 $0.00 $0.00
906 Dining Room Silverware set 0 $0.00 $0.00
907 Dining Room Table linens 0 $0.00 $0.00
908 Dining Room Table runner 0 $0.00 $0.00
909 Dining Room Tea set 0 $0.00 $0.00
910 Dining Room Trivet 0 $0.00 $0.00
911 Dining Room Vase 0 $0.00 $0.00
912 Dining Room Wall lights/sconces 0 $0.00 $0.00
913 Dining Room Wall shelves 0 $0.00 $0.00
914 Dining Room Window covering - blinds 0 $0.00 $0.00
915 Dining Room Window covering - drapery 0 $0.00 $0.00
916 Dining Room Wine cabinet 0 $0.00 $0.00
917

18 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
918 Sub-Total: $0.00 $0.00 $0.00
919 Sales Tax (CA) 8.75%: $0.00
920 Delivery Charges: Total Total
Actual Cash
921 Dining Room Total: $0.00 Depreciation
Value (ACV)
922
923 Category HOME OFFICE For Insurance Adjuster
Item Source Age Replacement Actual Cash
924 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
925 Office Adding machine 0 $0.00 $0.00
926 Office Adding machine - paper 0 $0.00 $0.00
927 Office Address book 0 $0.00 $0.00
928 Office Air conditioner - room/window 0 $0.00 $0.00
929 Office Air duster can 0 $0.00 $0.00
930 Office Artwork (List separately) 0 $0.00 $0.00
931 Office Audio tape 0 $0.00 $0.00
932 Office Autograph book 0 $0.00 $0.00
933 Office Bank checks 0 $0.00 $0.00
934 Office Batteries - 9 volt 0 $0.00 $0.00
935 Office Batteries - AA 0 $0.00 $0.00
936 Office Batteries - AAA 0 $0.00 $0.00
937 Office Batteries - C 0 $0.00 $0.00
938 Office Batteries - cell 0 $0.00 $0.00
939 Office Batteries - D 0 $0.00 $0.00
940 Office Batteries - re-chargeable 0 $0.00 $0.00
941 Office Bible 0 $0.00 $0.00
942 Office Book case 0 $0.00 $0.00
943 Office Book ends 0 $0.00 $0.00
944 Office Books - anime 0 $0.00 $0.00
945 Office Books - coffee table 0 $0.00 $0.00
946 Office Books - computer 0 $0.00 $0.00
947 Office Books - cooking 0 $0.00 $0.00
948 Office Books - finance 0 $0.00 $0.00
949 Office Books - graphic novel 0 $0.00 $0.00
950 Office Books - hardbound (List separately) 0 $0.00 $0.00
951 Office Books - hardcover novel - adult 0 $0.00 $0.00
952 Office Books - hardcover story - child 0 $0.00 $0.00
953 Office Books - paperback (List separately) 0 $0.00 $0.00
954 Office Books - paperback novel - adult 0 $0.00 $0.00
955 Office Books - paperback story - child 0 $0.00 $0.00
956 Office Books - photography 0 $0.00 $0.00
957 Office Books - research/reference 0 $0.00 $0.00
958 Office Books - travel 0 $0.00 $0.00
959 Office Briefcase 0 $0.00 $0.00
960 Office Brochures 0 $0.00 $0.00
961 Office Bubble wrap 0 $0.00 $0.00
962 Office Bulletin board 0 $0.00 $0.00
963 Office Calculator - graphing 0 $0.00 $0.00
964 Office Calculator - hand held 0 $0.00 $0.00
965 Office Calculator - scientific 0 $0.00 $0.00
966 Office Calendar - desk 0 $0.00 $0.00
967 Office Calendar - electronic 0 $0.00 $0.00
968 Office Calendar - wall 0 $0.00 $0.00

19 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
969 Office CD-rewritable 0 $0.00 $0.00
970 Office CD'S (List separately) 0 $0.00 $0.00
971 Office Cell phone 0 $0.00 $0.00
972 Office Cell phone - charger 0 $0.00 $0.00
973 Office Cell phone - downloaded songs 0 $0.00 $0.00
974 Office Cell phone - games 0 $0.00 $0.00
975 Office Cell phone - ringtones 0 $0.00 $0.00
976 Office Cell phone - spare 0 $0.00 $0.00
977 Office Cell phone carrying case 0 $0.00 $0.00
978 Office Check file 0 $0.00 $0.00
979 Office Cigars 0 $0.00 $0.00
980 Office Cleaning duster 0 $0.00 $0.00
981 Office Clipboard 0 $0.00 $0.00
982 Office Clock - desk 0 $0.00 $0.00
983 Office Clock - wall 0 $0.00 $0.00
984 Office Coin collection 0 $0.00 $0.00
985 Office Collectables - all kinds (List separately) 0 $0.00 $0.00
986 Office Computer 0 $0.00 $0.00
987 Office Computer - cable ties 0 $0.00 $0.00
988 Office Computer - cooling pad 0 $0.00 $0.00
989 Office Computer - cords / cables 0 $0.00 $0.00
990 Office Computer - external hard drive back up 0 $0.00 $0.00
991 Office Computer - games (List each separately) 0 $0.00 $0.00
992 Office Computer - Ink jet printer 0 $0.00 $0.00
993 Office Computer - Ink jet printer cartridges 0 $0.00 $0.00
994 Office Computer - lap desk 0 $0.00 $0.00
995 Office Computer - lap top 0 $0.00 $0.00
996 Office Computer - lap top accessories (List separately) 0 $0.00 $0.00
997 Office Computer - lap top carrying case 0 $0.00 $0.00
998 Office Computer - laser jet printer 0 $0.00 $0.00
999 Office Computer - laser jet printer cartridges 0 $0.00 $0.00
1000 Office Computer - memory stick / flash drive 0 $0.00 $0.00
1001 Office Computer - monitor 0 $0.00 $0.00
1002 Office Computer - mouse 0 $0.00 $0.00
1003 Office Computer - mouse pad 0 $0.00 $0.00
1004 Office Computer - optical keyboard 0 $0.00 $0.00
1005 Office Computer - optical mouse 0 $0.00 $0.00
1006 Office Computer - printer 0 $0.00 $0.00
1007 Office Computer - printer cartridges 0 $0.00 $0.00
1008 Office Computer - printer paper 0 $0.00 $0.00
1009 Office Computer - scanner 0 $0.00 $0.00
1010 Office Computer - software (List separately) 0 $0.00 $0.00
1011 Office Computer - speakers / sub woofer 0 $0.00 $0.00
1012 Office Computer - surge protector 0 $0.00 $0.00
1013 Office Computer - toner cartridges 0 $0.00 $0.00
1014 Office Computer - web camera 0 $0.00 $0.00
1015 Office Computer - wireless router 0 $0.00 $0.00
1016 Office Copy paper 0 $0.00 $0.00
1017 Office Cork board 0 $0.00 $0.00
1018 Office Crayons 0 $0.00 $0.00
1019 Office Desk organizer 0 $0.00 $0.00
1020 Office Desk lamp 0 $0.00 $0.00
1021 Office Dictionary 0 $0.00 $0.00

20 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1022 Office Digital camera 0 $0.00 $0.00
1023 Office Digital camera - carrying case 0 $0.00 $0.00
1024 Office Digital video/movie camera 0 $0.00 $0.00
1025 Office Dry erase board 0 $0.00 $0.00
1026 Office Dry erase board eraser 0 $0.00 $0.00
1027 Office Dry erase marker 0 $0.00 $0.00
1028 Office DVD/CD protector 0 $0.00 $0.00
1029 Office Ear buds 0 $0.00 $0.00
1030 Office Fax machine 0 $0.00 $0.00
1031 Office Fax paper 0 $0.00 $0.00
1032 Office Figurines (list separately) 0 $0.00 $0.00
1033 Office File folder 0 $0.00 $0.00
1034 Office File folders 0 $0.00 $0.00
1035 Office File holder - wire 0 $0.00 $0.00
1036 Office Filing cabinet 0 $0.00 $0.00
1037 Office Filing expanding folders 0 $0.00 $0.00
1038 Office Filing hanging folders 0 $0.00 $0.00
1039 Office Filing tabs/inserts 0 $0.00 $0.00
1040 Office Fire safe 0 $0.00 $0.00
1041 Office Fish aquarium 0 $0.00 $0.00
1042 Office Fish aquarium accessories - list separately 0 $0.00 $0.00
1043 Office Frames - desk (list sizes) 0 $0.00 $0.00
1044 Office Frames - wall (list sizes) 0 $0.00 $0.00
1045 Office Furniture - armoire 0 $0.00 $0.00
1046 Office Furniture - bench 0 $0.00 $0.00
1047 Office Furniture - bookcases 0 $0.00 $0.00
1048 Office Furniture - computer desk / table 0 $0.00 $0.00
1049 Office Furniture - computer printer stand / table 0 $0.00 $0.00
1050 Office Furniture - desk chair 0 $0.00 $0.00
1051 Office Furniture - dresser 0 $0.00 $0.00
1052 Office Furniture - file cabinet 0 $0.00 $0.00
1053 Office Furniture - framed mirror 0 $0.00 $0.00
1054 Office Furniture - hat rack 0 $0.00 $0.00
1055 Office Furniture - laptop cart 0 $0.00 $0.00
1056 Office Furniture - love seat 0 $0.00 $0.00
1057 Office Furniture - table 0 $0.00 $0.00
1058 Office Furniture - task chair 0 $0.00 $0.00
1059 Office Furniture - television stand 0 $0.00 $0.00
1060 Office Furniture - trunk 0 $0.00 $0.00
1061 Office Gift cards (list separately) 0 $0.00 $0.00
1062 Office Gift certificates (list separately) 0 $0.00 $0.00
1063 Office Glasses - case 0 $0.00 $0.00
1064 Office Glasses - reading 0 $0.00 $0.00
1065 Office Globe 0 $0.00 $0.00
1066 Office Glue - all purpose 0 $0.00 $0.00
1067 Office Glue - liquid 0 $0.00 $0.00
1068 Office Glue - rubber cement 0 $0.00 $0.00
1069 Office Glue - sticks 0 $0.00 $0.00
1070 Office Glue - super glue 0 $0.00 $0.00
1071 Office Gun 12 gauge hulls 0 $0.00 $0.00
1072 Office Gun 12 gauge shell wads 0 $0.00 $0.00
1073 Office Gun accessories (list separately) 0 $0.00 $0.00
1074 Office Gun rack 0 $0.00 $0.00

21 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1075 Office Guns (list separately) 0 $0.00 $0.00
1076 Office Hat - baseball 0 $0.00 $0.00
1077 Office Hat - cowboy 0 $0.00 $0.00
1078 Office Headphones 0 $0.00 $0.00
1079 Office Humador 0 $0.00 $0.00
1080 Office iHome 0 $0.00 $0.00
1081 Office Index cards 0 $0.00 $0.00
1082 Office Ink stamp 0 $0.00 $0.00
1083 Office iPad 0 $0.00 $0.00
1084 Office iPod 0 $0.00 $0.00
1085 Office iPod carrying case 0 $0.00 $0.00
1086 Office iPod downloaded songs (list quantity) 0 $0.00 $0.00
1087 Office iPod ear phones 0 $0.00 $0.00
1088 Office Labeler 0 $0.00 $0.00
1089 Office Letter opener 0 $0.00 $0.00
1090 Office Lighting - floor/torch lamp 0 $0.00 $0.00
1091 Office Lighting - hanging lamp 0 $0.00 $0.00
1092 Office Lighting - table lamp 0 $0.00 $0.00
1093 Office Lighting - wall sconce 0 $0.00 $0.00
1094 Office Mailing - boxes 0 $0.00 $0.00
1095 Office Mailing - envelopes - large 0 $0.00 $0.00
1096 Office Mailing - envelopes - padded 0 $0.00 $0.00
1097 Office Mailing - envelopes - small 0 $0.00 $0.00
1098 Office Mailing - envelopes/padded 0 $0.00 $0.00
1099 Office Mailing - labels 0 $0.00 $0.00
1100 Office Mailing - labels - personalized 0 $0.00 $0.00
1101 Office Mailing - postal scale 0 $0.00 $0.00
1102 Office Mailing - shipping boxes 0 $0.00 $0.00
1103 Office Mailing - shipping labels 0 $0.00 $0.00
1104 Office Mailing - stamps 0 $0.00 $0.00
1105 Office Markers 0 $0.00 $0.00
1106 Office Mechanical pencils 0 $0.00 $0.00
1107 Office Musical instruments (List separately) 0 $0.00 $0.00
1108 Office Noise canceling headphone 0 $0.00 $0.00
1109 Office Notebook 0 $0.00 $0.00
1110 Office Pad lock 0 $0.00 $0.00
1111 Office Paintings - list separately 0 $0.00 $0.00
1112 Office Paper - birthday/thank you cards 0 $0.00 $0.00
1113 Office Paper - business cards 0 $0.00 $0.00
1114 Office Paper - card stock 0 $0.00 $0.00
1115 Office Paper - colored 0 $0.00 $0.00
1116 Office Paper - holiday cards 0 $0.00 $0.00
1117 Office Paper - memo pads 0 $0.00 $0.00
1118 Office Paper - notebook 0 $0.00 $0.00
1119 Office Paper - photo paper - 13x9 0 $0.00 $0.00
1120 Office Paper - photo paper - 4x6 0 $0.00 $0.00
1121 Office Paper - photo paper - 5x7 0 $0.00 $0.00
1122 Office Paper - photo paper - 8 1/2 x 11 0 $0.00 $0.00
1123 Office Paper - photo paper - 8x10 0 $0.00 $0.00
1124 Office Paper - post it Notes 1/2 x 3 0 $0.00 $0.00
1125 Office Paper - post it Notes 3x3 0 $0.00 $0.00
1126 Office Paper - printer 0 $0.00 $0.00
1127 Office Paper - stationary 0 $0.00 $0.00

22 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1128 Office Paper - writing pads 0 $0.00 $0.00
1129 Office Paper clips 0 $0.00 $0.00
1130 Office Paper shredder 0 $0.00 $0.00
1131 Office Pencil cup/desk set 0 $0.00 $0.00
1132 Office Pencil sharpener 0 $0.00 $0.00
1133 Office Pencils 0 $0.00 $0.00
1134 Office Pens 0 $0.00 $0.00
1135 Office Photo album 0 $0.00 $0.00
1136 Office Picture frames 0 $0.00 $0.00
1137 Office Plug converter/adapters 0 $0.00 $0.00
1138 Office Portable air conditioner 0 $0.00 $0.00
1139 Office Portable air purifier 0 $0.00 $0.00
1140 Office Portable humidifier 0 $0.00 $0.00
1141 Office Portable oscillating fan 0 $0.00 $0.00
1142 Office Portable space heater 0 $0.00 $0.00
1143 Office Posters 0 $0.00 $0.00
1144 Office Potted plants 0 $0.00 $0.00
1145 Office Pre-inked stamp 0 $0.00 $0.00
1146 Office Recharging station 0 $0.00 $0.00
1147 Office Ruler 0 $0.00 $0.00
1148 Office School Supplies - Backpack 0 $0.00 $0.00
1149 Office School Supplies - Binder 0 $0.00 $0.00
1150 Office School Supplies - Calculator 0 $0.00 $0.00
1151 Office School Supplies - Colored pencils 0 $0.00 $0.00
1152 Office School Supplies - Crayons 0 $0.00 $0.00
1153 Office School Supplies - Desk - student 0 $0.00 $0.00
1154 Office School Supplies - Desk chair - student 0 $0.00 $0.00
1155 Office School Supplies - Erasers 0 $0.00 $0.00
1156 Office School Supplies - Glue 0 $0.00 $0.00
1157 Office School Supplies - Laptop 0 $0.00 $0.00
1158 Office School Supplies - Lunch box 0 $0.00 $0.00
1159 Office School Supplies - Markers 0 $0.00 $0.00
1160 Office School Supplies - Mechanical pencils 0 $0.00 $0.00
1161 Office School Supplies - Mouse 0 $0.00 $0.00
1162 Office School Supplies - Mousepad 0 $0.00 $0.00
1163 Office School Supplies - Netbook 0 $0.00 $0.00
1164 Office School Supplies - Notebook 0 $0.00 $0.00
1165 Office School Supplies - Paper 0 $0.00 $0.00
1166 Office School Supplies - Pencils 0 $0.00 $0.00
1167 Office School Supplies - Pens 0 $0.00 $0.00
1168 Office School Supplies - Ruler 0 $0.00 $0.00
1169 Office School Supplies - Speakers 0 $0.00 $0.00
1170 Office School Supplies - Stapler 0 $0.00 $0.00
1171 Office School Supplies - Staples 0 $0.00 $0.00
1172 Office School Supplies - USB 0 $0.00 $0.00
1173 Office Scissors 0 $0.00 $0.00
1174 Office Scotch tape 0 $0.00 $0.00
1175 Office Scotch tape dispenser 0 $0.00 $0.00
1176 Office Screen cleaner 0 $0.00 $0.00
1177 Office Sharpie pens-fine line 0 $0.00 $0.00
1178 Office Sharpie pens-thick line 0 $0.00 $0.00
1179 Office Snow globe 0 $0.00 $0.00
1180 Office Speakers 0 $0.00 $0.00

23 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1181 Office Sports memorabilia (List separately) 0 $0.00 $0.00
1182 Office Stapler 0 $0.00 $0.00
1183 Office Staples 0 $0.00 $0.00
1184 Office Stationary 0 $0.00 $0.00
1185 Office Stationary-personalized 0 $0.00 $0.00
1186 Office Stereo 0 $0.00 $0.00
1187 Office Storage bins - 15 to 30 quart 0 $0.00 $0.00
1188 Office Storage bins - 30 to 60 quart 0 $0.00 $0.00
1189 Office Storage bins - 60 qt or larger 0 $0.00 $0.00
1190 Office Storage bins - CD/photo 0 $0.00 $0.00
1191 Office Storage bins - less than 15 quart 0 $0.00 $0.00
1192 Office String/twine 0 $0.00 $0.00
1193 Office Tape - clear 0 $0.00 $0.00
1194 Office Tape - duct 0 $0.00 $0.00
1195 Office Tape - filament 0 $0.00 $0.00
1196 Office Tape - masking 0 $0.00 $0.00
1197 Office Tape - mounting 0 $0.00 $0.00
1198 Office Tape - packing/mailing 0 $0.00 $0.00
1199 Office Tape - removable 0 $0.00 $0.00
1200 Office Taxidermy - mounted fish, etc. 0 $0.00 $0.00
1201 Office Telephone 0 $0.00 $0.00
1202 Office Telephone - answering machine 0 $0.00 $0.00
1203 Office Television 0 $0.00 $0.00
1204 Office Television - DVD player 0 $0.00 $0.00
1205 Office Television - DVD's (List separately) 0 $0.00 $0.00
1206 Office Television - VHS movies (List separately) 0 $0.00 $0.00
1207 Office Television - VHS player 0 $0.00 $0.00
1208 Office Thesaurus 0 $0.00 $0.00
1209 Office Three hole punch 0 $0.00 $0.00
1210 Office Trophies 0 $0.00 $0.00
1211 Office Umbrella 0 $0.00 $0.00
1212 Office Umbrella stand 0 $0.00 $0.00
1213 Office Wall map 0 $0.00 $0.00
1214 Office Waste basket 0 $0.00 $0.00
1215 Office Whiteboard 0 $0.00 $0.00
1216 Office Window covering - blinds 0 $0.00 $0.00
1217 Office Window covering - drapery 0 $0.00 $0.00
1218 Office Writing pen - gold 0 $0.00 $0.00
1219 Office Writing pen - silver 0 $0.00 $0.00
1220
1221 Sub-Total: $0.00 $0.00 $0.00
1222 Sales Tax (CA) 8.75%: $0.00
1223 Delivery Charges: Total Total
Actual Cash
1224 Home Office Total: $0.00 Depreciation
Value (ACV)
1225
1226 Category GAME ROOM For Insurance Adjuster
Item Source Age Replacement Actual Cash
1227 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1228 Game Room Air hockey table 0 $0.00 $0.00
1229 Game Room Blu-ray discs (list separately) 0 $0.00 $0.00
1230 Game Room Blu-ray player 0 $0.00 $0.00
1231 Game Room Chair 0 $0.00 $0.00

24 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1232 Game Room Computer games 0 $0.00 $0.00
1233 Game Room Couch 0 $0.00 $0.00
1234 Game Room Dart board 0 $0.00 $0.00
1235 Game Room Darts 0 $0.00 $0.00
1236 Game Room DVD discs (list separately) 0 $0.00 $0.00
1237 Game Room DVD player 0 $0.00 $0.00
1238 Game Room Foosball table 0 $0.00 $0.00
1239 Game Room Gaming system - carrying case 0 $0.00 $0.00
1240 Game Room Gaming system - Game Boy 0 $0.00 $0.00
1241 Game Room Gaming system - Game Boy games (List separately) 0 $0.00 $0.00
1242 Game Room Gaming system - Game cube 0 $0.00 $0.00
1243 Game Room Gaming system - Game cube games 0 $0.00 $0.00
1244 Game Room Gaming system - Game cube accessories (List separately) 0 $0.00 $0.00
1245 Game Room Gaming system - head phones 0 $0.00 $0.00
1246 Game Room Gaming system - internet access card 0 $0.00 $0.00
1247 Game Room Gaming system - joy stick 0 $0.00 $0.00
1248 Game Room Gaming system - Nintendo DS 0 $0.00 $0.00
1249 Game Room Gaming system - Nintendo Dsi 0 $0.00 $0.00
1250 Game Room Gaming system - Nintendo games 0 $0.00 $0.00
1251 Game Room Gaming system - Nintendo accessories (List separately) 0 $0.00 $0.00
1252 Game Room Gaming system - PlayStation 1 0 $0.00 $0.00
1253 Game Room Gaming system - PlayStation 2 0 $0.00 $0.00
1254 Game Room Gaming system - PlayStation 3 0 $0.00 $0.00
1255 Game Room Gaming system - PlayStation games (List separately) 0 $0.00 $0.00
1256 Game Room Gaming system - PlayStation accessories (List separately) 0 $0.00 $0.00
1257 Game Room Gaming system - PSP 0 $0.00 $0.00
1258 Game Room Gaming system - PSP games (List separately) 0 $0.00 $0.00
1259 Game Room Gaming system - PSP Go 0 $0.00 $0.00
1260 Game Room Gaming system - Wii 0 $0.00 $0.00
1261 Game Room Gaming system - Wii games (List separately) 0 $0.00 $0.00
1262 Game Room Gaming system - Wii accessories (List separately) 0 $0.00 $0.00
1263 Game Room Gaming system - X-box 0 $0.00 $0.00
1264 Game Room Gaming system - X-box 360 0 $0.00 $0.00
1265 Game Room Gaming system - X-box games (List separately) 0 $0.00 $0.00
1266 Game Room Gaming system - X-box accessories (List separately) 0 $0.00 $0.00
1267 Game Room Laptop 0 $0.00 $0.00
1268 Game Room Movie popcorn popper 0 $0.00 $0.00
1269 Game Room Nintendo DS accessories (list separately) 0 $0.00 $0.00
1270 Game Room Pinball machine 0 $0.00 $0.00
1271 Game Room Ping pong paddles and balls 0 $0.00 $0.00
1272 Game Room Ping pong table 0 $0.00 $0.00
1273 Game Room Pool cue - rack 0 $0.00 $0.00
1274 Game Room Pool cues, balls, accessories 0 $0.00 $0.00
1275 Game Room Pool table 0 $0.00 $0.00
1276 Game Room Pool table - cover 0 $0.00 $0.00
1277 Game Room Refrigerator (mini) 0 $0.00 $0.00
1278 Game Room Television 0 $0.00 $0.00
1279 Game Room Television remote 0 $0.00 $0.00
1280
1281 Sub-Total: $0.00 $0.00 $0.00
1282 Sales Tax (CA) 8.75%: $0.00
1283 Delivery Charges: Total Total

25 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
Actual Cash
1284 Game Room Total: $0.00 Depreciation
Value (ACV)
1285
1286 Category LAUNDRY ROOM/CLEANING For Insurance Adjuster
Item Source Age Replacement Actual Cash
1287 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1288 Laundry/Cleaning Antique/wood cleaning supplies 0 $0.00 $0.00
1289 Laundry/Cleaning Appliance - Clothes Dryer 0 $0.00 $0.00
1290 Laundry/Cleaning Appliance - Washing machine 0 $0.00 $0.00
1291 Laundry/Cleaning BBQ/Grill cleaner 0 $0.00 $0.00
1292 Laundry/Cleaning Bleach 0 $0.00 $0.00
1293 Laundry/Cleaning Borax 0 $0.00 $0.00
1294 Laundry/Cleaning Broom 0 $0.00 $0.00
1295 Laundry/Cleaning Bucket 0 $0.00 $0.00
1296 Laundry/Cleaning Carpet cleaner - foam/spray 0 $0.00 $0.00
1297 Laundry/Cleaning Carpet cleaner - liquid concentrate 0 $0.00 $0.00
1298 Laundry/Cleaning Carpet cleaner solution 0 $0.00 $0.00
1299 Laundry/Cleaning Carpet cleaner/steamer 0 $0.00 $0.00
1300 Laundry/Cleaning Cleaning wipes 0 $0.00 $0.00
1301 Laundry/Cleaning Cleanser - liquid 0 $0.00 $0.00
1302 Laundry/Cleaning Cleanser - powder 0 $0.00 $0.00
1303 Laundry/Cleaning Cleanser - spray 0 $0.00 $0.00
1304 Laundry/Cleaning Clothes hamper 0 $0.00 $0.00
1305 Laundry/Cleaning Clothes hangers 0 $0.00 $0.00
1306 Laundry/Cleaning Clothes hanging bag 0 $0.00 $0.00
1307 Laundry/Cleaning Clothing - blouse 0 $0.00 $0.00
1308 Laundry/Cleaning Clothing - bra 0 $0.00 $0.00
1309 Laundry/Cleaning Clothing - dress 0 $0.00 $0.00
1310 Laundry/Cleaning Clothing - pajamas 0 $0.00 $0.00
1311 Laundry/Cleaning Clothing - pants 0 $0.00 $0.00
1312 Laundry/Cleaning Clothing - shirt 0 $0.00 $0.00
1313 Laundry/Cleaning Clothing - shoes 0 $0.00 $0.00
1314 Laundry/Cleaning Clothing - socks 0 $0.00 $0.00
1315 Laundry/Cleaning Clothing - sweater 0 $0.00 $0.00
1316 Laundry/Cleaning Clothing - underwear 0 $0.00 $0.00
1317 Laundry/Cleaning Drain cleaner 0 $0.00 $0.00
1318 Laundry/Cleaning Dryer sheets 0 $0.00 $0.00
1319 Laundry/Cleaning Drying rack 0 $0.00 $0.00
1320 Laundry/Cleaning Dust Buster 0 $0.00 $0.00
1321 Laundry/Cleaning Dust mop 0 $0.00 $0.00
1322 Laundry/Cleaning Dust pan 0 $0.00 $0.00
1323 Laundry/Cleaning Fabric shaver 0 $0.00 $0.00
1324 Laundry/Cleaning Fabric softener 0 $0.00 $0.00
1325 Laundry/Cleaning Fan cleaner brush 0 $0.00 $0.00
1326 Laundry/Cleaning Feather duster 0 $0.00 $0.00
1327 Laundry/Cleaning Flash light 0 $0.00 $0.00
1328 Laundry/Cleaning Floor cleaner 0 $0.00 $0.00
1329 Laundry/Cleaning Floor cleaner - hardwood 0 $0.00 $0.00
1330 Laundry/Cleaning Floor cleaner - laminate 0 $0.00 $0.00
1331 Laundry/Cleaning Floor cleaner - Murphy soap 0 $0.00 $0.00
1332 Laundry/Cleaning Floor steam cleaner 0 $0.00 $0.00
1333 Laundry/Cleaning Furniture cream 0 $0.00 $0.00
1334 Laundry/Cleaning Furniture polish 0 $0.00 $0.00

26 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1335 Laundry/Cleaning Grout cleaner 0 $0.00 $0.00
1336 Laundry/Cleaning Hamper 0 $0.00 $0.00
1337 Laundry/Cleaning Hand vacuum 0 $0.00 $0.00
1338 Laundry/Cleaning Hangers - cedar 0 $0.00 $0.00
1339 Laundry/Cleaning Hangers - pant/skirt 0 $0.00 $0.00
1340 Laundry/Cleaning Hangers - plastic 0 $0.00 $0.00
1341 Laundry/Cleaning Iron 0 $0.00 $0.00
1342 Laundry/Cleaning Ironing board 0 $0.00 $0.00
1343 Laundry/Cleaning Laundry basket 0 $0.00 $0.00
1344 Laundry/Cleaning Laundry detergent 0 $0.00 $0.00
1345 Laundry/Cleaning Laundry detergent - All 0 $0.00 $0.00
1346 Laundry/Cleaning Laundry detergent - Cheer 0 $0.00 $0.00
1347 Laundry/Cleaning Laundry detergent - Gain 0 $0.00 $0.00
1348 Laundry/Cleaning Laundry detergent - Tide 0 $0.00 $0.00
1349 Laundry/Cleaning Lint remover 0 $0.00 $0.00
1350 Laundry/Cleaning Microfiber wipes 0 $0.00 $0.00
1351 Laundry/Cleaning Mr. Clean sponge 0 $0.00 $0.00
1352 Laundry/Cleaning Night lite 0 $0.00 $0.00
1353 Laundry/Cleaning OxiClean 0 $0.00 $0.00
1354 Laundry/Cleaning Pet - collar 0 $0.00 $0.00
1355 Laundry/Cleaning Pet - food 0 $0.00 $0.00
1356 Laundry/Cleaning Pet - food dish 0 $0.00 $0.00
1357 Laundry/Cleaning Pet - kitty litter 0 $0.00 $0.00
1358 Laundry/Cleaning Pet - kitty litter box 0 $0.00 $0.00
1359 Laundry/Cleaning Pet - kitty litter scoop 0 $0.00 $0.00
1360 Laundry/Cleaning Pet - leash 0 $0.00 $0.00
1361 Laundry/Cleaning Pet - medicine 0 $0.00 $0.00
1362 Laundry/Cleaning Pet - shampoo 0 $0.00 $0.00
1363 Laundry/Cleaning Plunger 0 $0.00 $0.00
1364 Laundry/Cleaning Room freshener spray 0 $0.00 $0.00
1365 Laundry/Cleaning Rubber gloves 0 $0.00 $0.00
1366 Laundry/Cleaning Scrub brush 0 $0.00 $0.00
1367 Laundry/Cleaning Scrubbing pad 0 $0.00 $0.00
1368 Laundry/Cleaning Sewing fabric 0 $0.00 $0.00
1369 Laundry/Cleaning Sewing machine 0 $0.00 $0.00
1370 Laundry/Cleaning Sewing needles 0 $0.00 $0.00
1371 Laundry/Cleaning Sewing thread 0 $0.00 $0.00
1372 Laundry/Cleaning Shoe polish 0 $0.00 $0.00
1373 Laundry/Cleaning Shoe shine kit 0 $0.00 $0.00
1374 Laundry/Cleaning Soap brush 0 $0.00 $0.00
1375 Laundry/Cleaning Sponges 0 $0.00 $0.00
1376 Laundry/Cleaning Stain remover 0 $0.00 $0.00
1377 Laundry/Cleaning Stainless steel cleaner 0 $0.00 $0.00
1378 Laundry/Cleaning Steam mop 0 $0.00 $0.00
1379 Laundry/Cleaning Steamer 0 $0.00 $0.00
1380 Laundry/Cleaning Steamer - travel 0 $0.00 $0.00
1381 Laundry/Cleaning Step ladder 0 $0.00 $0.00
1382 Laundry/Cleaning Suface cleaner 0 $0.00 $0.00
1383 Laundry/Cleaning Surface cleaner - wood 0 $0.00 $0.00
1384 Laundry/Cleaning Swiffer 0 $0.00 $0.00
1385 Laundry/Cleaning Tile cleaner 0 $0.00 $0.00
1386 Laundry/Cleaning Vacuum cleaner 0 $0.00 $0.00
1387 Laundry/Cleaning Vacuum cleaner bags 0 $0.00 $0.00

27 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1388 Laundry/Cleaning Vacuum cleaning robot 0 $0.00 $0.00
1389 Laundry/Cleaning Vacuum cleaning robot filter 0 $0.00 $0.00
1390 Laundry/Cleaning Vacuum filter 0 $0.00 $0.00
1391 Laundry/Cleaning Vacuum hand/cordless 0 $0.00 $0.00
1392 Laundry/Cleaning Vacuum replacement bags 0 $0.00 $0.00
1393 Laundry/Cleaning Wet mop 0 $0.00 $0.00
1394 Laundry/Cleaning Window cleaner 0 $0.00 $0.00
1395
1396 Sub-Total: $0.00 $0.00 $0.00
1397 Sales Tax (CA) 8.75%: $0.00
1398 Delivery Charges: Total Total
Actual Cash
1399 Laundry Room Total: $0.00 Depreciation
Value (ACV)
1400
1401 Category STORAGE CABINETS For Insurance Adjuster
Item Source Age Replacement Actual Cash
1402 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1403 Storage Cabinet Birthday gifts 0 $0.00 $0.00
1404 Storage Cabinet Bows 0 $0.00 $0.00
1405 Storage Cabinet Cabinet latch - baby 0 $0.00 $0.00
1406 Storage Cabinet Cards 0 $0.00 $0.00
1407 Storage Cabinet Cleaning - 409 0 $0.00 $0.00
1408 Storage Cabinet Cleaning - air freshener 0 $0.00 $0.00
1409 Storage Cabinet Cleaning - ammonia 0 $0.00 $0.00
1410 Storage Cabinet Cleaning - baking soda 0 $0.00 $0.00
1411 Storage Cabinet Cleaning - bleach 0 $0.00 $0.00
1412 Storage Cabinet Cleaning - carpet stain remover 0 $0.00 $0.00
1413 Storage Cabinet Cleaning - comet 0 $0.00 $0.00
1414 Storage Cabinet Cleaning - floor wax 0 $0.00 $0.00
1415 Storage Cabinet Cleaning - furniture polish 0 $0.00 $0.00
1416 Storage Cabinet Cleaning - gloves 0 $0.00 $0.00
1417 Storage Cabinet Cleaning - hydrogen peroxide 0 $0.00 $0.00
1418 Storage Cabinet Cleaning - laundry detergent 0 $0.00 $0.00
1419 Storage Cabinet Cleaning - lemon oil 0 $0.00 $0.00
1420 Storage Cabinet Cleaning - liquid soap 0 $0.00 $0.00
1421 Storage Cabinet Cleaning - Lysol 0 $0.00 $0.00
1422 Storage Cabinet Cleaning - Oxiclean 0 $0.00 $0.00
1423 Storage Cabinet Cleaning - Pledge 0 $0.00 $0.00
1424 Storage Cabinet Cleaning - polishing compound 0 $0.00 $0.00
1425 Storage Cabinet Cleaning - rags 0 $0.00 $0.00
1426 Storage Cabinet Cleaning - Scrubbing pads 0 $0.00 $0.00
1427 Storage Cabinet Cleaning - stain remover 0 $0.00 $0.00
1428 Storage Cabinet Cleaning - Windex/glass cleaner 0 $0.00 $0.00
1429 Storage Cabinet Cleaning -toilet cleanser 0 $0.00 $0.00
1430 Storage Cabinet Dryer sheets 0 $0.00 $0.00
1431 Storage Cabinet Fire extinguisher 0 $0.00 $0.00
1432 Storage Cabinet Flameless candles 0 $0.00 $0.00
1433 Storage Cabinet Insecticide 0 $0.00 $0.00
1434 Storage Cabinet Jewelry cleaner 0 $0.00 $0.00
1435 Storage Cabinet Mouse trap 0 $0.00 $0.00
1436 Storage Cabinet Paper supplies 0 $0.00 $0.00
1437 Storage Cabinet Paper towels 0 $0.00 $0.00
1438 Storage Cabinet Shoe polish 0 $0.00 $0.00

28 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1439 Storage Cabinet Silver polish 0 $0.00 $0.00
1440 Storage Cabinet Toilet paper 0 $0.00 $0.00
1441 Storage Cabinet Ultrasonic jewelry/glasses cleaner 0 $0.00 $0.00
1442 Storage Cabinet Wash cloths 0 $0.00 $0.00
1443 Storage Cabinet Wrapping paper 0 $0.00 $0.00
1444
1445
1446 Sub-Total: $0.00 $0.00 $0.00
1447 Sales Tax (CA) 8.75%: $0.00
1448 Delivery Charges: Total Total
Actual Cash
1449 Storage Cabinets Total: $0.00 Depreciation
Value (ACV)
1450
1451 Category KITCHEN For Insurance Adjuster
Item Source Age Replacement Actual Cash
1452 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1453 Kitchen Appliances - Baby food maker 0 $0.00 $0.00
1454 Kitchen Appliances - Blender 0 $0.00 $0.00
1455 Kitchen Appliances - Bread maker 0 $0.00 $0.00
1456 Kitchen Appliances - Can opener 0 $0.00 $0.00
1457 Kitchen Appliances - Chafing dish 0 $0.00 $0.00
1458 Kitchen Appliances - Chargeable wine opener 0 $0.00 $0.00
1459 Kitchen Appliances - Chocolate fountain 0 $0.00 $0.00
1460 Kitchen Appliances - Coffee maker, Cuisinart 0 $0.00 $0.00
1461 Kitchen Appliances - Coffee maker, french press 0 $0.00 $0.00
1462 Kitchen Appliances - Coffee & Espresso Accessories 0 $0.00 $0.00
1463 Kitchen Appliances - Coffee grinder 0 $0.00 $0.00
1464 Kitchen Appliances - Coffee maker 0 $0.00 $0.00
1465 Kitchen Appliances - Coffee maker, Breville 0 $0.00 $0.00
1466 Kitchen Appliances - Convection oven 0 $0.00 $0.00
1467 Kitchen Appliances - Cotton candy machine 0 $0.00 $0.00
1468 Kitchen Appliances - Crock pot 0 $0.00 $0.00
1469 Kitchen Appliances - Curly fry cutter 0 $0.00 $0.00
1470 Kitchen Appliances - Deep fryer 0 $0.00 $0.00
1471 Kitchen Appliances - Dishwasher 0 $0.00 $0.00
1472 Kitchen Appliances - Drink mixer 0 $0.00 $0.00
1473 Kitchen Appliances - Electric chopper 0 $0.00 $0.00
1474 Kitchen Appliances - Electric griddle 0 $0.00 $0.00
1475 Kitchen Appliances - Electric grill 0 $0.00 $0.00
1476 Kitchen Appliances - Electric kettle 0 $0.00 $0.00
1477 Kitchen Appliances - Electric skillet 0 $0.00 $0.00
1478 Kitchen Appliances - Electric wok 0 $0.00 $0.00
1479 Kitchen Appliances - Espresso Maker 0 $0.00 $0.00
1480 Kitchen Appliances - Food chopper 0 $0.00 $0.00
1481 Kitchen Appliances - Food dehydrator 0 $0.00 $0.00
1482 Kitchen Appliances - Food processor 0 $0.00 $0.00
1483 Kitchen Appliances - Food scale 0 $0.00 $0.00
1484 Kitchen Appliances - Food steamer 0 $0.00 $0.00
1485 Kitchen Appliances - French fry cutter 0 $0.00 $0.00
1486 Kitchen Appliances - George Foreman grill 0 $0.00 $0.00
1487 Kitchen Appliances - Hamburger press 0 $0.00 $0.00
1488 Kitchen Appliances - Hand blender 0 $0.00 $0.00
1489 Kitchen Appliances - Hand vacuum - cordless 0 $0.00 $0.00

29 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1490 Kitchen Appliances - Hot plate 0 $0.00 $0.00
1491 Kitchen Appliances - Ice cream maker - electric 0 $0.00 $0.00
1492 Kitchen Appliances - Ice cream maker - hand crank 0 $0.00 $0.00
1493 Kitchen Appliances - Juicer 0 $0.00 $0.00
1494 Kitchen Appliances - Meat grinder 0 $0.00 $0.00
1495 Kitchen Appliances - Microwave Oven 0 $0.00 $0.00
1496 Kitchen Appliances - Milk Frother 0 $0.00 $0.00
1497 Kitchen Appliances - Mixer, Artisan 0 $0.00 $0.00
1498 Kitchen Appliances - Mixer, hand 0 $0.00 $0.00
1499 Kitchen Appliances - Mixer, standing 0 $0.00 $0.00
1500 Kitchen Appliances - Oven 0 $0.00 $0.00
1501 Kitchen Appliances - Panini Press 0 $0.00 $0.00
1502 Kitchen Appliances - Peppermill 0 $0.00 $0.00
1503 Kitchen Appliances - Popcorn maker 0 $0.00 $0.00
1504 Kitchen Appliances - Pressure cooker 0 $0.00 $0.00
1505 Kitchen Appliances - Rice cooker 0 $0.00 $0.00
1506 Kitchen Appliances - Soda Maker 0 $0.00 $0.00
1507 Kitchen Appliances - Snow cone maker 0 $0.00 $0.00
1508 Kitchen Appliances - Stove and Range Hood 0 $0.00 $0.00
1509 Kitchen Appliances - Tea Kettle 0 $0.00 $0.00
1510 Kitchen Appliances - Timer 0 $0.00 $0.00
1511 Kitchen Appliances - Toaster - 2 slice 0 $0.00 $0.00
1512 Kitchen Appliances - Toaster - 4 slice 0 $0.00 $0.00
1513 Kitchen Appliances - Toaster oven 0 $0.00 $0.00
1514 Kitchen Appliances - Trash Compactor 0 $0.00 $0.00
1515 Kitchen Appliances - Turkey fryer 0 $0.00 $0.00
1516 Kitchen Appliances - Vacuum sealer 0 $0.00 $0.00
1517 Kitchen Appliances - Vacuum sealer bags 0 $0.00 $0.00
1518 Kitchen Appliances - Vegetable steamer 0 $0.00 $0.00
1519 Kitchen Appliances - Waffle Maker 0 $0.00 $0.00
1520 Kitchen Appliances - Warming tray 0 $0.00 $0.00
1521 Kitchen Appliances - Water cooler 0 $0.00 $0.00
1522 Kitchen Baking - Baking Rack 0 $0.00 $0.00
1523 Kitchen Baking - Baking Sheet 0 $0.00 $0.00
1524 Kitchen Baking - Bread/Loaf Pan 0 $0.00 $0.00
1525 Kitchen Baking - Bundt Pan 0 $0.00 $0.00
1526 Kitchen Baking - Cake Decorating Tools 0 $0.00 $0.00
1527 Kitchen Baking - Cake pans 0 $0.00 $0.00
1528 Kitchen Baking - Casserole dish 0 $0.00 $0.00
1529 Kitchen Baking - Cookie cutters 0 $0.00 $0.00
1530 Kitchen Baking - Cookie press 0 $0.00 $0.00
1531 Kitchen Baking - Cookie sheet 0 $0.00 $0.00
1532 Kitchen Baking - Cooling Rack 0 $0.00 $0.00
1533 Kitchen Baking - Cupcake pan 0 $0.00 $0.00
1534 Kitchen Baking - Cupcake stand 0 $0.00 $0.00
1535 Kitchen Baking - Loaf Pan 0 $0.00 $0.00
1536 Kitchen Baking - Measuring cup pyrex 0 $0.00 $0.00
1537 Kitchen Baking - Measuring cup set 0 $0.00 $0.00
1538 Kitchen Baking - Measuring cup set stainless 0 $0.00 $0.00
1539 Kitchen Baking - Mixing Bowls 0 $0.00 $0.00
1540 Kitchen Baking - Muffin pan 0 $0.00 $0.00
1541 Kitchen Baking - Pastry bag/tips 0 $0.00 $0.00
1542 Kitchen Baking - Pastry brush 0 $0.00 $0.00

30 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1543 Kitchen Baking - Pastry wheel 0 $0.00 $0.00
1544 Kitchen Baking - Pie pans 0 $0.00 $0.00
1545 Kitchen Baking - Pizza pan 0 $0.00 $0.00
1546 Kitchen Baking - Pizza stone 0 $0.00 $0.00
1547 Kitchen Baking - Roasting pan 0 $0.00 $0.00
1548 Kitchen Baking - Roasting rack 0 $0.00 $0.00
1549 Kitchen Baking - Rolling pin 0 $0.00 $0.00
1550 Kitchen Baking - Sheets 0 $0.00 $0.00
1551 Kitchen Baking - Silpat Silicone Baking Mat 0 $0.00 $0.00
1552 Kitchen Baking - Soufflé Pan 0 $0.00 $0.00
1553 Kitchen Baking - Springform Pan 0 $0.00 $0.00
1554 Kitchen Baking - Tart Pan 0 $0.00 $0.00
1555 Kitchen BBQ - accessories 0 $0.00 $0.00
1556 Kitchen BBQ - basting brush 0 $0.00 $0.00
1557 Kitchen BBQ - thermometer 0 $0.00 $0.00
1558 Kitchen BBQ - tongs 0 $0.00 $0.00
1559 Kitchen Cleaning-Counter cleaner 0 $0.00 $0.00
1560 Kitchen Cleaning-Dish soap 0 $0.00 $0.00
1561 Kitchen Cleaning-Dishwasher detergent/tablets/powder 0 $0.00 $0.00
1562 Kitchen Cleaning-Oven cleaner 0 $0.00 $0.00
1563 Kitchen Cleaning-Sponges 0 $0.00 $0.00
1564 Kitchen Cleaning-Surface wipes 0 $0.00 $0.00
1565 Kitchen Cookware-Braiser 0 $0.00 $0.00
1566 Kitchen Cookware-Casserole dish 0 $0.00 $0.00
1567 Kitchen Cookware-Cast Iron 0 $0.00 $0.00
1568 Kitchen Cookware-Colander/Strainer 0 $0.00 $0.00
1569 Kitchen Cookware-Cookware Sets 0 $0.00 $0.00
1570 Kitchen Cookware-Dutch oven 0 $0.00 $0.00
1571 Kitchen Cookware-Egg ring (poaching) 0 $0.00 $0.00
1572 Kitchen Cookware-Frying pan 0 $0.00 $0.00
1573 Kitchen Cookware-Grill Pans/Griddles 0 $0.00 $0.00
1574 Kitchen Cookware-Pot, large 0 $0.00 $0.00
1575 Kitchen Cookware-Pot, medium 0 $0.00 $0.00
1576 Kitchen Cookware-Pot, small 0 $0.00 $0.00
1577 Kitchen Cookware-Roasting pan 0 $0.00 $0.00
1578 Kitchen Cookware-Roasting rack 0 $0.00 $0.00
1579 Kitchen Cookware-Saucepans 0 $0.00 $0.00
1580 Kitchen Cookware-Sauté Pan 0 $0.00 $0.00
1581 Kitchen Cookware-Skillet 0 $0.00 $0.00
1582 Kitchen Cookware-Skillet, large 0 $0.00 $0.00
1583 Kitchen Cookware-Skillet, medium 0 $0.00 $0.00
1584 Kitchen Cookware-Skillet, omlette 0 $0.00 $0.00
1585 Kitchen Cookware-Skillet, small 0 $0.00 $0.00
1586 Kitchen Cookware-Stock pot 0 $0.00 $0.00
1587 Kitchen Cookware-Wok 0 $0.00 $0.00
1588 Kitchen Counter items - Bread box 0 $0.00 $0.00
1589 Kitchen Counter items - Candle Sticks 0 $0.00 $0.00
1590 Kitchen Counter items - Candles 0 $0.00 $0.00
1591 Kitchen Counter items - Coffee & Tea storage 0 $0.00 $0.00
1592 Kitchen Counter items - Cookie jar 0 $0.00 $0.00
1593 Kitchen Counter items - Cutting Boards 0 $0.00 $0.00
1594 Kitchen Counter items - Frames (list sizes) 0 $0.00 $0.00
1595 Kitchen Counter items - Fruit bowls 0 $0.00 $0.00

31 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1596 Kitchen Counter items - Kitchen Timer 0 $0.00 $0.00
1597 Kitchen Counter items - Pepper mill 0 $0.00 $0.00
1598 Kitchen Counter items - Salt & Pepper mill 0 $0.00 $0.00
1599 Kitchen Counter items - Salt & Pepper shakers 0 $0.00 $0.00
1600 Kitchen Counter items - Salt mill 0 $0.00 $0.00
1601 Kitchen Counter items - Vase 0 $0.00 $0.00
1602 Kitchen Counter items-Flower vase 0 $0.00 $0.00
1603 Kitchen Décor items-Artwork 0 $0.00 $0.00
1604 Kitchen Décor items-Candlesticks 0 $0.00 $0.00
1605 Kitchen Décor items-Centerpiece(s) 0 $0.00 $0.00
1606 Kitchen Décor items-Cookbook 0 $0.00 $0.00
1607 Kitchen Décor items-Curtains 0 $0.00 $0.00
1608 Kitchen Décor items-Framed Art 0 $0.00 $0.00
1609 Kitchen Décor items-Frames - wall (list sizes) 0 $0.00 $0.00
1610 Kitchen Décor items-Kitchen cart 0 $0.00 $0.00
1611 Kitchen Décor items-Kitchen mat 0 $0.00 $0.00
1612 Kitchen Décor items-Photos 0 $0.00 $0.00
1613 Kitchen Décor items-Plants 0 $0.00 $0.00
1614 Kitchen Décor items-Sculpture 0 $0.00 $0.00
1615 Kitchen Décor items-Wall hangings 0 $0.00 $0.00
1616 Kitchen Dishes-Bowl, cereal 0 $0.00 $0.00
1617 Kitchen Dishes-Bowl, chopping 0 $0.00 $0.00
1618 Kitchen Dishes-Bowl, condiment 0 $0.00 $0.00
1619 Kitchen Dishes-Bowl, dip 0 $0.00 $0.00
1620 Kitchen Dishes-Bowl, fruit 0 $0.00 $0.00
1621 Kitchen Dishes-Bowl, lid(s) 0 $0.00 $0.00
1622 Kitchen Dishes-Bowl, mixing 0 $0.00 $0.00
1623 Kitchen Dishes-Bowl, nesting 0 $0.00 $0.00
1624 Kitchen Dishes-Bowl, punch 0 $0.00 $0.00
1625 Kitchen Dishes-Bowl, salad 0 $0.00 $0.00
1626 Kitchen Dishes-Bowl, serving 0 $0.00 $0.00
1627 Kitchen Dishes-Bowl, soup 0 $0.00 $0.00
1628 Kitchen Dishes-Bowl, sugar 0 $0.00 $0.00
1629 Kitchen Dishes-Bowl, trifle 0 $0.00 $0.00
1630 Kitchen Dishes-Bowls, soup 0 $0.00 $0.00
1631 Kitchen Dishes-Bread and butter plates 0 $0.00 $0.00
1632 Kitchen Dishes-Butter dish 0 $0.00 $0.00
1633 Kitchen Dishes-Cake plate 0 $0.00 $0.00
1634 Kitchen Dishes-Chip/dip bowl 0 $0.00 $0.00
1635 Kitchen Dishes-Condiment dishes, bowls 0 $0.00 $0.00
1636 Kitchen Dishes-Creamer 0 $0.00 $0.00
1637 Kitchen Dishes-Cruet set 0 $0.00 $0.00
1638 Kitchen Dishes-Cups 0 $0.00 $0.00
1639 Kitchen Dishes-Cups, baking 0 $0.00 $0.00
1640 Kitchen Dishes-Cups, demitasse 0 $0.00 $0.00
1641 Kitchen Dishes-Cups, paper 0 $0.00 $0.00
1642 Kitchen Dishes-Cups, punch 0 $0.00 $0.00
1643 Kitchen Dishes-Cups, Styrofoam 0 $0.00 $0.00
1644 Kitchen Dishes-Cups, tea 0 $0.00 $0.00
1645 Kitchen Dishes-Cups, travel mug 0 $0.00 $0.00
1646 Kitchen Dishes-Decanter(s) 0 $0.00 $0.00
1647 Kitchen Dishes-Dinner plates 0 $0.00 $0.00
1648 Kitchen Dishes-Dish set, formal 0 $0.00 $0.00

32 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1649 Kitchen Dishes-Fluted molds 0 $0.00 $0.00
1650 Kitchen Dishes-Food warmer 0 $0.00 $0.00
1651 Kitchen Dishes-Gravy boat 0 $0.00 $0.00
1652 Kitchen Dishes-Gravy ladle 0 $0.00 $0.00
1653 Kitchen Dishes-Hot pads 0 $0.00 $0.00
1654 Kitchen Dishes-Ice Bucket 0 $0.00 $0.00
1655 Kitchen Dishes-Napkin rings 0 $0.00 $0.00
1656 Kitchen Dishes-Napkins 0 $0.00 $0.00
1657 Kitchen Dishes-Party server 0 $0.00 $0.00
1658 Kitchen Dishes-Pitcher(s) 0 $0.00 $0.00
1659 Kitchen Dishes-Placemats 0 $0.00 $0.00
1660 Kitchen Dishes-Plate organizer 0 $0.00 $0.00
1661 Kitchen Dishes-Plate, bread 0 $0.00 $0.00
1662 Kitchen Dishes-Plate, butter 0 $0.00 $0.00
1663 Kitchen Dishes-Plate, cup saucer 0 $0.00 $0.00
1664 Kitchen Dishes-Plate, dessert 0 $0.00 $0.00
1665 Kitchen Dishes-Plate, dinner 0 $0.00 $0.00
1666 Kitchen Dishes-Plate, salad 0 $0.00 $0.00
1667 Kitchen Dishes-Prep Bowls 0 $0.00 $0.00
1668 Kitchen Dishes-Ramekins 0 $0.00 $0.00
1669 Kitchen Dishes-Salad plates 0 $0.00 $0.00
1670 Kitchen Dishes-Salt and pepper shakers 0 $0.00 $0.00
1671 Kitchen Dishes-Saucers, demitasse 0 $0.00 $0.00
1672 Kitchen Dishes-Server, coffee 0 $0.00 $0.00
1673 Kitchen Dishes-Server, tea 0 $0.00 $0.00
1674 Kitchen Dishes-Serving bowls, covers 0 $0.00 $0.00
1675 Kitchen Dishes-Serving plates, platters 0 $0.00 $0.00
1676 Kitchen Dishes-Table pads 0 $0.00 $0.00
1677 Kitchen Dishes-Table runner 0 $0.00 $0.00
1678 Kitchen Dishes-Tray, bread 0 $0.00 $0.00
1679 Kitchen Dishes-Tray, relish 0 $0.00 $0.00
1680 Kitchen Dishes-Trivets 0 $0.00 $0.00
1681 Kitchen Filtered water - dispenser/pitcher 0 $0.00 $0.00
1682 Kitchen Filtered water - faucet mount 0 $0.00 $0.00
1683 Kitchen Filtered water - replacement filters 0 $0.00 $0.00
1684 Kitchen Furniture-Bar 0 $0.00 $0.00
1685 Kitchen Furniture-Cart 0 $0.00 $0.00
1686 Kitchen Furniture-Chairs 0 $0.00 $0.00
1687 Kitchen Furniture-Clocks 0 $0.00 $0.00
1688 Kitchen Furniture-Island 0 $0.00 $0.00
1689 Kitchen Furniture-Stools 0 $0.00 $0.00
1690 Kitchen Furniture-Table 0 $0.00 $0.00
1691 Kitchen Glassware/Mugs-Beer glasses 0 $0.00 $0.00
1692 Kitchen Glassware/Mugs-Cocktail glasses 0 $0.00 $0.00
1693 Kitchen Glassware/Mugs-Decanter 0 $0.00 $0.00
1694 Kitchen Glassware/Mugs-Glasses, champagne 0 $0.00 $0.00
1695 Kitchen Glassware/Mugs-Glasses, cordial 0 $0.00 $0.00
1696 Kitchen Glassware/Mugs-Glasses, flutes 0 $0.00 $0.00
1697 Kitchen Glassware/Mugs-Glasses, highball 0 $0.00 $0.00
1698 Kitchen Glassware/Mugs-Glasses, martini 0 $0.00 $0.00
1699 Kitchen Glassware/Mugs-Glasses, shot glasses 0 $0.00 $0.00
1700 Kitchen Glassware/Mugs-Glasses, snifter 0 $0.00 $0.00
1701 Kitchen Glassware/Mugs-Glasses, wine 0 $0.00 $0.00

33 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1702 Kitchen Glassware/Mugs-Goblets 0 $0.00 $0.00
1703 Kitchen Glassware/Mugs-Mug(s), beer 0 $0.00 $0.00
1704 Kitchen Glassware/Mugs-Mug(s), coffee 0 $0.00 $0.00
1705 Kitchen Glassware/Mugs-Mug(s), pewter 0 $0.00 $0.00
1706 Kitchen Glassware/Mugs-Pitcher 0 $0.00 $0.00
1707 Kitchen Kitchen drawer-Glue 0 $0.00 $0.00
1708 Kitchen Kitchen drawer-Keys 0 $0.00 $0.00
1709 Kitchen Kitchen drawer-Notepads 0 $0.00 $0.00
1710 Kitchen Kitchen drawer-Organizer tray 0 $0.00 $0.00
1711 Kitchen Kitchen drawer-Pens/Pencils 0 $0.00 $0.00
1712 Kitchen Kitchen drawer-Postage stamps 0 $0.00 $0.00
1713 Kitchen Kitchen drawer-Scissors 0 $0.00 $0.00
1714 Kitchen Kitchen drawer-Shelf liner 0 $0.00 $0.00
1715 Kitchen Kitchen drawer-Stapler 0 $0.00 $0.00
1716 Kitchen Kitchen drawer-Straws 0 $0.00 $0.00
1717 Kitchen Kitchen drawer-Tool set 0 $0.00 $0.00
1718 Kitchen Lighting - under counter 0 $0.00 $0.00
1719 Kitchen Lighting - lamp/task lights 0 $0.00 $0.00
1720 Kitchen Lighting - pendant/hanging 0 $0.00 $0.00
1721 Kitchen Linens - Dishcloths/towels 0 $0.00 $0.00
1722 Kitchen Linens - Napkins 0 $0.00 $0.00
1723 Kitchen Linens - Placemat 0 $0.00 $0.00
1724 Kitchen Linens - Potholder/Mitts 0 $0.00 $0.00
1725 Kitchen Linens - Tablecloths 0 $0.00 $0.00
1726 Kitchen Other - Apron 0 $0.00 $0.00
1727 Kitchen Other - Beer making supplies 0 $0.00 $0.00
1728 Kitchen Other - Canning & Preserving supplies 0 $0.00 $0.00
1729 Kitchen Other - Charging valet 0 $0.00 $0.00
1730 Kitchen Other - Cheese making supplies 0 $0.00 $0.00
1731 Kitchen Other - Coat rack 0 $0.00 $0.00
1732 Kitchen Other - Cookbooks 0 $0.00 $0.00
1733 Kitchen Other - Desktop fountain 0 $0.00 $0.00
1734 Kitchen Other - Fondue set 0 $0.00 $0.00
1735 Kitchen Other - Food mill 0 $0.00 $0.00
1736 Kitchen Other - Food scale 0 $0.00 $0.00
1737 Kitchen Other - Food storage set 0 $0.00 $0.00
1738 Kitchen Other - Ice bucket 0 $0.00 $0.00
1739 Kitchen Other - Ice trays 0 $0.00 $0.00
1740 Kitchen Other - Key hook 0 $0.00 $0.00
1741 Kitchen Other - Lunch tote/box 0 $0.00 $0.00
1742 Kitchen Other - Market Tote bags 0 $0.00 $0.00
1743 Kitchen Other - Meat grinder 0 $0.00 $0.00
1744 Kitchen Other - Molds 0 $0.00 $0.00
1745 Kitchen Other - Mortar and Pestle 0 $0.00 $0.00
1746 Kitchen Other - Napkin holder 0 $0.00 $0.00
1747 Kitchen Other - Oil & Vinegar set 0 $0.00 $0.00
1748 Kitchen Other - Pie rolling mat 0 $0.00 $0.00
1749 Kitchen Other - Plastic storage bins 0 $0.00 $0.00
1750 Kitchen Other - Rug/mat 0 $0.00 $0.00
1751 Kitchen Other - Salad spinner 0 $0.00 $0.00
1752 Kitchen Other - Trivet 0 $0.00 $0.00
1753 Kitchen Other - Utensil holder 0 $0.00 $0.00
1754 Kitchen Other - Wine cellar 0 $0.00 $0.00

34 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1755 Kitchen Other - Wine making supplies 0 $0.00 $0.00
1756 Kitchen Other - Wine rack 0 $0.00 $0.00
1757 Kitchen Silverware-Forks, place 0 $0.00 $0.00
1758 Kitchen Silverware-Forks, salad 0 $0.00 $0.00
1759 Kitchen Silverware-Knives, butter 0 $0.00 $0.00
1760 Kitchen Silverware-Knives, steak 0 $0.00 $0.00
1761 Kitchen Silverware-Ladle, punch 0 $0.00 $0.00
1762 Kitchen Silverware-Misc. serving pieces 0 $0.00 $0.00
1763 Kitchen Silverware-Pie server 0 $0.00 $0.00
1764 Kitchen Silverware-Silverware 0 $0.00 $0.00
1765 Kitchen Silverware-Silverware storage chest 0 $0.00 $0.00
1766 Kitchen Silverware-Spoon, grapefruit 0 $0.00 $0.00
1767 Kitchen Silverware-Spoon, large slotted 0 $0.00 $0.00
1768 Kitchen Silverware-Spoon, slotted 0 $0.00 $0.00
1769 Kitchen Silverware-Spoon, table 0 $0.00 $0.00
1770 Kitchen Silverware-Spoon, tea 0 $0.00 $0.00
1771 Kitchen Silverware-Spoons, demitasse 0 $0.00 $0.00
1772 Kitchen Silverware-Tea service 0 $0.00 $0.00
1773 Kitchen Under sink-Fire extinguisher 0 $0.00 $0.00
1774 Kitchen Under sink-Sponges 0 $0.00 $0.00
1775 Kitchen Under sink-Trash can 0 $0.00 $0.00
1776 Kitchen Under sink-Wood/silver polish 0 $0.00 $0.00
1777 Kitchen Utensils - Apple slicer 0 $0.00 $0.00
1778 Kitchen Utensils - Baking brush 0 $0.00 $0.00
1779 Kitchen Utensils - Bar tools 0 $0.00 $0.00
1780 Kitchen Utensils - Baster 0 $0.00 $0.00
1781 Kitchen Utensils - Cake slicer/server 0 $0.00 $0.00
1782 Kitchen Utensils - Can, Jar/Bottle Openers 0 $0.00 $0.00
1783 Kitchen Utensils - Candy thermometer 0 $0.00 $0.00
1784 Kitchen Utensils - Cheese slicer 0 $0.00 $0.00
1785 Kitchen Utensils - Cheesecloth 0 $0.00 $0.00
1786 Kitchen Utensils - Colander 0 $0.00 $0.00
1787 Kitchen Utensils - Corkscrew 0 $0.00 $0.00
1788 Kitchen Utensils - Cutting board 0 $0.00 $0.00
1789 Kitchen Utensils - Egg/Fruit slicer 0 $0.00 $0.00
1790 Kitchen Utensils - Garlic press 0 $0.00 $0.00
1791 Kitchen Utensils - Grater 0 $0.00 $0.00
1792 Kitchen Utensils - Grill brush 0 $0.00 $0.00
1793 Kitchen Utensils - Grill tongs 0 $0.00 $0.00
1794 Kitchen Utensils - Ice cream scoop 0 $0.00 $0.00
1795 Kitchen Utensils - Kitchen shears 0 $0.00 $0.00
1796 Kitchen Utensils - Knife - Boning 0 $0.00 $0.00
1797 Kitchen Utensils - Knife - Bread 0 $0.00 $0.00
1798 Kitchen Utensils - Knife - Carving 0 $0.00 $0.00
1799 Kitchen Utensils - Knife - Chef's 0 $0.00 $0.00
1800 Kitchen Utensils - Knife - Cleaver 0 $0.00 $0.00
1801 Kitchen Utensils - Knife - Ginsu Knife Set 0 $0.00 $0.00
1802 Kitchen Utensils - Knife - J.A. Henckels Knife Set 0 $0.00 $0.00
1803 Kitchen Utensils - Knife - Knife Sharpener 0 $0.00 $0.00
1804 Kitchen Utensils - Knife - Paring Knives 0 $0.00 $0.00
1805 Kitchen Utensils - Knife - Santoku Knives 0 $0.00 $0.00
1806 Kitchen Utensils - Knife - Serrated 0 $0.00 $0.00
1807 Kitchen Utensils - Knife - Slicer 0 $0.00 $0.00

35 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1808 Kitchen Utensils - Knife - Steak 0 $0.00 $0.00
1809 Kitchen Utensils - Knife - Utility 0 $0.00 $0.00
1810 Kitchen Utensils - Ladles 0 $0.00 $0.00
1811 Kitchen Utensils - Lemon/orange press 0 $0.00 $0.00
1812 Kitchen Utensils - Mandolin slicer 0 $0.00 $0.00
1813 Kitchen Utensils - Masher 0 $0.00 $0.00
1814 Kitchen Utensils - Measuring spoons 0 $0.00 $0.00
1815 Kitchen Utensils - Meat tenderizer 0 $0.00 $0.00
1816 Kitchen Utensils - Meat thermometer 0 $0.00 $0.00
1817 Kitchen Utensils - Melon slicer 0 $0.00 $0.00
1818 Kitchen Utensils - Microplane grater 0 $0.00 $0.00
1819 Kitchen Utensils - Nutcracker 0 $0.00 $0.00
1820 Kitchen Utensils - Offset spatula 0 $0.00 $0.00
1821 Kitchen Utensils - Oven thermometer 0 $0.00 $0.00
1822 Kitchen Utensils - Pastry Tools 0 $0.00 $0.00
1823 Kitchen Utensils - Peeler 0 $0.00 $0.00
1824 Kitchen Utensils - Pie server 0 $0.00 $0.00
1825 Kitchen Utensils - Pineapple slicer 0 $0.00 $0.00
1826 Kitchen Utensils - Rolling pin 0 $0.00 $0.00
1827 Kitchen Utensils - Rubber grip/Jar Opener 0 $0.00 $0.00
1828 Kitchen Utensils - Slicer 0 $0.00 $0.00
1829 Kitchen Utensils - Spatula 0 $0.00 $0.00
1830 Kitchen Utensils - Tongs 0 $0.00 $0.00
1831 Kitchen Utensils - Vegetable peeler 0 $0.00 $0.00
1832 Kitchen Utensils - Vegetable Tools 0 $0.00 $0.00
1833 Kitchen Utensils - Wine aerator 0 $0.00 $0.00
1834 Kitchen Utensils - Wisk 0 $0.00 $0.00
1835 Kitchen Utensils - Wooden spoons 0 $0.00 $0.00
1836 Kitchen Utensils - Zester 0 $0.00 $0.00
1837
1838 Sub-Total: $0.00 $0.00 $0.00
1839 Sales Tax (CA) 8.75%: $0.00
1840 Delivery Charges: Total Total
Actual Cash
1841 Kitchen Total: $0.00 Depreciation
Value (ACV)
1842
1843 Category KITCHEN PANTRY For Insurance Adjuster
Item Source Age Replacement Actual Cash
1844 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1845 Kitchen Pantry A -1 Steak sauce 0 $0.00 $0.00
1846 Kitchen Pantry Alcohol - Beer 0 $0.00 $0.00
1847 Kitchen Pantry Alcohol - Brandy 0 $0.00 $0.00
1848 Kitchen Pantry Alcohol - Champagne (List separately) 0 $0.00 $0.00
1849 Kitchen Pantry Alcohol - Rum 0 $0.00 $0.00
1850 Kitchen Pantry Alcohol - Tequila 0 $0.00 $0.00
1851 Kitchen Pantry Alcohol - Vodka 0 $0.00 $0.00
1852 Kitchen Pantry Alcohol - Whiskey 0 $0.00 $0.00
1853 Kitchen Pantry Alcohol - Wine (List separately) 0 $0.00 $0.00
1854 Kitchen Pantry Almond butter 0 $0.00 $0.00
1855 Kitchen Pantry Aluminum foil 0 $0.00 $0.00
1856 Kitchen Pantry Angel food cake 0 $0.00 $0.00
1857 Kitchen Pantry Apple cider vinegar 0 $0.00 $0.00
1858 Kitchen Pantry Applesauce 0 $0.00 $0.00

36 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1859 Kitchen Pantry Ass Kickin Hot Sauce 0 $0.00 $0.00
1860 Kitchen Pantry Baby formula 0 $0.00 $0.00
1861 Kitchen Pantry Bagels 0 $0.00 $0.00
1862 Kitchen Pantry Bags - compactor trash bags 0 $0.00 $0.00
1863 Kitchen Pantry Bags - freezer storage - gallon 0 $0.00 $0.00
1864 Kitchen Pantry Bags - freezer storage - quart 0 $0.00 $0.00
1865 Kitchen Pantry Bags - gallon storage bags 0 $0.00 $0.00
1866 Kitchen Pantry Bags - kitchen trash 0 $0.00 $0.00
1867 Kitchen Pantry Bags - quart storage bags 0 $0.00 $0.00
1868 Kitchen Pantry Bags - sandwich bags 0 $0.00 $0.00
1869 Kitchen Pantry Baking chocolate 0 $0.00 $0.00
1870 Kitchen Pantry Baking decoration 0 $0.00 $0.00
1871 Kitchen Pantry Baking decoration bags 0 $0.00 $0.00
1872 Kitchen Pantry Baking nuts 0 $0.00 $0.00
1873 Kitchen Pantry Baking prepared frosting 0 $0.00 $0.00
1874 Kitchen Pantry Baking prepared mix 0 $0.00 $0.00
1875 Kitchen Pantry Baking sheets 0 $0.00 $0.00
1876 Kitchen Pantry Baking soda 0 $0.00 $0.00
1877 Kitchen Pantry Balsamic vinegar 0 $0.00 $0.00
1878 Kitchen Pantry Batteries 0 $0.00 $0.00
1879 Kitchen Pantry BBQ sauce 0 $0.00 $0.00
1880 Kitchen Pantry Beans, dry 0 $0.00 $0.00
1881 Kitchen Pantry Bisquick 0 $0.00 $0.00
1882 Kitchen Pantry Bottled sparkling water 0 $0.00 $0.00
1883 Kitchen Pantry Bottled water 0 $0.00 $0.00
1884 Kitchen Pantry Bread 0 $0.00 $0.00
1885 Kitchen Pantry Breakfast bars 0 $0.00 $0.00
1886 Kitchen Pantry Broom 0 $0.00 $0.00
1887 Kitchen Pantry Brown sugar 0 $0.00 $0.00
1888 Kitchen Pantry Brownie mix 0 $0.00 $0.00
1889 Kitchen Pantry Buns 0 $0.00 $0.00
1890 Kitchen Pantry Cake 0 $0.00 $0.00
1891 Kitchen Pantry Cake decorations 0 $0.00 $0.00
1892 Kitchen Pantry Cake mix 0 $0.00 $0.00
1893 Kitchen Pantry Candy 0 $0.00 $0.00
1894 Kitchen Pantry Candy - bag 0 $0.00 $0.00
1895 Kitchen Pantry Candy - bar 0 $0.00 $0.00
1896 Kitchen Pantry Candy - holiday 0 $0.00 $0.00
1897 Kitchen Pantry Candy - sugarfree 0 $0.00 $0.00
1898 Kitchen Pantry Canned anchovies 0 $0.00 $0.00
1899 Kitchen Pantry Canned apples 0 $0.00 $0.00
1900 Kitchen Pantry Canned apricots 0 $0.00 $0.00
1901 Kitchen Pantry Canned artichoke hearts 0 $0.00 $0.00
1902 Kitchen Pantry Canned asparagus 0 $0.00 $0.00
1903 Kitchen Pantry Canned baked beans 0 $0.00 $0.00
1904 Kitchen Pantry Canned beans 0 $0.00 $0.00
1905 Kitchen Pantry Canned beef broth 0 $0.00 $0.00
1906 Kitchen Pantry Canned beets 0 $0.00 $0.00
1907 Kitchen Pantry Canned black beans 0 $0.00 $0.00
1908 Kitchen Pantry Canned black olives 0 $0.00 $0.00
1909 Kitchen Pantry Canned blueberries 0 $0.00 $0.00
1910 Kitchen Pantry Canned capers 0 $0.00 $0.00
1911 Kitchen Pantry Canned carrots 0 $0.00 $0.00

37 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1912 Kitchen Pantry Canned cherries 0 $0.00 $0.00
1913 Kitchen Pantry Canned chick peas 0 $0.00 $0.00
1914 Kitchen Pantry Canned chicken 0 $0.00 $0.00
1915 Kitchen Pantry Canned chicken broth 0 $0.00 $0.00
1916 Kitchen Pantry Canned chili 0 $0.00 $0.00
1917 Kitchen Pantry Canned collard greens 0 $0.00 $0.00
1918 Kitchen Pantry Canned condensed milk 0 $0.00 $0.00
1919 Kitchen Pantry Canned corn 0 $0.00 $0.00
1920 Kitchen Pantry Canned corn beef hash 0 $0.00 $0.00
1921 Kitchen Pantry Canned cranberries 0 $0.00 $0.00
1922 Kitchen Pantry Canned deviled ham 0 $0.00 $0.00
1923 Kitchen Pantry Canned frosting 0 $0.00 $0.00
1924 Kitchen Pantry Canned fruit cocktail 0 $0.00 $0.00
1925 Kitchen Pantry Canned garbonzo beans 0 $0.00 $0.00
1926 Kitchen Pantry Canned gravy 0 $0.00 $0.00
1927 Kitchen Pantry Canned green beans 0 $0.00 $0.00
1928 Kitchen Pantry Canned green olives 0 $0.00 $0.00
1929 Kitchen Pantry Canned ham 0 $0.00 $0.00
1930 Kitchen Pantry Canned jalapenos 0 $0.00 $0.00
1931 Kitchen Pantry Canned kidney beans 0 $0.00 $0.00
1932 Kitchen Pantry Canned lima beans 0 $0.00 $0.00
1933 Kitchen Pantry Canned Mandarin Oranges 0 $0.00 $0.00
1934 Kitchen Pantry Canned mushrooms 0 $0.00 $0.00
1935 Kitchen Pantry Canned nacho cheese 0 $0.00 $0.00
1936 Kitchen Pantry Canned pasta 0 $0.00 $0.00
1937 Kitchen Pantry Canned peaches 0 $0.00 $0.00
1938 Kitchen Pantry Canned pears 0 $0.00 $0.00
1939 Kitchen Pantry Canned pineapple 0 $0.00 $0.00
1940 Kitchen Pantry Canned raspberries 0 $0.00 $0.00
1941 Kitchen Pantry Canned ravioli 0 $0.00 $0.00
1942 Kitchen Pantry Canned refried beans 0 $0.00 $0.00
1943 Kitchen Pantry Canned sardines 0 $0.00 $0.00
1944 Kitchen Pantry Canned soup - beef stew 0 $0.00 $0.00
1945 Kitchen Pantry Canned soup - chicken 0 $0.00 $0.00
1946 Kitchen Pantry Canned soup - minestrone 0 $0.00 $0.00
1947 Kitchen Pantry Canned soup - mushroom 0 $0.00 $0.00
1948 Kitchen Pantry Canned soup - tomato 0 $0.00 $0.00
1949 Kitchen Pantry Canned soup - vegetable 0 $0.00 $0.00
1950 Kitchen Pantry Canned spaghetti 0 $0.00 $0.00
1951 Kitchen Pantry Canned spinach 0 $0.00 $0.00
1952 Kitchen Pantry Canned sweet potatoes 0 $0.00 $0.00
1953 Kitchen Pantry Canned tomato paste 0 $0.00 $0.00
1954 Kitchen Pantry Canned tomato sauce 0 $0.00 $0.00
1955 Kitchen Pantry Canned tomatoes 0 $0.00 $0.00
1956 Kitchen Pantry Canned tuna 0 $0.00 $0.00
1957 Kitchen Pantry Canned water chestnuts 0 $0.00 $0.00
1958 Kitchen Pantry Caramel dip 0 $0.00 $0.00
1959 Kitchen Pantry Cardamon 0 $0.00 $0.00
1960 Kitchen Pantry Caviar 0 $0.00 $0.00
1961 Kitchen Pantry Cereal - boxes 0 $0.00 $0.00
1962 Kitchen Pantry Cereal - bulk 0 $0.00 $0.00
1963 Kitchen Pantry Cereal - granola 0 $0.00 $0.00
1964 Kitchen Pantry Cheese wiz 0 $0.00 $0.00

38 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
1965 Kitchen Pantry Chips 0 $0.00 $0.00
1966 Kitchen Pantry Chips - bagged 0 $0.00 $0.00
1967 Kitchen Pantry Chips - gourmet 0 $0.00 $0.00
1968 Kitchen Pantry Chips - pita 0 $0.00 $0.00
1969 Kitchen Pantry Chocolate 0 $0.00 $0.00
1970 Kitchen Pantry Chocolate - baking 0 $0.00 $0.00
1971 Kitchen Pantry Chocolate - powdered 0 $0.00 $0.00
1972 Kitchen Pantry Chocolate chips 0 $0.00 $0.00
1973 Kitchen Pantry Chocolate syrup 0 $0.00 $0.00
1974 Kitchen Pantry Chutney 0 $0.00 $0.00
1975 Kitchen Pantry Cocktail sauce 0 $0.00 $0.00
1976 Kitchen Pantry Coconut milk 0 $0.00 $0.00
1977 Kitchen Pantry Coffee 0 $0.00 $0.00
1978 Kitchen Pantry Condensed milk 0 $0.00 $0.00
1979 Kitchen Pantry Cookie cutters 0 $0.00 $0.00
1980 Kitchen Pantry Cookie jar 0 $0.00 $0.00
1981 Kitchen Pantry Cookies 0 $0.00 $0.00
1982 Kitchen Pantry Cookies - single serving 0 $0.00 $0.00
1983 Kitchen Pantry Cooking oil 0 $0.00 $0.00
1984 Kitchen Pantry Crackers - goldfish 0 $0.00 $0.00
1985 Kitchen Pantry Crackers - graham 0 $0.00 $0.00
1986 Kitchen Pantry Crackers - saltines 0 $0.00 $0.00
1987 Kitchen Pantry Crackers - triscuit 0 $0.00 $0.00
1988 Kitchen Pantry Creamer 0 $0.00 $0.00
1989 Kitchen Pantry Crisco 0 $0.00 $0.00
1990 Kitchen Pantry Croutons 0 $0.00 $0.00
1991 Kitchen Pantry Cupcake cups 0 $0.00 $0.00
1992 Kitchen Pantry Cupcakes 0 $0.00 $0.00
1993 Kitchen Pantry Diet bars 0 $0.00 $0.00
1994 Kitchen Pantry Diet supplements 0 $0.00 $0.00
1995 Kitchen Pantry Dietary supplements 0 $0.00 $0.00
1996 Kitchen Pantry Dinner mix 0 $0.00 $0.00
1997 Kitchen Pantry Dinner rolls 0 $0.00 $0.00
1998 Kitchen Pantry Donuts 0 $0.00 $0.00
1999 Kitchen Pantry Dried beans 0 $0.00 $0.00
2000 Kitchen Pantry Dried fruit 0 $0.00 $0.00
2001 Kitchen Pantry Dry cereal 0 $0.00 $0.00
2002 Kitchen Pantry Flour 0 $0.00 $0.00
2003 Kitchen Pantry Flour - specialty 0 $0.00 $0.00
2004 Kitchen Pantry Fruit jelly 0 $0.00 $0.00
2005 Kitchen Pantry Fruit juice 0 $0.00 $0.00
2006 Kitchen Pantry Fruit snacks 0 $0.00 $0.00
2007 Kitchen Pantry Gluten free cookies 0 $0.00 $0.00
2008 Kitchen Pantry Gluten free products 0 $0.00 $0.00
2009 Kitchen Pantry Grain 0 $0.00 $0.00
2010 Kitchen Pantry Granola bars 0 $0.00 $0.00
2011 Kitchen Pantry Hoisin Sauce 0 $0.00 $0.00
2012 Kitchen Pantry Honey 0 $0.00 $0.00
2013 Kitchen Pantry Horseradish 0 $0.00 $0.00
2014 Kitchen Pantry Hot cereal 0 $0.00 $0.00
2015 Kitchen Pantry Hot cocoa mix 0 $0.00 $0.00
2016 Kitchen Pantry Jam 0 $0.00 $0.00
2017 Kitchen Pantry Jell-O 0 $0.00 $0.00

39 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2018 Kitchen Pantry Juice boxes 0 $0.00 $0.00
2019 Kitchen Pantry Ketchup 0 $0.00 $0.00
2020 Kitchen Pantry Macaroni & cheese 0 $0.00 $0.00
2021 Kitchen Pantry Marinade 0 $0.00 $0.00
2022 Kitchen Pantry Marinated vegetables 0 $0.00 $0.00
2023 Kitchen Pantry Marshmallows 0 $0.00 $0.00
2024 Kitchen Pantry Milk, evaporated 0 $0.00 $0.00
2025 Kitchen Pantry Milk, powdered 0 $0.00 $0.00
2026 Kitchen Pantry Milk, sweetened condensed 0 $0.00 $0.00
2027 Kitchen Pantry Mixed nuts 0 $0.00 $0.00
2028 Kitchen Pantry Mop 0 $0.00 $0.00
2029 Kitchen Pantry Mustard 0 $0.00 $0.00
2030 Kitchen Pantry Non-dairy creamer 0 $0.00 $0.00
2031 Kitchen Pantry Non-stick spray 0 $0.00 $0.00
2032 Kitchen Pantry Nutella 0 $0.00 $0.00
2033 Kitchen Pantry Nutrition bar 0 $0.00 $0.00
2034 Kitchen Pantry Nutrition supplement drink 0 $0.00 $0.00
2035 Kitchen Pantry Nuts - almonds 0 $0.00 $0.00
2036 Kitchen Pantry Nuts - mixed 0 $0.00 $0.00
2037 Kitchen Pantry Nuts - peanuts 0 $0.00 $0.00
2038 Kitchen Pantry Nuts - pecans 0 $0.00 $0.00
2039 Kitchen Pantry Oatmeal 0 $0.00 $0.00
2040 Kitchen Pantry Oil - olive 0 $0.00 $0.00
2041 Kitchen Pantry Oil - specialty 0 $0.00 $0.00
2042 Kitchen Pantry Oil - vegetable 0 $0.00 $0.00
2043 Kitchen Pantry Olive oil 0 $0.00 $0.00
2044 Kitchen Pantry Olives - black 0 $0.00 $0.00
2045 Kitchen Pantry Olives - kalamata 0 $0.00 $0.00
2046 Kitchen Pantry Olives - stuffed 0 $0.00 $0.00
2047 Kitchen Pantry Organic - baby food 0 $0.00 $0.00
2048 Kitchen Pantry Organic - baking supplies 0 $0.00 $0.00
2049 Kitchen Pantry Organic - bread 0 $0.00 $0.00
2050 Kitchen Pantry Organic - breakfast food 0 $0.00 $0.00
2051 Kitchen Pantry Organic - candy 0 $0.00 $0.00
2052 Kitchen Pantry Organic - canned goods 0 $0.00 $0.00
2053 Kitchen Pantry Organic - coffee 0 $0.00 $0.00
2054 Kitchen Pantry Organic - eggs 0 $0.00 $0.00
2055 Kitchen Pantry Organic - flour 0 $0.00 $0.00
2056 Kitchen Pantry Organic - fruits 0 $0.00 $0.00
2057 Kitchen Pantry Organic - pasta 0 $0.00 $0.00
2058 Kitchen Pantry Organic - pet food 0 $0.00 $0.00
2059 Kitchen Pantry Organic - snacks 0 $0.00 $0.00
2060 Kitchen Pantry Organic - tea 0 $0.00 $0.00
2061 Kitchen Pantry Organic - vegetables 0 $0.00 $0.00
2062 Kitchen Pantry Pancake mix 0 $0.00 $0.00
2063 Kitchen Pantry Paper cups 0 $0.00 $0.00
2064 Kitchen Pantry Paper napkins 0 $0.00 $0.00
2065 Kitchen Pantry Paper plates 0 $0.00 $0.00
2066 Kitchen Pantry Paper towels 0 $0.00 $0.00
2067 Kitchen Pantry Paprika 0 $0.00 $0.00
2068 Kitchen Pantry Parchment paper 0 $0.00 $0.00
2069 Kitchen Pantry Pasta 0 $0.00 $0.00
2070 Kitchen Pantry Pasta - egg noodles 0 $0.00 $0.00

40 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2071 Kitchen Pantry Pasta - lasanga 0 $0.00 $0.00
2072 Kitchen Pantry Pasta - noodles 0 $0.00 $0.00
2073 Kitchen Pantry Pasta - spagetti 0 $0.00 $0.00
2074 Kitchen Pantry Pasta sauce 0 $0.00 $0.00
2075 Kitchen Pantry Pastries 0 $0.00 $0.00
2076 Kitchen Pantry Peanut butter 0 $0.00 $0.00
2077 Kitchen Pantry Pepper 0 $0.00 $0.00
2078 Kitchen Pantry Pepper - imported 0 $0.00 $0.00
2079 Kitchen Pantry Peppermint bark 0 $0.00 $0.00
2080 Kitchen Pantry Peppers 0 $0.00 $0.00
2081 Kitchen Pantry Pet - Bird food 0 $0.00 $0.00
2082 Kitchen Pantry Pet - Cat food 0 $0.00 $0.00
2083 Kitchen Pantry Pet - Dog food 0 $0.00 $0.00
2084 Kitchen Pantry Pet - Fish food 0 $0.00 $0.00
2085 Kitchen Pantry Pet - Treats 0 $0.00 $0.00
2086 Kitchen Pantry Pickles 0 $0.00 $0.00
2087 Kitchen Pantry Pirate's booty 0 $0.00 $0.00
2088 Kitchen Pantry Plastic utensils 0 $0.00 $0.00
2089 Kitchen Pantry Plastic wrap 0 $0.00 $0.00
2090 Kitchen Pantry Popcorn 0 $0.00 $0.00
2091 Kitchen Pantry Potato chips 0 $0.00 $0.00
2092 Kitchen Pantry Potato mix 0 $0.00 $0.00
2093 Kitchen Pantry Potatoes 0 $0.00 $0.00
2094 Kitchen Pantry Power bar 0 $0.00 $0.00
2095 Kitchen Pantry Prepared mixes 0 $0.00 $0.00
2096 Kitchen Pantry Pretzels 0 $0.00 $0.00
2097 Kitchen Pantry Protein bars 0 $0.00 $0.00
2098 Kitchen Pantry Protein powder 0 $0.00 $0.00
2099 Kitchen Pantry Raisins 0 $0.00 $0.00
2100 Kitchen Pantry Red Bull 0 $0.00 $0.00
2101 Kitchen Pantry Relish 0 $0.00 $0.00
2102 Kitchen Pantry Remy Martin Louis XIII Cognac 0 $0.00 $0.00
2103 Kitchen Pantry Rice cakes 0 $0.00 $0.00
2104 Kitchen Pantry Rice crackers 0 $0.00 $0.00
2105 Kitchen Pantry Rice, boxed 0 $0.00 $0.00
2106 Kitchen Pantry Rice, brown 0 $0.00 $0.00
2107 Kitchen Pantry Rice, white 0 $0.00 $0.00
2108 Kitchen Pantry Rice, wild 0 $0.00 $0.00
2109 Kitchen Pantry Saffron 0 $0.00 $0.00
2110 Kitchen Pantry Salad dressing 0 $0.00 $0.00
2111 Kitchen Pantry Salsa 0 $0.00 $0.00
2112 Kitchen Pantry Salt - imported 0 $0.00 $0.00
2113 Kitchen Pantry Salt - kosher 0 $0.00 $0.00
2114 Kitchen Pantry Salt - table 0 $0.00 $0.00
2115 Kitchen Pantry Sauce, pasta 0 $0.00 $0.00
2116 Kitchen Pantry Sauce, tomato 0 $0.00 $0.00
2117 Kitchen Pantry Soda - diet 0 $0.00 $0.00
2118 Kitchen Pantry Soda - regular 0 $0.00 $0.00
2119 Kitchen Pantry Soups 0 $0.00 $0.00
2120 Kitchen Pantry Soy sauce 0 $0.00 $0.00
2121 Kitchen Pantry Spice - ancho chili pepper 0 $0.00 $0.00
2122 Kitchen Pantry Spice - anise seed 0 $0.00 $0.00
2123 Kitchen Pantry Spice - basil 0 $0.00 $0.00

41 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2124 Kitchen Pantry Spice - black pepper 0 $0.00 $0.00
2125 Kitchen Pantry Spice - brown sugar 0 $0.00 $0.00
2126 Kitchen Pantry Spice - caraway seed 0 $0.00 $0.00
2127 Kitchen Pantry Spice - cayenne pepper 0 $0.00 $0.00
2128 Kitchen Pantry Spice - celery salt 0 $0.00 $0.00
2129 Kitchen Pantry Spice - chili powder 0 $0.00 $0.00
2130 Kitchen Pantry Spice - chipotle chili 0 $0.00 $0.00
2131 Kitchen Pantry Spice - cilantro leaves 0 $0.00 $0.00
2132 Kitchen Pantry Spice - cinnamon 0 $0.00 $0.00
2133 Kitchen Pantry Spice - cloves 0 $0.00 $0.00
2134 Kitchen Pantry Spice - coriander seed 0 $0.00 $0.00
2135 Kitchen Pantry Spice - cumin 0 $0.00 $0.00
2136 Kitchen Pantry Spice - dill 0 $0.00 $0.00
2137 Kitchen Pantry Spice - fennel seed 0 $0.00 $0.00
2138 Kitchen Pantry Spice - garlic 0 $0.00 $0.00
2139 Kitchen Pantry Spice - ginger 0 $0.00 $0.00
2140 Kitchen Pantry Spice - ground cardamom 0 $0.00 $0.00
2141 Kitchen Pantry Spice - Jamaican allspice 0 $0.00 $0.00
2142 Kitchen Pantry Spice - Mrs. Dash 0 $0.00 $0.00
2143 Kitchen Pantry Spice - mustard seed 0 $0.00 $0.00
2144 Kitchen Pantry Spice - nutmeg 0 $0.00 $0.00
2145 Kitchen Pantry Spice - oregano 0 $0.00 $0.00
2146 Kitchen Pantry Spice - paprika 0 $0.00 $0.00
2147 Kitchen Pantry Spice - parsley 0 $0.00 $0.00
2148 Kitchen Pantry Spice - poppy seed 0 $0.00 $0.00
2149 Kitchen Pantry Spice - red pepper 0 $0.00 $0.00
2150 Kitchen Pantry Spice - rosemary 0 $0.00 $0.00
2151 Kitchen Pantry Spice - sage 0 $0.00 $0.00
2152 Kitchen Pantry Spice - sea salt 0 $0.00 $0.00
2153 Kitchen Pantry Spice - seasoned salt 0 $0.00 $0.00
2154 Kitchen Pantry Spice - sesame seed 0 $0.00 $0.00
2155 Kitchen Pantry Spice - sugar 0 $0.00 $0.00
2156 Kitchen Pantry Spice - thyme 0 $0.00 $0.00
2157 Kitchen Pantry Spice - turmeric 0 $0.00 $0.00
2158 Kitchen Pantry Spice - vanilla beans 0 $0.00 $0.00
2159 Kitchen Pantry Stuffing mix 0 $0.00 $0.00
2160 Kitchen Pantry Vitamin Water 0 $0.00 $0.00
2161 Kitchen Pantry Wax Paper 0 $0.00 $0.00
2162
2163 Sub-Total: $0.00 $0.00 $0.00
2164 Sales Tax (CA) 8.75%: $0.00
2165 Delivery Charges: Total Total
Actual Cash
2166 Kitchen Total: $0.00 Depreciation
Value (ACV)
2167
2168 Category REFRIGERATOR CONTENTS For Insurance Adjuster
Item Source Age Replacement Actual Cash
2169 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2170 Refrigerator Bacon 0 $0.00 $0.00
2171 Refrigerator Bakery products 0 $0.00 $0.00
2172 Refrigerator Batteries 0 $0.00 $0.00
2173 Refrigerator Beef/Pork 0 $0.00 $0.00
2174 Refrigerator Biscuits 0 $0.00 $0.00

42 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2175 Refrigerator Bottled water 0 $0.00 $0.00
2176 Refrigerator Butter 0 $0.00 $0.00
2177 Refrigerator Butter - light 0 $0.00 $0.00
2178 Refrigerator Butter - tub 0 $0.00 $0.00
2179 Refrigerator Cheese 0 $0.00 $0.00
2180 Refrigerator Cheese - block 0 $0.00 $0.00
2181 Refrigerator Cheese - gourmet 0 $0.00 $0.00
2182 Refrigerator Cheese - shredded 0 $0.00 $0.00
2183 Refrigerator Cheese - slices 0 $0.00 $0.00
2184 Refrigerator Cheese - soft 0 $0.00 $0.00
2185 Refrigerator Cheese - string 0 $0.00 $0.00
2186 Refrigerator Condiments 0 $0.00 $0.00
2187 Refrigerator Cookie dough 0 $0.00 $0.00
2188 Refrigerator Cottage cheese 0 $0.00 $0.00
2189 Refrigerator Cream cheese 0 $0.00 $0.00
2190 Refrigerator Creamer 0 $0.00 $0.00
2191 Refrigerator Dairy products 0 $0.00 $0.00
2192 Refrigerator Deli Meat 0 $0.00 $0.00
2193 Refrigerator Dip 0 $0.00 $0.00
2194 Refrigerator Dipping sauce 0 $0.00 $0.00
2195 Refrigerator Eggs 0 $0.00 $0.00
2196 Refrigerator Filtered water 0 $0.00 $0.00
2197 Refrigerator Fresh fruit 0 $0.00 $0.00
2198 Refrigerator Fresh vegetables 0 $0.00 $0.00
2199 Refrigerator Fruit - bagged 0 $0.00 $0.00
2200 Refrigerator Fudge sauce 0 $0.00 $0.00
2201 Refrigerator Half & half 0 $0.00 $0.00
2202 Refrigerator Hot dogs 0 $0.00 $0.00
2203 Refrigerator Hummus 0 $0.00 $0.00
2204 Refrigerator Juice 0 $0.00 $0.00
2205 Refrigerator Juice boxes 0 $0.00 $0.00
2206 Refrigerator Juice cans 0 $0.00 $0.00
2207 Refrigerator Kefir 0 $0.00 $0.00
2208 Refrigerator Ketchup 0 $0.00 $0.00
2209 Refrigerator Lunch meat 0 $0.00 $0.00
2210 Refrigerator Lunch meat - bologna 0 $0.00 $0.00
2211 Refrigerator Lunch meat - ham 0 $0.00 $0.00
2212 Refrigerator Lunch meat - turkey 0 $0.00 $0.00
2213 Refrigerator Lunchables 0 $0.00 $0.00
2214 Refrigerator Maple syrup 0 $0.00 $0.00
2215 Refrigerator Margarine 0 $0.00 $0.00
2216 Refrigerator Mayonnaise 0 $0.00 $0.00
2217 Refrigerator Meats - chicken 0 $0.00 $0.00
2218 Refrigerator Meats - ground 0 $0.00 $0.00
2219 Refrigerator Meats - pork 0 $0.00 $0.00
2220 Refrigerator Meats - steak/beef 0 $0.00 $0.00
2221 Refrigerator Milk 0 $0.00 $0.00
2222 Refrigerator Milk - chocolate 0 $0.00 $0.00
2223 Refrigerator Mustard 0 $0.00 $0.00
2224 Refrigerator Nuts 0 $0.00 $0.00
2225 Refrigerator Orange juice 0 $0.00 $0.00
2226 Refrigerator Pasta - fresh prepared 0 $0.00 $0.00
2227 Refrigerator Pasta - fresh sauce 0 $0.00 $0.00

43 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2228 Refrigerator Pastries 0 $0.00 $0.00
2229 Refrigerator Pastry dough 0 $0.00 $0.00
2230 Refrigerator Pickles 0 $0.00 $0.00
2231 Refrigerator Pie dough 0 $0.00 $0.00
2232 Refrigerator Pizza 0 $0.00 $0.00
2233 Refrigerator Pizza dough 0 $0.00 $0.00
2234 Refrigerator Poultry 0 $0.00 $0.00
2235 Refrigerator Produce 0 $0.00 $0.00
2236 Refrigerator Produce - acorn squash 0 $0.00 $0.00
2237 Refrigerator Produce - apple 0 $0.00 $0.00
2238 Refrigerator Produce - apricot 0 $0.00 $0.00
2239 Refrigerator Produce - artichoke 0 $0.00 $0.00
2240 Refrigerator Produce - asparagus 0 $0.00 $0.00
2241 Refrigerator Produce - avocado 0 $0.00 $0.00
2242 Refrigerator Produce - baking potato 0 $0.00 $0.00
2243 Refrigerator Produce - banana 0 $0.00 $0.00
2244 Refrigerator Produce - basil 0 $0.00 $0.00
2245 Refrigerator Produce - bean sprouts 0 $0.00 $0.00
2246 Refrigerator Produce - beet 0 $0.00 $0.00
2247 Refrigerator Produce - bell pepper 0 $0.00 $0.00
2248 Refrigerator Produce - blueberries 0 $0.00 $0.00
2249 Refrigerator Produce - bok choy 0 $0.00 $0.00
2250 Refrigerator Produce - boysenberries 0 $0.00 $0.00
2251 Refrigerator Produce - broccoli 0 $0.00 $0.00
2252 Refrigerator Produce - brussel sprouts 0 $0.00 $0.00
2253 Refrigerator Produce - butternut squash 0 $0.00 $0.00
2254 Refrigerator Produce - cabbage 0 $0.00 $0.00
2255 Refrigerator Produce - cantaloupe 0 $0.00 $0.00
2256 Refrigerator Produce - cauliflower 0 $0.00 $0.00
2257 Refrigerator Produce - celery 0 $0.00 $0.00
2258 Refrigerator Produce - chard 0 $0.00 $0.00
2259 Refrigerator Produce - coconut 0 $0.00 $0.00
2260 Refrigerator Produce - collard greens 0 $0.00 $0.00
2261 Refrigerator Produce - corn 0 $0.00 $0.00
2262 Refrigerator Produce - cucumber 0 $0.00 $0.00
2263 Refrigerator Produce - cumquat 0 $0.00 $0.00
2264 Refrigerator Produce - egg plant 0 $0.00 $0.00
2265 Refrigerator Produce - endive 0 $0.00 $0.00
2266 Refrigerator Produce - fig 0 $0.00 $0.00
2267 Refrigerator Produce - garlic 0 $0.00 $0.00
2268 Refrigerator Produce - ginger root 0 $0.00 $0.00
2269 Refrigerator Produce - grapefruit 0 $0.00 $0.00
2270 Refrigerator Produce - grapes 0 $0.00 $0.00
2271 Refrigerator Produce - green beans 0 $0.00 $0.00
2272 Refrigerator Produce - green onion 0 $0.00 $0.00
2273 Refrigerator Produce - green swiss chard 0 $0.00 $0.00
2274 Refrigerator Produce - honey dew melon 0 $0.00 $0.00
2275 Refrigerator Produce - iceberg lettuce 0 $0.00 $0.00
2276 Refrigerator Produce - jalapeno 0 $0.00 $0.00
2277 Refrigerator Produce - jicama 0 $0.00 $0.00
2278 Refrigerator Produce - kale 0 $0.00 $0.00
2279 Refrigerator Produce - kiwi 0 $0.00 $0.00
2280 Refrigerator Produce - lemon 0 $0.00 $0.00

44 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2281 Refrigerator Produce - lemon grass 0 $0.00 $0.00
2282 Refrigerator Produce - lime 0 $0.00 $0.00
2283 Refrigerator Produce - loquat 0 $0.00 $0.00
2284 Refrigerator Produce - mango 0 $0.00 $0.00
2285 Refrigerator Produce - mango 0 $0.00 $0.00
2286 Refrigerator Produce - mushrooms 0 $0.00 $0.00
2287 Refrigerator Produce - nectarine 0 $0.00 $0.00
2288 Refrigerator Produce - okra 0 $0.00 $0.00
2289 Refrigerator Produce - onion 0 $0.00 $0.00
2290 Refrigerator Produce - oregano 0 $0.00 $0.00
2291 Refrigerator Produce - papaya 0 $0.00 $0.00
2292 Refrigerator Produce - peach 0 $0.00 $0.00
2293 Refrigerator Produce - pear 0 $0.00 $0.00
2294 Refrigerator Produce - pico de gallo 0 $0.00 $0.00
2295 Refrigerator Produce - pineapple 0 $0.00 $0.00
2296 Refrigerator Produce - plantain 0 $0.00 $0.00
2297 Refrigerator Produce - plum 0 $0.00 $0.00
2298 Refrigerator Produce - pomegranate 0 $0.00 $0.00
2299 Refrigerator Produce - pumpkin 0 $0.00 $0.00
2300 Refrigerator Produce - raspberries 0 $0.00 $0.00
2301 Refrigerator Produce - red potato 0 $0.00 $0.00
2302 Refrigerator Produce - rhubarb 0 $0.00 $0.00
2303 Refrigerator Produce - romaine lettuce 0 $0.00 $0.00
2304 Refrigerator Produce - rutabagas 0 $0.00 $0.00
2305 Refrigerator Produce - shallot 0 $0.00 $0.00
2306 Refrigerator Produce - snap peas 0 $0.00 $0.00
2307 Refrigerator Produce - spaghetti squash 0 $0.00 $0.00
2308 Refrigerator Produce - spinach 0 $0.00 $0.00
2309 Refrigerator Produce - strawberries 0 $0.00 $0.00
2310 Refrigerator Produce - tangerine 0 $0.00 $0.00
2311 Refrigerator Produce - tomatillo 0 $0.00 $0.00
2312 Refrigerator Produce - turnip 0 $0.00 $0.00
2313 Refrigerator Produce - watermelon 0 $0.00 $0.00
2314 Refrigerator Produce - yam 0 $0.00 $0.00
2315 Refrigerator Produce - yellow squash 0 $0.00 $0.00
2316 Refrigerator Produce - zucchini 0 $0.00 $0.00
2317 Refrigerator Pudding 0 $0.00 $0.00
2318 Refrigerator Salad dressing 0 $0.00 $0.00
2319 Refrigerator Salads - bagged 0 $0.00 $0.00
2320 Refrigerator Salads - prepared 0 $0.00 $0.00
2321 Refrigerator Sausage 0 $0.00 $0.00
2322 Refrigerator Seafood 0 $0.00 $0.00
2323 Refrigerator Soda 0 $0.00 $0.00
2324 Refrigerator Sour cream 0 $0.00 $0.00
2325 Refrigerator Soy milk 0 $0.00 $0.00
2326 Refrigerator Soy sauce 0 $0.00 $0.00
2327 Refrigerator Tortillas 0 $0.00 $0.00
2328 Refrigerator Wasabi 0 $0.00 $0.00
2329 Refrigerator Water (bottled) 0 $0.00 $0.00
2330 Refrigerator Water (flavored) 0 $0.00 $0.00
2331 Refrigerator Whipped cream 0 $0.00 $0.00
2332 Refrigerator Wine 0 $0.00 $0.00
2333 Refrigerator Yogurt 0 $0.00 $0.00

45 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2334 Refrigerator Yogurt - cups 0 $0.00 $0.00
2335 Refrigerator Yogurt - drinkable 0 $0.00 $0.00
2336 Refrigerator Yogurt - quart 0 $0.00 $0.00
2337 Refrigerator Yogurt - tubes 0 $0.00 $0.00
2338
2339 Sub-Total: $0.00 $0.00 $0.00
2340 Sales Tax (CA) 8.75%: $0.00
2341 Delivery Charges: Total Total
Actual Cash
2342 Refrigerator Contents Total: $0.00 Depreciation
Value (ACV)
2343
2344 Category FREEZER CONTENTS For Insurance Adjuster
Item Source Age Replacement Actual Cash
2345 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2346 Freezer Appetizers 0 $0.00 $0.00
2347 Freezer Bacon 0 $0.00 $0.00
2348 Freezer Beef - Chuck roast 0 $0.00 $0.00
2349 Freezer Beef - Filet Mignon 0 $0.00 $0.00
2350 Freezer Beef - hamburger/ground 0 $0.00 $0.00
2351 Freezer Beef - New York steak 0 $0.00 $0.00
2352 Freezer Beef - Prime rib roast 0 $0.00 $0.00
2353 Freezer Beef - Top sirloin 0 $0.00 $0.00
2354 Freezer Beef - Tri tip 0 $0.00 $0.00
2355 Freezer Berries 0 $0.00 $0.00
2356 Freezer Bread 0 $0.00 $0.00
2357 Freezer Burrito - beef 0 $0.00 $0.00
2358 Freezer Burrito - chicken 0 $0.00 $0.00
2359 Freezer Chicken - breasts 0 $0.00 $0.00
2360 Freezer Chicken - legs 0 $0.00 $0.00
2361 Freezer Chicken - thighs 0 $0.00 $0.00
2362 Freezer Chicken - whole 0 $0.00 $0.00
2363 Freezer Chicken nuggets 0 $0.00 $0.00
2364 Freezer Chicken pot pie 0 $0.00 $0.00
2365 Freezer Chicken -wings 0 $0.00 $0.00
2366 Freezer Coffee 0 $0.00 $0.00
2367 Freezer Cold/Ice Pack/Wrap 0 $0.00 $0.00
2368 Freezer Cool Whip 0 $0.00 $0.00
2369 Freezer Corn dogs 0 $0.00 $0.00
2370 Freezer Desserts 0 $0.00 $0.00
2371 Freezer Desserts - pies/cakes 0 $0.00 $0.00
2372 Freezer Dinners/Lunches 0 $0.00 $0.00
2373 Freezer Dog food/Dog bones 0 $0.00 $0.00
2374 Freezer Egg rolls 0 $0.00 $0.00
2375 Freezer Entrees - diet meals 0 $0.00 $0.00
2376 Freezer Entrees - family meals 0 $0.00 $0.00
2377 Freezer Entrees - kid meals 0 $0.00 $0.00
2378 Freezer Fish - frozen 0 $0.00 $0.00
2379 Freezer Fish - halibut 0 $0.00 $0.00
2380 Freezer Fish - salmon 0 $0.00 $0.00
2381 Freezer Fish - sea bass 0 $0.00 $0.00
2382 Freezer Fish - shark 0 $0.00 $0.00
2383 Freezer Fish - shrimp 0 $0.00 $0.00
2384 Freezer Fish - sticks 0 $0.00 $0.00

46 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2385 Freezer Fish - sushi 0 $0.00 $0.00
2386 Freezer Fish - swordfish 0 $0.00 $0.00
2387 Freezer Fish - trout 0 $0.00 $0.00
2388 Freezer French fries 0 $0.00 $0.00
2389 Freezer Gelato 0 $0.00 $0.00
2390 Freezer Hash browns 0 $0.00 $0.00
2391 Freezer Home prepared meals/leftovers 0 $0.00 $0.00
2392 Freezer Hot pockets 0 $0.00 $0.00
2393 Freezer Ice - bagged 0 $0.00 $0.00
2394 Freezer Ice cream 0 $0.00 $0.00
2395 Freezer Ice cream bars 0 $0.00 $0.00
2396 Freezer Ice cream treats 0 $0.00 $0.00
2397 Freezer Ice trays 0 $0.00 $0.00
2398 Freezer Juice concentrate 0 $0.00 $0.00
2399 Freezer Lobster 0 $0.00 $0.00
2400 Freezer Meat - bagged chicken 0 $0.00 $0.00
2401 Freezer Meat - bagged hamburger patties 0 $0.00 $0.00
2402 Freezer Meat - bagged meatballs 0 $0.00 $0.00
2403 Freezer Pancakes 0 $0.00 $0.00
2404 Freezer Pasta 0 $0.00 $0.00
2405 Freezer Pastry/Pie dough 0 $0.00 $0.00
2406 Freezer Pie crust 0 $0.00 $0.00
2407 Freezer Pizza 0 $0.00 $0.00
2408 Freezer Pizza - individual 0 $0.00 $0.00
2409 Freezer Popcorn chicken 0 $0.00 $0.00
2410 Freezer Popcorn shrimp 0 $0.00 $0.00
2411 Freezer Popsicles 0 $0.00 $0.00
2412 Freezer Pork chops 0 $0.00 $0.00
2413 Freezer Pork tenderloin 0 $0.00 $0.00
2414 Freezer Potatoes - french fries 0 $0.00 $0.00
2415 Freezer Potatoes - Tater-tots/hash browns 0 $0.00 $0.00
2416 Freezer Sausage 0 $0.00 $0.00
2417 Freezer Shrimp 0 $0.00 $0.00
2418 Freezer Sorbet 0 $0.00 $0.00
2419 Freezer Tater tots 0 $0.00 $0.00
2420 Freezer Toaster strudel 0 $0.00 $0.00
2421 Freezer Turkey 0 $0.00 $0.00
2422 Freezer Uncrustables sandwiches 0 $0.00 $0.00
2423 Freezer Vegetables 0 $0.00 $0.00
2424 Freezer Waffles 0 $0.00 $0.00
2425 Freezer Weight watchers cheese 0 $0.00 $0.00
2426 Freezer Weight watchers ice cream novelty 0 $0.00 $0.00
2427 Freezer Whipped topping 0 $0.00 $0.00
2428
2429 Sub-Total: $0.00 $0.00 $0.00
2430 Sales Tax (CA) 8.75%: $0.00
2431 Delivery Charges: Total Total
Actual Cash
2432 Freezer Contents Total: $0.00 Depreciation
Value (ACV)
2433
2434 Category GARAGE/TOOLS For Insurance Adjuster
Item Source Age Replacement Actual Cash
2435 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)

47 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2436 Garage Air horn 0 $0.00 $0.00
2437 Garage Air filter 0 $0.00 $0.00
2438 Garage Arc welder 0 $0.00 $0.00
2439 Garage Ball mount 0 $0.00 $0.00
2440 Garage Bar-B-Que - briquettes 0 $0.00 $0.00
2441 Garage Bar-B-Que - Hibachi 0 $0.00 $0.00
2442 Garage Bar-B-Que - lighter fluid 0 $0.00 $0.00
2443 Garage Barrel fan 0 $0.00 $0.00
2444 Garage Batteries 0 $0.00 $0.00
2445 Garage Beach chairs 0 $0.00 $0.00
2446 Garage Beach umbrella 0 $0.00 $0.00
2447 Garage Bicycle 0 $0.00 $0.00
2448 Garage Bicycle helmet 0 $0.00 $0.00
2449 Garage Bicycle pump 0 $0.00 $0.00
2450 Garage Bicycle tag-along 0 $0.00 $0.00
2451 Garage Bicycle trailer 0 $0.00 $0.00
2452 Garage Bike rack 0 $0.00 $0.00
2453 Garage Bleach 0 $0.00 $0.00
2454 Garage Boots 0 $0.00 $0.00
2455 Garage Bucket 0 $0.00 $0.00
2456 Garage Bungee cord 0 $0.00 $0.00
2457 Garage Cable lock 0 $0.00 $0.00
2458 Garage Camping equipment (List separately) 0 $0.00 $0.00
2459 Garage Car 0 $0.00 $0.00
2460 Garage Car battery charger 0 $0.00 $0.00
2461 Garage Car cover 0 $0.00 $0.00
2462 Garage Car jack stand 0 $0.00 $0.00
2463 Garage Car maintenance equipment (list separately) 0 $0.00 $0.00
2464 Garage Car seat 0 $0.00 $0.00
2465 Garage Casters 0 $0.00 $0.00
2466 Garage Caulking - tube 0 $0.00 $0.00
2467 Garage Chain 0 $0.00 $0.00
2468 Garage Chain hoist 0 $0.00 $0.00
2469 Garage Cooler 0 $0.00 $0.00
2470 Garage Crutches 0 $0.00 $0.00
2471 Garage Damp Rid 0 $0.00 $0.00
2472 Garage Dolly - appliance 0 $0.00 $0.00
2473 Garage Dolly - furniture 0 $0.00 $0.00
2474 Garage Drill press 0 $0.00 $0.00
2475 Garage Dust mask 0 $0.00 $0.00
2476 Garage Electric fuse 0 $0.00 $0.00
2477 Garage Electrical - surge protector 0 $0.00 $0.00
2478 Garage Electrical wire 0 $0.00 $0.00
2479 Garage Exercise ball 0 $0.00 $0.00
2480 Garage Extension cord 0 $0.00 $0.00
2481 Garage Fence stretcher 0 $0.00 $0.00
2482 Garage Fertilizer 0 $0.00 $0.00
2483 Garage Fertilizer spreader - broadcaster 0 $0.00 $0.00
2484 Garage Fertilizer spreader - hand held 0 $0.00 $0.00
2485 Garage File cabinet 0 $0.00 $0.00
2486 Garage Fire extinguisher 0 $0.00 $0.00
2487 Garage Fishing - bait 0 $0.00 $0.00
2488 Garage Fishing - filet knife 0 $0.00 $0.00

48 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2489 Garage Fishing - fish finder 0 $0.00 $0.00
2490 Garage Fishing - gaff 0 $0.00 $0.00
2491 Garage Fishing - hooks 0 $0.00 $0.00
2492 Garage Fishing - kayak 0 $0.00 $0.00
2493 Garage Fishing - lures (list separately) 0 $0.00 $0.00
2494 Garage Fishing - net 0 $0.00 $0.00
2495 Garage Fishing - reel - fly 0 $0.00 $0.00
2496 Garage Fishing - reel - open face 0 $0.00 $0.00
2497 Garage Fishing - reel - spinning 0 $0.00 $0.00
2498 Garage Fishing - rods (list separately) 0 $0.00 $0.00
2499 Garage Fishing - scale 0 $0.00 $0.00
2500 Garage Fishing - stringer 0 $0.00 $0.00
2501 Garage Fishing - swivels 0 $0.00 $0.00
2502 Garage Fishing - tackle box 0 $0.00 $0.00
2503 Garage Fishing - tube 0 $0.00 $0.00
2504 Garage Fishing - waders 0 $0.00 $0.00
2505 Garage Fishing - weights 0 $0.00 $0.00
2506 Garage Fix All 0 $0.00 $0.00
2507 Garage Flag 0 $0.00 $0.00
2508 Garage Flux 0 $0.00 $0.00
2509 Garage Folding chairs 0 $0.00 $0.00
2510 Garage Folding pruning saw 0 $0.00 $0.00
2511 Garage Folding table 0 $0.00 $0.00
2512 Garage Freezer 0 $0.00 $0.00
2513 Garage Freezer - contents 0 $0.00 $0.00
2514 Garage Garage door opener 0 $0.00 $0.00
2515 Garage Garage door opener remote 0 $0.00 $0.00
2516 Garage Glue - wood 0 $0.00 $0.00
2517 Garage GoJo - hand cleaner 0 $0.00 $0.00
2518 Garage Goof Off 0 $0.00 $0.00
2519 Garage Grass seed 0 $0.00 $0.00
2520 Garage Hand pump 0 $0.00 $0.00
2521 Garage Hand truck 0 $0.00 $0.00
2522 Garage Hardware - bolts 0 $0.00 $0.00
2523 Garage Hardware - nails 0 $0.00 $0.00
2524 Garage Hardware - nuts 0 $0.00 $0.00
2525 Garage Hardware - screws 0 $0.00 $0.00
2526 Garage Hardware - toggle bolts 0 $0.00 $0.00
2527 Garage Hardware - washers 0 $0.00 $0.00
2528 Garage Heater - heat dish style 0 $0.00 $0.00
2529 Garage Hitch ball 0 $0.00 $0.00
2530 Garage Hose 0 $0.00 $0.00
2531 Garage Hose nozzle 0 $0.00 $0.00
2532 Garage Hose reel 0 $0.00 $0.00
2533 Garage Hunting equipment (List separately) 0 $0.00 $0.00
2534 Garage Ice chest 0 $0.00 $0.00
2535 Garage Infant carrier 0 $0.00 $0.00
2536 Garage Insect - fogger 0 $0.00 $0.00
2537 Garage Insect - repellant 0 $0.00 $0.00
2538 Garage Kayak 0 $0.00 $0.00
2539 Garage Kite 0 $0.00 $0.00
2540 Garage Ladder 0 $0.00 $0.00
2541 Garage Lawn vacuum 0 $0.00 $0.00

49 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2542 Garage Light bulb changer - extension handle 0 $0.00 $0.00
2543 Garage Light bulbs 0 $0.00 $0.00
2544 Garage Light bulbs - bug lights 0 $0.00 $0.00
2545 Garage Light bulbs - LED 0 $0.00 $0.00
2546 Garage Light bulbs - specialty 0 $0.00 $0.00
2547 Garage Live animal trap 0 $0.00 $0.00
2548 Garage Lock - master lock 0 $0.00 $0.00
2549 Garage Lock - padlock 0 $0.00 $0.00
2550 Garage Log splitter 0 $0.00 $0.00
2551 Garage Luggage - 5 piece nested set 0 $0.00 $0.00
2552 Garage Luggage - boarding tote bag 0 $0.00 $0.00
2553 Garage Luggage - duffel bag 0 $0.00 $0.00
2554 Garage Luggage - garment bag 0 $0.00 $0.00
2555 Garage Luggage - travel kit 0 $0.00 $0.00
2556 Garage Luggage - wheeled carry-on 0 $0.00 $0.00
2557 Garage Luggage - wheeled duffel 0 $0.00 $0.00
2558 Garage Luggage - wheeled upright 0 $0.00 $0.00
2559 Garage Lumber 0 $0.00 $0.00
2560 Garage Magnetic panel 0 $0.00 $0.00
2561 Garage Magnetic sweeper 0 $0.00 $0.00
2562 Garage Mechanics creeper 0 $0.00 $0.00
2563 Garage Metal detector 0 $0.00 $0.00
2564 Garage Miracle Grow 0 $0.00 $0.00
2565 Garage Mop 0 $0.00 $0.00
2566 Garage Moped 0 $0.00 $0.00
2567 Garage Motor oil 0 $0.00 $0.00
2568 Garage Motorcycle 0 $0.00 $0.00
2569 Garage Oil pan 0 $0.00 $0.00
2570 Garage Organizer tray 0 $0.00 $0.00
2571 Garage Paint 0 $0.00 $0.00
2572 Garage Paint - 5 gallon 0 $0.00 $0.00
2573 Garage Paint - acetone 0 $0.00 $0.00
2574 Garage Paint - airless sprayer 0 $0.00 $0.00
2575 Garage Paint - airless sprayer tip 0 $0.00 $0.00
2576 Garage Paint - brush 0 $0.00 $0.00
2577 Garage Paint - masking tape 0 $0.00 $0.00
2578 Garage Paint - quart 0 $0.00 $0.00
2579 Garage Paint - roller 0 $0.00 $0.00
2580 Garage Paint - spray can 0 $0.00 $0.00
2581 Garage Paint - thinner 0 $0.00 $0.00
2582 Garage Paint -1- gallon 0 $0.00 $0.00
2583 Garage Painting supplies (list separately) 0 $0.00 $0.00
2584 Garage Peg board hook 0 $0.00 $0.00
2585 Garage Pipe - ABS 0 $0.00 $0.00
2586 Garage Pipe - copper 0 $0.00 $0.00
2587 Garage Pipe - galvanized 0 $0.00 $0.00
2588 Garage Pipe - PVC 0 $0.00 $0.00
2589 Garage Pipe threading set 0 $0.00 $0.00
2590 Garage Plastic storage bins 0 $0.00 $0.00
2591 Garage Plastic trash bags 0 $0.00 $0.00
2592 Garage Portable power distribution box 0 $0.00 $0.00
2593 Garage Power hand tools (List separately) 0 $0.00 $0.00
2594 Garage Power washer 0 $0.00 $0.00

50 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2595 Garage Propane tank 0 $0.00 $0.00
2596 Garage Radio 0 $0.00 $0.00
2597 Garage Ratchet tie down strap 0 $0.00 $0.00
2598 Garage Razor - scooter 0 $0.00 $0.00
2599 Garage Refrigerator 0 $0.00 $0.00
2600 Garage Refrigerator - contents 0 $0.00 $0.00
2601 Garage Remote control - car 0 $0.00 $0.00
2602 Garage Remote control - plane 0 $0.00 $0.00
2603 Garage Respirator 0 $0.00 $0.00
2604 Garage Rock tumbler 0 $0.00 $0.00
2605 Garage Rope 0 $0.00 $0.00
2606 Garage Round Up 0 $0.00 $0.00
2607 Garage Safe 0 $0.00 $0.00
2608 Garage Sand paper 0 $0.00 $0.00
2609 Garage Saw chain sharpener 0 $0.00 $0.00
2610 Garage Scuba diving equipment (List separately) 0 $0.00 $0.00
2611 Garage Shelving unit 0 $0.00 $0.00
2612 Garage Simple Green 0 $0.00 $0.00
2613 Garage Skateboard 0 $0.00 $0.00
2614 Garage Ski boots 0 $0.00 $0.00
2615 Garage Ski jacket 0 $0.00 $0.00
2616 Garage Smoker/cooker 0 $0.00 $0.00
2617 Garage Snow skis 0 $0.00 $0.00
2618 Garage Snowboard 0 $0.00 $0.00
2619 Garage Solder 0 $0.00 $0.00
2620 Garage Spackle 0 $0.00 $0.00
2621 Garage Sponge 0 $0.00 $0.00
2622 Garage Sport equipment (List separately) 0 $0.00 $0.00
2623 Garage Spray bottle 0 $0.00 $0.00
2624 Garage Storage bins 0 $0.00 $0.00
2625 Garage Stroller 0 $0.00 $0.00
2626 Garage Submersible pump - electric 0 $0.00 $0.00
2627 Garage Sump pump 0 $0.00 $0.00
2628 Garage Table saw 0 $0.00 $0.00
2629 Garage Tape measure - reel 0 $0.00 $0.00
2630 Garage Tape measure - retractable 0 $0.00 $0.00
2631 Garage Tape measure - walking wheel 0 $0.00 $0.00
2632 Garage Tarp 0 $0.00 $0.00
2633 Garage Television 0 $0.00 $0.00
2634 Garage Tent 0 $0.00 $0.00
2635 Garage Tiki torch fuel 0 $0.00 $0.00
2636 Garage Toilet plunger 0 $0.00 $0.00
2637 Garage Tool - arc welder 0 $0.00 $0.00
2638 Garage Tool - axe 0 $0.00 $0.00
2639 Garage Tool - ball peen hammer 0 $0.00 $0.00
2640 Garage Tool - bar clamp 0 $0.00 $0.00
2641 Garage Tool - Batteries 0 $0.00 $0.00
2642 Garage Tool - Battery chargers 0 $0.00 $0.00
2643 Garage Tool - belt sander 0 $0.00 $0.00
2644 Garage Tool - Bench vice 0 $0.00 $0.00
2645 Garage Tool - bisquet jointer 0 $0.00 $0.00
2646 Garage Tool - bolt cutter 0 $0.00 $0.00
2647 Garage Tool - builders level 0 $0.00 $0.00

51 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2648 Garage Tool - builders level tripod 0 $0.00 $0.00
2649 Garage Tool - C - clamp 0 $0.00 $0.00
2650 Garage Tool - cabinet 0 $0.00 $0.00
2651 Garage Tool - Calipers 0 $0.00 $0.00
2652 Garage Tool - cat's paw 0 $0.00 $0.00
2653 Garage Tool - caulking gun 0 $0.00 $0.00
2654 Garage Tool - chain saw 0 $0.00 $0.00
2655 Garage Tool - chalk box 0 $0.00 $0.00
2656 Garage Tool - chalk box chalk 0 $0.00 $0.00
2657 Garage Tool - channel lock 0 $0.00 $0.00
2658 Garage Tool - chisel 0 $0.00 $0.00
2659 Garage Tool - chop saw 0 $0.00 $0.00
2660 Garage Tool - Clamp 0 $0.00 $0.00
2661 Garage Tool - Clamping table 0 $0.00 $0.00
2662 Garage Tool - compressor 0 $0.00 $0.00
2663 Garage Tool - compressor attachments (list separately) 0 $0.00 $0.00
2664 Garage Tool - Compressor/air tools 0 $0.00 $0.00
2665 Garage Tool - concrete trowel 0 $0.00 $0.00
2666 Garage Tool - Contractor calculator 0 $0.00 $0.00
2667 Garage Tool - coping saw 0 $0.00 $0.00
2668 Garage Tool - crow bar 0 $0.00 $0.00
2669 Garage Tool - Cutters 0 $0.00 $0.00
2670 Garage Tool - draw shave 0 $0.00 $0.00
2671 Garage Tool - drill - cordless 0 $0.00 $0.00
2672 Garage Tool - drill - electric 0 $0.00 $0.00
2673 Garage Tool - drill bit - wood 0 $0.00 $0.00
2674 Garage Tool - drill bit extension 0 $0.00 $0.00
2675 Garage Tool - drill bit sharpener 0 $0.00 $0.00
2676 Garage Tool - drill press 0 $0.00 $0.00
2677 Garage Tool - drop light 0 $0.00 $0.00
2678 Garage Tool - drywall knife 0 $0.00 $0.00
2679 Garage Tool - drywall rasp 0 $0.00 $0.00
2680 Garage Tool - drywall saw 0 $0.00 $0.00
2681 Garage Tool - drywall square 0 $0.00 $0.00
2682 Garage Tool - dust pan 0 $0.00 $0.00
2683 Garage Tool - extension cord adapter 0 $0.00 $0.00
2684 Garage Tool - file - metal 0 $0.00 $0.00
2685 Garage Tool - file - rasp 0 $0.00 $0.00
2686 Garage Tool - file -wood 0 $0.00 $0.00
2687 Garage Tool - flash light 0 $0.00 $0.00
2688 Garage Tool - floor scraper 0 $0.00 $0.00
2689 Garage Tool - fox tail brush 0 $0.00 $0.00
2690 Garage Tool - framing square 0 $0.00 $0.00
2691 Garage Tool - funnel 0 $0.00 $0.00
2692 Garage Tool - glass cutter 0 $0.00 $0.00
2693 Garage Tool - grinder 0 $0.00 $0.00
2694 Garage Tool - hack saw 0 $0.00 $0.00
2695 Garage Tool - hammer 0 $0.00 $0.00
2696 Garage Tool - Hand plane 0 $0.00 $0.00
2697 Garage Tool - hand saw 0 $0.00 $0.00
2698 Garage Tool - Hand saw blade 0 $0.00 $0.00
2699 Garage Tool - hatchet 0 $0.00 $0.00
2700 Garage Tool - Hex keys 0 $0.00 $0.00

52 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2701 Garage Tool - hole punch 0 $0.00 $0.00
2702 Garage Tool - hole saw (list separately) 0 $0.00 $0.00
2703 Garage Tool - house broom 0 $0.00 $0.00
2704 Garage Tool - impact wrench 0 $0.00 $0.00
2705 Garage Tool - jack 0 $0.00 $0.00
2706 Garage Tool - jig saw 0 $0.00 $0.00
2707 Garage Tool - ladder - 4' 0 $0.00 $0.00
2708 Garage Tool - ladder - 6' 0 $0.00 $0.00
2709 Garage Tool - ladder - 8' 0 $0.00 $0.00
2710 Garage Tool - ladder - extension 0 $0.00 $0.00
2711 Garage Tool - Laser tool 0 $0.00 $0.00
2712 Garage Tool - lathe 0 $0.00 $0.00
2713 Garage Tool - Leatherman multi tool 0 $0.00 $0.00
2714 Garage Tool - level - 4' 0 $0.00 $0.00
2715 Garage Tool - level - 6' 0 $0.00 $0.00
2716 Garage Tool - level - 8' 0 $0.00 $0.00
2717 Garage Tool - mallet 0 $0.00 $0.00
2718 Garage Tool - Marking/Chalk tools 0 $0.00 $0.00
2719 Garage Tool - Measuring tools 0 $0.00 $0.00
2720 Garage Tool - Miter box 0 $0.00 $0.00
2721 Garage Tool - Miter saw stand 0 $0.00 $0.00
2722 Garage Tool - nail apron 0 $0.00 $0.00
2723 Garage Tool - nail gun 0 $0.00 $0.00
2724 Garage Tool - nail gun nails 0 $0.00 $0.00
2725 Garage Tool - nail set 0 $0.00 $0.00
2726 Garage Tool - Nut drivers/sets 0 $0.00 $0.00
2727 Garage Tool - orbital buffer 0 $0.00 $0.00
2728 Garage Tool - orbital sander 0 $0.00 $0.00
2729 Garage Tool - pipe brush 0 $0.00 $0.00
2730 Garage Tool - pipe threader 0 $0.00 $0.00
2731 Garage Tool - pipe wrench 0 $0.00 $0.00
2732 Garage Tool - pliers 0 $0.00 $0.00
2733 Garage Tool - plumb bob 0 $0.00 $0.00
2734 Garage Tool - pocket knife 0 $0.00 $0.00
2735 Garage Tool - Power tools – bench 0 $0.00 $0.00
2736 Garage Tool - Power tools – portable/cordless 0 $0.00 $0.00
2737 Garage Tool - power washer 0 $0.00 $0.00
2738 Garage Tool - Protractor/angle finder 0 $0.00 $0.00
2739 Garage Tool - Pry bar 0 $0.00 $0.00
2740 Garage Tool - Pullers 0 $0.00 $0.00
2741 Garage Tool - Punches/awl 0 $0.00 $0.00
2742 Garage Tool - push broom 0 $0.00 $0.00
2743 Garage Tool - PVC pipe cutter 0 $0.00 $0.00
2744 Garage Tool - Ramset 0 $0.00 $0.00
2745 Garage Tool - Ramset cartridges 0 $0.00 $0.00
2746 Garage Tool - Ramset pins 0 $0.00 $0.00
2747 Garage Tool - Ramset plates 0 $0.00 $0.00
2748 Garage Tool - Rasps 0 $0.00 $0.00
2749 Garage Tool - Ratchets 0 $0.00 $0.00
2750 Garage Tool - razor knife 0 $0.00 $0.00
2751 Garage Tool - roto hammer 0 $0.00 $0.00
2752 Garage Tool - roto hammer bit (list separately) 0 $0.00 $0.00
2753 Garage Tool - router 0 $0.00 $0.00

53 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2754 Garage Tool - router bit (list separately) 0 $0.00 $0.00
2755 Garage Tool - saw blade - circular 0 $0.00 $0.00
2756 Garage Tool - saw blade - reciprocating 0 $0.00 $0.00
2757 Garage Tool - saw horse 0 $0.00 $0.00
2758 Garage Tool - Sawzall 0 $0.00 $0.00
2759 Garage Tool - scissor 0 $0.00 $0.00
2760 Garage Tool - scraper/putty knife 0 $0.00 $0.00
2761 Garage Tool - scratch awl 0 $0.00 $0.00
2762 Garage Tool - screw bit 0 $0.00 $0.00
2763 Garage Tool - screw driver set 0 $0.00 $0.00
2764 Garage Tool - Screwdrivers/sets 0 $0.00 $0.00
2765 Garage Tool - scroll saw 0 $0.00 $0.00
2766 Garage Tool - sewer or drain snake 0 $0.00 $0.00
2767 Garage Tool - sharpening stone 0 $0.00 $0.00
2768 Garage Tool - Skil saw 0 $0.00 $0.00
2769 Garage Tool - sledge hammer 0 $0.00 $0.00
2770 Garage Tool - Snips 0 $0.00 $0.00
2771 Garage Tool - socket set (list separately) 0 $0.00 $0.00
2772 Garage Tool - Sockets 0 $0.00 $0.00
2773 Garage Tool - Sockets – impact 0 $0.00 $0.00
2774 Garage Tool - Sockets – sets 0 $0.00 $0.00
2775 Garage Tool - spackle knife 0 $0.00 $0.00
2776 Garage Tool - square - small 0 $0.00 $0.00
2777 Garage Tool - Squares 0 $0.00 $0.00
2778 Garage Tool - stand light 0 $0.00 $0.00
2779 Garage Tool - stapler 0 $0.00 $0.00
2780 Garage Tool - staples 0 $0.00 $0.00
2781 Garage Tool - stud finder 0 $0.00 $0.00
2782 Garage Tool - Surveying tools 0 $0.00 $0.00
2783 Garage Tool - Swiss Army knife 0 $0.00 $0.00
2784 Garage Tool - table saw 0 $0.00 $0.00
2785 Garage Tool - tap and die set 0 $0.00 $0.00
2786 Garage Tool - tie down strap 0 $0.00 $0.00
2787 Garage Tool - tile saw 0 $0.00 $0.00
2788 Garage Tool - tin snips 0 $0.00 $0.00
2789 Garage Tool - Tool apron 0 $0.00 $0.00
2790 Garage Tool - Tool cabinet 0 $0.00 $0.00
2791 Garage Tool - Tool cabinet – mobile 0 $0.00 $0.00
2792 Garage Tool - Tool carrier 0 $0.00 $0.00
2793 Garage Tool - Tool carrier 0 $0.00 $0.00
2794 Garage Tool - Tool chest 0 $0.00 $0.00
2795 Garage Tool - Tool hand box 0 $0.00 $0.00
2796 Garage Tool - Tool pouch 0 $0.00 $0.00
2797 Garage Tool - Tool set – auto body 0 $0.00 $0.00
2798 Garage Tool - Tool set - automotive 0 $0.00 $0.00
2799 Garage Tool - Tool set – mechanic 0 $0.00 $0.00
2800 Garage Tool - Tool set - plumbing 0 $0.00 $0.00
2801 Garage Tool - Tools set – specialty 0 $0.00 $0.00
2802 Garage Tool - torch 0 $0.00 $0.00
2803 Garage Tool - torch striker 0 $0.00 $0.00
2804 Garage Tool - Trowel 0 $0.00 $0.00
2805 Garage Tool - Truck box 0 $0.00 $0.00
2806 Garage Tool - Utility cart 0 $0.00 $0.00

54 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2807 Garage Tool - Utility knives 0 $0.00 $0.00
2808 Garage Tool - vise 0 $0.00 $0.00
2809 Garage Tool - vise grip 0 $0.00 $0.00
2810 Garage Tool - Welding supplies 0 $0.00 $0.00
2811 Garage Tool - Wet-dry vac 0 $0.00 $0.00
2812 Garage Tool - wire brush 0 $0.00 $0.00
2813 Garage Tool - wire cutters 0 $0.00 $0.00
2814 Garage Tool - wire stripper 0 $0.00 $0.00
2815 Garage Tool - wisk broom 0 $0.00 $0.00
2816 Garage Tool - wood plane 0 $0.00 $0.00
2817 Garage Tool - work bench 0 $0.00 $0.00
2818 Garage Tool - work boots 0 $0.00 $0.00
2819 Garage Tool - wrench set (list separately) 0 $0.00 $0.00
2820 Garage Tool - Wrenches – adjustable 0 $0.00 $0.00
2821 Garage Tool - Wrenches – angle & box 0 $0.00 $0.00
2822 Garage Tool - Wrenches – combination 0 $0.00 $0.00
2823 Garage Tool - Wrenches – crowfoot 0 $0.00 $0.00
2824 Garage Tool - Wrenches – flare nut 0 $0.00 $0.00
2825 Garage Tool - Wrenches – flex ratcheting 0 $0.00 $0.00
2826 Garage Tool - Wrenches – open-end 0 $0.00 $0.00
2827 Garage Tool - Wrenches – pipe 0 $0.00 $0.00
2828 Garage Tool - Wrenches – torque 0 $0.00 $0.00
2829 Garage Tool bench 0 $0.00 $0.00
2830 Garage Tool box - small 0 $0.00 $0.00
2831 Garage Tool chest 0 $0.00 $0.00
2832 Garage Tool drill bit - concrete 0 $0.00 $0.00
2833 Garage Tool drill bit - metal 0 $0.00 $0.00
2834 Garage Tools (List separately) 0 $0.00 $0.00
2835 Garage Tow strap 0 $0.00 $0.00
2836 Garage Trap - ant 0 $0.00 $0.00
2837 Garage Trap - gopher 0 $0.00 $0.00
2838 Garage Trap - mouse 0 $0.00 $0.00
2839 Garage Trap - rat 0 $0.00 $0.00
2840 Garage Trash can 0 $0.00 $0.00
2841 Garage TSP 0 $0.00 $0.00
2842 Garage Umbrella 0 $0.00 $0.00
2843 Garage Utility trailer 0 $0.00 $0.00
2844 Garage Vespa 0 $0.00 $0.00
2845 Garage Walker 0 $0.00 $0.00
2846 Garage Walking came 0 $0.00 $0.00
2847 Garage Water pump - gas 0 $0.00 $0.00
2848 Garage WD-40 0 $0.00 $0.00
2849 Garage Welders goggles 0 $0.00 $0.00
2850 Garage Welders helmet 0 $0.00 $0.00
2851 Garage Welders jacket 0 $0.00 $0.00
2852 Garage Wheel barrel 0 $0.00 $0.00
2853 Garage Wheelchair 0 $0.00 $0.00
2854 Garage Winch 0 $0.00 $0.00
2855 Garage Work bench 0 $0.00 $0.00
2856 Garage Yard cart 0 $0.00 $0.00
2857 Garage Zip ties 0 $0.00 $0.00
2858
2859 Sub-Total: $0.00 $0.00 $0.00

55 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2860 Sales Tax (CA) 8.75%: $0.00
2861 Delivery Charges: Total Total
Actual Cash
2862 Garage/Tools Total: $0.00 Depreciation
Value (ACV)
2863
2864 Category TOOL SHED For Insurance Adjuster
Item Source Age Replacement Actual Cash
2865 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2866 Shed Axe 0 $0.00 $0.00
2867 Shed Bird seed 0 $0.00 $0.00
2868 Shed Broom - household 0 $0.00 $0.00
2869 Shed Broom - push 0 $0.00 $0.00
2870 Shed Broom - wisk 0 $0.00 $0.00
2871 Shed Bucket 0 $0.00 $0.00
2872 Shed Building supplies - list separately 0 $0.00 $0.00
2873 Shed Burlap sack 0 $0.00 $0.00
2874 Shed Chainsaw - chain 0 $0.00 $0.00
2875 Shed Chainsaw - electric 0 $0.00 $0.00
2876 Shed Chainsaw - gas 0 $0.00 $0.00
2877 Shed Chicken wire - roll 0 $0.00 $0.00
2878 Shed Digging bar 0 $0.00 $0.00
2879 Shed Edger - electric 0 $0.00 $0.00
2880 Shed Edger - gas 0 $0.00 $0.00
2881 Shed Extension cord 0 $0.00 $0.00
2882 Shed Fertilizer - Miracle Gro 0 $0.00 $0.00
2883 Shed Fertilizer spreader 0 $0.00 $0.00
2884 Shed Flash light 0 $0.00 $0.00
2885 Shed Flower pot 0 $0.00 $0.00
2886 Shed Fruit tree fertilizer 0 $0.00 $0.00
2887 Shed Garden hose 0 $0.00 $0.00
2888 Shed Garden hose nozzle 0 $0.00 $0.00
2889 Shed Garden hose reel 0 $0.00 $0.00
2890 Shed Gas can - 1 gallon 0 $0.00 $0.00
2891 Shed Gas can - 5 gallon 0 $0.00 $0.00
2892 Shed Generator 0 $0.00 $0.00
2893 Shed Grass seed 0 $0.00 $0.00
2894 Shed Grinder - electric 0 $0.00 $0.00
2895 Shed Gypsum 0 $0.00 $0.00
2896 Shed Hacksaw 0 $0.00 $0.00
2897 Shed Hammer 0 $0.00 $0.00
2898 Shed Hand tools - Hatchet 0 $0.00 $0.00
2899 Shed Hand tools - Loppers 0 $0.00 $0.00
2900 Shed Hand tools - Pliers 0 $0.00 $0.00
2901 Shed Hand tools - Pruning shears 0 $0.00 $0.00
2902 Shed Hand tools- Clippers 0 $0.00 $0.00
2903 Shed Hand tools- pliers 0 $0.00 $0.00
2904 Shed Hardware - anchor bolts 0 $0.00 $0.00
2905 Shed Hardware - caulking 0 $0.00 $0.00
2906 Shed Hardware - copper wire 0 $0.00 $0.00
2907 Shed Hardware - machine bolts 0 $0.00 $0.00
2908 Shed Hardware - nails 0 $0.00 $0.00
2909 Shed Hardware - screws 0 $0.00 $0.00
2910 Shed Hedge trimmer - electric 0 $0.00 $0.00

56 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2911 Shed Hedge trimmer - gas 0 $0.00 $0.00
2912 Shed Herbicide - Round Up 0 $0.00 $0.00
2913 Shed Hoe 0 $0.00 $0.00
2914 Shed Irrigation timer 0 $0.00 $0.00
2915 Shed Ladder- extension 0 $0.00 $0.00
2916 Shed Ladder-4' 0 $0.00 $0.00
2917 Shed Ladder-6' 0 $0.00 $0.00
2918 Shed Ladder-step stool 0 $0.00 $0.00
2919 Shed Lawn care/fertilizer 0 $0.00 $0.00
2920 Shed Lawn care/fertilizer 0 $0.00 $0.00
2921 Shed Lawn mower 0 $0.00 $0.00
2922 Shed Lawn mower - blade 0 $0.00 $0.00
2923 Shed Leaf blower- electric 0 $0.00 $0.00
2924 Shed Leaf blower- gas 0 $0.00 $0.00
2925 Shed Light 0 $0.00 $0.00
2926 Shed Machete 0 $0.00 $0.00
2927 Shed Motor oil mix - 2 stroke 0 $0.00 $0.00
2928 Shed Paint 0 $0.00 $0.00
2929 Shed Paint brush 0 $0.00 $0.00
2930 Shed Paint roller 0 $0.00 $0.00
2931 Shed Paint roller handle 0 $0.00 $0.00
2932 Shed Paint roller tray 0 $0.00 $0.00
2933 Shed Paint thinner 0 $0.00 $0.00
2934 Shed Pesticides 0 $0.00 $0.00
2935 Shed Pick 0 $0.00 $0.00
2936 Shed Pipe cutter 0 $0.00 $0.00
2937 Shed Pitchfork 0 $0.00 $0.00
2938 Shed Plastic sheeting 0 $0.00 $0.00
2939 Shed Plumbers torch 0 $0.00 $0.00
2940 Shed Pole saw 0 $0.00 $0.00
2941 Shed Pool - chemicals 0 $0.00 $0.00
2942 Shed Pool - cleaning brush 0 $0.00 $0.00
2943 Shed Pool - net 0 $0.00 $0.00
2944 Shed Pool - toys 0 $0.00 $0.00
2945 Shed Pool cover - plastic 0 $0.00 $0.00
2946 Shed Post hole digger 0 $0.00 $0.00
2947 Shed Potting mix 0 $0.00 $0.00
2948 Shed Potting mix - specialty 0 $0.00 $0.00
2949 Shed Pruning shears 0 $0.00 $0.00
2950 Shed Pump sprayer 0 $0.00 $0.00
2951 Shed PVC glue 0 $0.00 $0.00
2952 Shed PVC pipe - 1/2" 0 $0.00 $0.00
2953 Shed PVC pipe fittings 0 $0.00 $0.00
2954 Shed PVC primer 0 $0.00 $0.00
2955 Shed Rake 0 $0.00 $0.00
2956 Shed Riding lawn mower 0 $0.00 $0.00
2957 Shed Rope 0 $0.00 $0.00
2958 Shed Rose food 0 $0.00 $0.00
2959 Shed Roto-tiller 0 $0.00 $0.00
2960 Shed Sawhorse - plastic 0 $0.00 $0.00
2961 Shed Sawhorse - wood 0 $0.00 $0.00
2962 Shed Shop vacuum 0 $0.00 $0.00
2963 Shed Shovel - round point 0 $0.00 $0.00

57 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2964 Shed Shovel - scoop 0 $0.00 $0.00
2965 Shed Shovel - square point 0 $0.00 $0.00
2966 Shed Sledge hammer 0 $0.00 $0.00
2967 Shed Spray bottle - plastic 0 $0.00 $0.00
2968 Shed Sprinkler parts 0 $0.00 $0.00
2969 Shed Stake - steel 0 $0.00 $0.00
2970 Shed Stake - wood 0 $0.00 $0.00
2971 Shed Tape measure 0 $0.00 $0.00
2972 Shed Tarp 0 $0.00 $0.00
2973 Shed Tool box 0 $0.00 $0.00
2974 Shed Tool organizer 0 $0.00 $0.00
2975 Shed Trash bags - plastic 0 $0.00 $0.00
2976 Shed Trash can - 32 gallon 0 $0.00 $0.00
2977 Shed Tree branch loppers 0 $0.00 $0.00
2978 Shed Trowel 0 $0.00 $0.00
2979 Shed Vegetable seeds 0 $0.00 $0.00
2980 Shed Watering can 0 $0.00 $0.00
2981 Shed Weed whip 0 $0.00 $0.00
2982 Shed Weed whip line 0 $0.00 $0.00
2983 Shed Wheelbarrow 0 $0.00 $0.00
2984 Shed Work gloves 0 $0.00 $0.00
2985
2986 Sub-Total: $0.00 $0.00 $0.00
2987 Sales Tax (CA) 8.75%: $0.00
2988 Delivery Charges: Total Total
Actual Cash
2989 Tool Shed Total: $0.00 Depreciation
Value (ACV)
2990
2991 Category ATTIC For Insurance Adjuster
Item Source Age Replacement Actual Cash
2992 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
2993 Attic Clothing - children 0 $0.00 $0.00
2994 Attic Clothing - seasonal 0 $0.00 $0.00
2995 Attic Fan - attic 0 $0.00 $0.00
2996 Attic Furniture 0 $0.00 $0.00
2997 Attic Home decorations 0 $0.00 $0.00
2998 Attic Ladder 0 $0.00 $0.00
2999 Attic Lamp 0 $0.00 $0.00
3000 Attic Mementos 0 $0.00 $0.00
3001 Attic Storage bins 0 $0.00 $0.00
3002 Attic Toys 0 $0.00 $0.00
3003
3004 Sub-Total: $0.00 $0.00 $0.00
3005 Sales Tax (CA) 8.75%: $0.00
3006 Delivery Charges: Total Total
Actual Cash
3007 Attic Total: $0.00 Depreciation
Value (ACV)
3008
3009 Category BASEMENT For Insurance Adjuster
Item Source Age Replacement Actual Cash
3010 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3011 Basement Chair 0 $0.00 $0.00
3012 Basement Coffee table 0 $0.00 $0.00
3013 Basement Couch 0 $0.00 $0.00

58 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3014 Basement Dining table 0 $0.00 $0.00
3015 Basement End table 0 $0.00 $0.00
3016 Basement Furniture (custom) 0 $0.00 $0.00
3017 Basement Game tables 0 $0.00 $0.00
3018 Basement Games 0 $0.00 $0.00
3019 Basement Gaming equipment (list) 0 $0.00 $0.00
3020 Basement Home decorations 0 $0.00 $0.00
3021 Basement Ladder 0 $0.00 $0.00
3022 Basement Lamp 0 $0.00 $0.00
3023 Basement Mementos 0 $0.00 $0.00
3024 Basement Refrigerator (mini) 0 $0.00 $0.00
3025 Basement Rug/floor covering 0 $0.00 $0.00
3026 Basement Space heater 0 $0.00 $0.00
3027 Basement Storage bins 0 $0.00 $0.00
3028 Basement Television 0 $0.00 $0.00
3029 Basement Toys (list) 0 $0.00 $0.00
3030 Basement Wine 0 $0.00 $0.00
3031 Basement Wine rack 0 $0.00 $0.00
3032
3033 Sub-Total: $0.00 $0.00 $0.00
3034 Sales Tax (CA) 8.75%: $0.00
3035 Delivery Charges: Total Total
Actual Cash
3036 Basement Total: $0.00 Depreciation
Value (ACV)
3037
3038 Category GARDEN/YARD For Insurance Adjuster
Item Source Age Replacement Actual Cash
3039 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3040 Garden-Yard Air tank 0 $0.00 $0.00
3041 Garden-Yard Art - garden statues 0 $0.00 $0.00
3042 Garden-Yard Badminton - net 0 $0.00 $0.00
3043 Garden-Yard Badminton - racket 0 $0.00 $0.00
3044 Garden-Yard Bar-B-Que - briquettes 0 $0.00 $0.00
3045 Garden-Yard Bar-B-Que - cover 0 $0.00 $0.00
3046 Garden-Yard Bar-B-Que - Hibachi 0 $0.00 $0.00
3047 Garden-Yard Bar-B-Que - lighter fluid 0 $0.00 $0.00
3048 Garden-Yard Bar-B-Que - propane 0 $0.00 $0.00
3049 Garden-Yard Bar-B-Que - utensils 0 $0.00 $0.00
3050 Garden-Yard Baseball - hitting net 0 $0.00 $0.00
3051 Garden-Yard Baseball - hitting tee 0 $0.00 $0.00
3052 Garden-Yard Basket 0 $0.00 $0.00
3053 Garden-Yard Basket ball 0 $0.00 $0.00
3054 Garden-Yard Basket ball hoop - attached 0 $0.00 $0.00
3055 Garden-Yard Basket ball hoop - free standing 0 $0.00 $0.00
3056 Garden-Yard Bench 0 $0.00 $0.00
3057 Garden-Yard Bicycle 0 $0.00 $0.00
3058 Garden-Yard Bird bath 0 $0.00 $0.00
3059 Garden-Yard Bird feeder 0 $0.00 $0.00
3060 Garden-Yard Bird house 0 $0.00 $0.00
3061 Garden-Yard Bird seed 0 $0.00 $0.00
3062 Garden-Yard Blowers 0 $0.00 $0.00
3063 Garden-Yard Bocce ball set 0 $0.00 $0.00
3064 Garden-Yard Carport 0 $0.00 $0.00

59 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3065 Garden-Yard Cart 0 $0.00 $0.00
3066 Garden-Yard Chain saw 0 $0.00 $0.00
3067 Garden-Yard Chemicals - acid 0 $0.00 $0.00
3068 Garden-Yard Chemicals - bromine 0 $0.00 $0.00
3069 Garden-Yard Chemicals - chlorine 0 $0.00 $0.00
3070 Garden-Yard Chipper - electric 0 $0.00 $0.00
3071 Garden-Yard Chipper - gas 0 $0.00 $0.00
3072 Garden-Yard Christmas door wreath 0 $0.00 $0.00
3073 Garden-Yard Clock 0 $0.00 $0.00
3074 Garden-Yard Composter - garden 0 $0.00 $0.00
3075 Garden-Yard Composter - worm 0 $0.00 $0.00
3076 Garden-Yard Cord wood 0 $0.00 $0.00
3077 Garden-Yard Croquet set 0 $0.00 $0.00
3078 Garden-Yard Deck box 0 $0.00 $0.00
3079 Garden-Yard Dog food/water bowl 0 $0.00 $0.00
3080 Garden-Yard Dog house 0 $0.00 $0.00
3081 Garden-Yard Door mat 0 $0.00 $0.00
3082 Garden-Yard Edger 0 $0.00 $0.00
3083 Garden-Yard Edging - landscaping 0 $0.00 $0.00
3084 Garden-Yard Fire pit - portable 0 $0.00 $0.00
3085 Garden-Yard Fire ring 0 $0.00 $0.00
3086 Garden-Yard Firewood rack 0 $0.00 $0.00
3087 Garden-Yard Flag - American 0 $0.00 $0.00
3088 Garden-Yard Flag - decorative 0 $0.00 $0.00
3089 Garden-Yard Flag - holiday 0 $0.00 $0.00
3090 Garden-Yard Flag stand 0 $0.00 $0.00
3091 Garden-Yard Football 0 $0.00 $0.00
3092 Garden-Yard Fountain 0 $0.00 $0.00
3093 Garden-Yard Garage (portable style) 0 $0.00 $0.00
3094 Garden-Yard Garden flamingo 0 $0.00 $0.00
3095 Garden-Yard Garden gloves 0 $0.00 $0.00
3096 Garden-Yard Garden gnomes 0 $0.00 $0.00
3097 Garden-Yard Garden hose 0 $0.00 $0.00
3098 Garden-Yard Garden hose nozzle 0 $0.00 $0.00
3099 Garden-Yard Garden hose storage 0 $0.00 $0.00
3100 Garden-Yard Garden knee pad 0 $0.00 $0.00
3101 Garden-Yard Garden stakes 0 $0.00 $0.00
3102 Garden-Yard Garden wagon 0 $0.00 $0.00
3103 Garden-Yard Gazebo 0 $0.00 $0.00
3104 Garden-Yard Generator 0 $0.00 $0.00
3105 Garden-Yard Grass shears 0 $0.00 $0.00
3106 Garden-Yard Greenhouse 0 $0.00 $0.00
3107 Garden-Yard Hammock 0 $0.00 $0.00
3108 Garden-Yard Hammock - stand 0 $0.00 $0.00
3109 Garden-Yard Hanging plant baskets 0 $0.00 $0.00
3110 Garden-Yard Heater - propane 0 $0.00 $0.00
3111 Garden-Yard Holiday garden decorations 0 $0.00 $0.00
3112 Garden-Yard Hose 0 $0.00 $0.00
3113 Garden-Yard Hose nozzle 0 $0.00 $0.00
3114 Garden-Yard Hose reel 0 $0.00 $0.00
3115 Garden-Yard Hummingbird feeder 0 $0.00 $0.00
3116 Garden-Yard Insect light 0 $0.00 $0.00
3117 Garden-Yard Jacuzzi - above ground 0 $0.00 $0.00

60 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3118 Garden-Yard Jacuzzi - cover 0 $0.00 $0.00
3119 Garden-Yard Jacuzzi - in-ground 0 $0.00 $0.00
3120 Garden-Yard Kids climber/swing set 0 $0.00 $0.00
3121 Garden-Yard Kids picnic table/chairs 0 $0.00 $0.00
3122 Garden-Yard Lawn dart set 0 $0.00 $0.00
3123 Garden-Yard Lawn figurine 0 $0.00 $0.00
3124 Garden-Yard Lawn mower 0 $0.00 $0.00
3125 Garden-Yard Lawn tent 0 $0.00 $0.00
3126 Garden-Yard Lawn tractor 0 $0.00 $0.00
3127 Garden-Yard Lawn tractor attachments 0 $0.00 $0.00
3128 Garden-Yard Leaf blower 0 $0.00 $0.00
3129 Garden-Yard Lighting - candle 0 $0.00 $0.00
3130 Garden-Yard Lighting - electric 0 $0.00 $0.00
3131 Garden-Yard Lighting - gas 0 $0.00 $0.00
3132 Garden-Yard Lighting - oil 0 $0.00 $0.00
3133 Garden-Yard Lighting - solar 0 $0.00 $0.00
3134 Garden-Yard Lighting - string lights 0 $0.00 $0.00
3135 Garden-Yard Log splitters 0 $0.00 $0.00
3136 Garden-Yard Mail box 0 $0.00 $0.00
3137 Garden-Yard Motion lights - outdoor 0 $0.00 $0.00
3138 Garden-Yard Outdoor speakers 0 $0.00 $0.00
3139 Garden-Yard Outdoor storage 0 $0.00 $0.00
3140 Garden-Yard Patio furniture 0 $0.00 $0.00
3141 Garden-Yard Patio furniture - bar 0 $0.00 $0.00
3142 Garden-Yard Patio furniture - bar stool 0 $0.00 $0.00
3143 Garden-Yard Patio furniture - bar stool cushion 0 $0.00 $0.00
3144 Garden-Yard Patio furniture - bench seat 0 $0.00 $0.00
3145 Garden-Yard Patio furniture - bistro set 0 $0.00 $0.00
3146 Garden-Yard Patio furniture - chair 0 $0.00 $0.00
3147 Garden-Yard Patio furniture - chair cushion 0 $0.00 $0.00
3148 Garden-Yard Patio furniture - chaise lounge 0 $0.00 $0.00
3149 Garden-Yard Patio furniture - dining set 0 $0.00 $0.00
3150 Garden-Yard Patio furniture - fire pit set 0 $0.00 $0.00
3151 Garden-Yard Patio furniture - glider 0 $0.00 $0.00
3152 Garden-Yard Patio furniture - lounge 0 $0.00 $0.00
3153 Garden-Yard Patio furniture - lounge cushion 0 $0.00 $0.00
3154 Garden-Yard Patio furniture - picnic table 0 $0.00 $0.00
3155 Garden-Yard Patio furniture - picnic table bench 0 $0.00 $0.00
3156 Garden-Yard Patio furniture - pillows 0 $0.00 $0.00
3157 Garden-Yard Patio furniture - seating set 0 $0.00 $0.00
3158 Garden-Yard Patio furniture - stools 0 $0.00 $0.00
3159 Garden-Yard Patio furniture - table 0 $0.00 $0.00
3160 Garden-Yard Patio furniture - umbrella 0 $0.00 $0.00
3161 Garden-Yard Patio furniture - umbrella stand 0 $0.00 $0.00
3162 Garden-Yard Patio heater 0 $0.00 $0.00
3163 Garden-Yard Patio planters 0 $0.00 $0.00
3164 Garden-Yard Patio urns 0 $0.00 $0.00
3165 Garden-Yard Pergola 0 $0.00 $0.00
3166 Garden-Yard Planter box 0 $0.00 $0.00
3167 Garden-Yard Play house 0 $0.00 $0.00
3168 Garden-Yard Play structure - plastic 0 $0.00 $0.00
3169 Garden-Yard Play structure - wood 0 $0.00 $0.00
3170 Garden-Yard Playhouse 0 $0.00 $0.00

61 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3171 Garden-Yard Pool - above ground - large 0 $0.00 $0.00
3172 Garden-Yard Pool - children's small plastic 0 $0.00 $0.00
3173 Garden-Yard Pool cover 0 $0.00 $0.00
3174 Garden-Yard Pool game equipment (list) 0 $0.00 $0.00
3175 Garden-Yard Pool lounge 0 $0.00 $0.00
3176 Garden-Yard Pot - large 0 $0.00 $0.00
3177 Garden-Yard Pot - small 0 $0.00 $0.00
3178 Garden-Yard Potted plant (list separately) 0 $0.00 $0.00
3179 Garden-Yard Potted plants 0 $0.00 $0.00
3180 Garden-Yard Pressure washer 0 $0.00 $0.00
3181 Garden-Yard Pump – pedestal sump pump 0 $0.00 $0.00
3182 Garden-Yard Pump – pool filter 0 $0.00 $0.00
3183 Garden-Yard Pump – shallow well jet pump 0 $0.00 $0.00
3184 Garden-Yard Pump – submersible utility 0 $0.00 $0.00
3185 Garden-Yard Rain barrel 0 $0.00 $0.00
3186 Garden-Yard Rake 0 $0.00 $0.00
3187 Garden-Yard Rug (outdoor carpet) 0 $0.00 $0.00
3188 Garden-Yard Sand box - plastic 0 $0.00 $0.00
3189 Garden-Yard Security camera 0 $0.00 $0.00
3190 Garden-Yard Security spotlight 0 $0.00 $0.00
3191 Garden-Yard Shade cloth 0 $0.00 $0.00
3192 Garden-Yard Shed-resin 0 $0.00 $0.00
3193 Garden-Yard Shed-metal 0 $0.00 $0.00
3194 Garden-Yard Shed-wood 0 $0.00 $0.00
3195 Garden-Yard Shredder 0 $0.00 $0.00
3196 Garden-Yard Snowblower 0 $0.00 $0.00
3197 Garden-Yard Solar garage light 0 $0.00 $0.00
3198 Garden-Yard Solar lantern - garden 0 $0.00 $0.00
3199 Garden-Yard Solar lantern - path lights 0 $0.00 $0.00
3200 Garden-Yard Solar light fixture 0 $0.00 $0.00
3201 Garden-Yard Solar path light 0 $0.00 $0.00
3202 Garden-Yard Spot light - outdoor 0 $0.00 $0.00
3203 Garden-Yard Sprinklers 0 $0.00 $0.00
3204 Garden-Yard Stepping stones 0 $0.00 $0.00
3205 Garden-Yard Storage box - plastic 0 $0.00 $0.00
3206 Garden-Yard Storage box - wood 0 $0.00 $0.00
3207 Garden-Yard Sun catcher 0 $0.00 $0.00
3208 Garden-Yard Sun dial 0 $0.00 $0.00
3209 Garden-Yard Swing 0 $0.00 $0.00
3210 Garden-Yard Swing set 0 $0.00 $0.00
3211 Garden-Yard Tennis ball hopper 0 $0.00 $0.00
3212 Garden-Yard Tennis ball machine 0 $0.00 $0.00
3213 Garden-Yard Tennis balls 0 $0.00 $0.00
3214 Garden-Yard Tennis court fence screen 0 $0.00 $0.00
3215 Garden-Yard Tennis court net 0 $0.00 $0.00
3216 Garden-Yard Thermometer 0 $0.00 $0.00
3217 Garden-Yard Tiki torches 0 $0.00 $0.00
3218 Garden-Yard Tiller 0 $0.00 $0.00
3219 Garden-Yard Trampoline 0 $0.00 $0.00
3220 Garden-Yard Trash can - metal 0 $0.00 $0.00
3221 Garden-Yard Trash can - plastic 32 gallon 0 $0.00 $0.00
3222 Garden-Yard Trash can - recycle 0 $0.00 $0.00
3223 Garden-Yard Tree cutters 0 $0.00 $0.00

62 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3224 Garden-Yard Tree house 0 $0.00 $0.00
3225 Garden-Yard Tree pruners 0 $0.00 $0.00
3226 Garden-Yard Tricycle 0 $0.00 $0.00
3227 Garden-Yard Trimmer - hedge 0 $0.00 $0.00
3228 Garden-Yard Trimmer – highwheel 0 $0.00 $0.00
3229 Garden-Yard Trimmer - line 0 $0.00 $0.00
3230 Garden-Yard Umbrella 0 $0.00 $0.00
3231 Garden-Yard Umbrella light 0 $0.00 $0.00
3232 Garden-Yard Volley ball net 0 $0.00 $0.00
3233 Garden-Yard Watering can 0 $0.00 $0.00
3234 Garden-Yard Welcome mat 0 $0.00 $0.00
3235 Garden-Yard Wheelbarrow 0 $0.00 $0.00
3236 Garden-Yard Wheel weights 0 $0.00 $0.00
3237 Garden-Yard Wind chime 0 $0.00 $0.00
3238 Garden-Yard Wind generator 0 $0.00 $0.00
3239 Garden-Yard Wind mill - small 0 $0.00 $0.00
3240 Garden-Yard Work bench 0 $0.00 $0.00
3241 Garden-Yard Yard vacuum 0 $0.00 $0.00
3242
3243 Sub-Total: $0.00 $0.00 $0.00
3244 Sales Tax (CA) 8.75%: $0.00
3245 Delivery Charges: Total Total
Actual Cash
3246 Garden/Yard Total: $0.00 Depreciation
Value (ACV)
3247
3248 Category AUTOMOTIVE (for car/inside car) For Insurance Adjuster
Item Source Age Replacement Actual Cash
3249 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3250 Automotive Air filter 0 $0.00 $0.00
3251 Automotive Air freshener 0 $0.00 $0.00
3252 Automotive Anti-freeze 0 $0.00 $0.00
3253 Automotive Armor All 0 $0.00 $0.00
3254 Automotive Auto repair manual 0 $0.00 $0.00
3255 Automotive Baby wipes 0 $0.00 $0.00
3256 Automotive Back pack 0 $0.00 $0.00
3257 Automotive Battery charger 0 $0.00 $0.00
3258 Automotive Battery cleaner 0 $0.00 $0.00
3259 Automotive Bicycle rack 0 $0.00 $0.00
3260 Automotive Blanket 0 $0.00 $0.00
3261 Automotive Bondo 0 $0.00 $0.00
3262 Automotive Bottled water 0 $0.00 $0.00
3263 Automotive Brake cleaner 0 $0.00 $0.00
3264 Automotive Brake fluid 0 $0.00 $0.00
3265 Automotive Breath mints 0 $0.00 $0.00
3266 Automotive Bucket 0 $0.00 $0.00
3267 Automotive Bungee cords 0 $0.00 $0.00
3268 Automotive Car battery 0 $0.00 $0.00
3269 Automotive Car phone charger 0 $0.00 $0.00
3270 Automotive Car seat 0 $0.00 $0.00
3271 Automotive Car wax 0 $0.00 $0.00
3272 Automotive Carburator cleaner 0 $0.00 $0.00
3273 Automotive Cargo carrier 0 $0.00 $0.00
3274 Automotive Carpet cleaner 0 $0.00 $0.00

63 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3275 Automotive Cash 0 $0.00 $0.00
3276 Automotive Chamois 0 $0.00 $0.00
3277 Automotive Chewing gum 0 $0.00 $0.00
3278 Automotive Chrome polish 0 $0.00 $0.00
3279 Automotive Crescent wrench 0 $0.00 $0.00
3280 Automotive Disaster preparedness kit 0 $0.00 $0.00
3281 Automotive Drink holder 0 $0.00 $0.00
3282 Automotive Engine degreaser 0 $0.00 $0.00
3283 Automotive Fast pass 0 $0.00 $0.00
3284 Automotive Fire extinguisher 0 $0.00 $0.00
3285 Automotive First aid kit 0 $0.00 $0.00
3286 Automotive Flash light 0 $0.00 $0.00
3287 Automotive Floor creeper 0 $0.00 $0.00
3288 Automotive Floor jack 0 $0.00 $0.00
3289 Automotive Floor mat 0 $0.00 $0.00
3290 Automotive Folding shovel 0 $0.00 $0.00
3291 Automotive Food - list separately 0 $0.00 $0.00
3292 Automotive Fuel additive 0 $0.00 $0.00
3293 Automotive Gas can 0 $0.00 $0.00
3294 Automotive Gift card 0 $0.00 $0.00
3295 Automotive Gloves 0 $0.00 $0.00
3296 Automotive GPS navigation device 0 $0.00 $0.00
3297 Automotive Hat 0 $0.00 $0.00
3298 Automotive Ice scraper 0 $0.00 $0.00
3299 Automotive Insect repellant 0 $0.00 $0.00
3300 Automotive iPod 0 $0.00 $0.00
3301 Automotive Jack stand 0 $0.00 $0.00
3302 Automotive Jumper cables 0 $0.00 $0.00
3303 Automotive Kleenex 0 $0.00 $0.00
3304 Automotive Lip balm 0 $0.00 $0.00
3305 Automotive Liquid wrench 0 $0.00 $0.00
3306 Automotive Medication - list separately 0 $0.00 $0.00
3307 Automotive Motor oil 0 $0.00 $0.00
3308 Automotive Needle nose pliers 0 $0.00 $0.00
3309 Automotive Oil filter 0 $0.00 $0.00
3310 Automotive Oil filter wrench 0 $0.00 $0.00
3311 Automotive Oil funnel 0 $0.00 $0.00
3312 Automotive Oil pan 0 $0.00 $0.00
3313 Automotive Pad lock 0 $0.00 $0.00
3314 Automotive Paper towels 0 $0.00 $0.00
3315 Automotive Pliers 0 $0.00 $0.00
3316 Automotive Portable battery charger 0 $0.00 $0.00
3317 Automotive Power steering fluid 0 $0.00 $0.00
3318 Automotive Protein bar 0 $0.00 $0.00
3319 Automotive Rain coat 0 $0.00 $0.00
3320 Automotive Rain poncho 0 $0.00 $0.00
3321 Automotive Road flares 0 $0.00 $0.00
3322 Automotive Road map 0 $0.00 $0.00
3323 Automotive Roof rack 0 $0.00 $0.00
3324 Automotive Rust remover 0 $0.00 $0.00
3325 Automotive Scarf 0 $0.00 $0.00
3326 Automotive Screw driver 0 $0.00 $0.00
3327 Automotive Scrub brush 0 $0.00 $0.00

64 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3328 Automotive Seat covers 0 $0.00 $0.00
3329 Automotive Socket set 0 $0.00 $0.00
3330 Automotive Spare car parts - List separately 0 $0.00 $0.00
3331 Automotive Spark plug wrench 0 $0.00 $0.00
3332 Automotive Spark plugs 0 $0.00 $0.00
3333 Automotive Sponge 0 $0.00 $0.00
3334 Automotive Sun glasses 0 $0.00 $0.00
3335 Automotive Sun shade screen 0 $0.00 $0.00
3336 Automotive Sunscreen 0 $0.00 $0.00
3337 Automotive Swiss Army knife 0 $0.00 $0.00
3338 Automotive Theft protection device - Club or cane lock 0 $0.00 $0.00
3339 Automotive Tie down straps 0 $0.00 $0.00
3340 Automotive Timing light 0 $0.00 $0.00
3341 Automotive Tire air gauge 0 $0.00 $0.00
3342 Automotive Tire chains 0 $0.00 $0.00
3343 Automotive Tire flat repair kit 0 $0.00 $0.00
3344 Automotive Tire gloss 0 $0.00 $0.00
3345 Automotive Tire rims 0 $0.00 $0.00
3346 Automotive Tires 0 $0.00 $0.00
3347 Automotive Tool box 0 $0.00 $0.00
3348 Automotive Tool kit 0 $0.00 $0.00
3349 Automotive Tow strap 0 $0.00 $0.00
3350 Automotive Toys - list separately 0 $0.00 $0.00
3351 Automotive Transistor radio 0 $0.00 $0.00
3352 Automotive Truck net 0 $0.00 $0.00
3353 Automotive Umbrella 0 $0.00 $0.00
3354 Automotive Wash mit 0 $0.00 $0.00
3355 Automotive WD-40 0 $0.00 $0.00
3356 Automotive Windshield washer fluid 0 $0.00 $0.00
3357 Automotive Windshield wiper blades 0 $0.00 $0.00
3358
3359 Sub-Total: $0.00 $0.00 $0.00
3360 Sales Tax (CA) 8.75%: $0.00
3361 Delivery Charges: Total Total
Actual Cash
3362 Automotive Total: $0.00 Depreciation
Value (ACV)
3363
3364 Category BABY/TODDLER ITEMS For Insurance Adjuster
Item Source Age Replacement Actual Cash
3365 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3366 Baby/Toddler Baby Einstein 0 $0.00 $0.00
3367 Baby/Toddler Baby food 0 $0.00 $0.00
3368 Baby/Toddler Baby gate 0 $0.00 $0.00
3369 Baby/Toddler Baby lotion 0 $0.00 $0.00
3370 Baby/Toddler Baby monitor 0 $0.00 $0.00
3371 Baby/Toddler Baby pool 0 $0.00 $0.00
3372 Baby/Toddler Baby powder 0 $0.00 $0.00
3373 Baby/Toddler Baby shampoo 0 $0.00 $0.00
3374 Baby/Toddler Baby soap 0 $0.00 $0.00
3375 Baby/Toddler Baby socks 0 $0.00 $0.00
3376 Baby/Toddler Baby towel 0 $0.00 $0.00
3377 Baby/Toddler Baby toys 0 $0.00 $0.00
3378 Baby/Toddler Baby wipe warmer 0 $0.00 $0.00

65 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3379 Baby/Toddler Baby wipes 0 $0.00 $0.00
3380 Baby/Toddler Back carrier or papoose 0 $0.00 $0.00
3381 Baby/Toddler Bassinet 0 $0.00 $0.00
3382 Baby/Toddler Bath book 0 $0.00 $0.00
3383 Baby/Toddler Bath seat 0 $0.00 $0.00
3384 Baby/Toddler Bath stool 0 $0.00 $0.00
3385 Baby/Toddler Bath toys 0 $0.00 $0.00
3386 Baby/Toddler Bath tub 0 $0.00 $0.00
3387 Baby/Toddler Bean bag 0 $0.00 $0.00
3388 Baby/Toddler Bed time lullaby music 0 $0.00 $0.00
3389 Baby/Toddler Bibs 0 $0.00 $0.00
3390 Baby/Toddler Binkie 0 $0.00 $0.00
3391 Baby/Toddler Blanket 0 $0.00 $0.00
3392 Baby/Toddler Book shelf 0 $0.00 $0.00
3393 Baby/Toddler Books 0 $0.00 $0.00
3394 Baby/Toddler Booster seat 0 $0.00 $0.00
3395 Baby/Toddler Booties 0 $0.00 $0.00
3396 Baby/Toddler Bottle 0 $0.00 $0.00
3397 Baby/Toddler Bottle accessories - brushes 0 $0.00 $0.00
3398 Baby/Toddler Bottle sterilizer 0 $0.00 $0.00
3399 Baby/Toddler Bottle warmer 0 $0.00 $0.00
3400 Baby/Toddler Bottles - 4 oz. 0 $0.00 $0.00
3401 Baby/Toddler Bottles - 8 oz. 0 $0.00 $0.00
3402 Baby/Toddler Bottles - other 0 $0.00 $0.00
3403 Baby/Toddler Bouncer 0 $0.00 $0.00
3404 Baby/Toddler Bouncy infant seat 0 $0.00 $0.00
3405 Baby/Toddler Breast pump 0 $0.00 $0.00
3406 Baby/Toddler Breast pump accessories 0 $0.00 $0.00
3407 Baby/Toddler Burp cloth 0 $0.00 $0.00
3408 Baby/Toddler Car seat - infant 0 $0.00 $0.00
3409 Baby/Toddler Car seat - toddler 0 $0.00 $0.00
3410 Baby/Toddler Carrier - framed 0 $0.00 $0.00
3411 Baby/Toddler Carrier - front/soft 0 $0.00 $0.00
3412 Baby/Toddler Changing pad 0 $0.00 $0.00
3413 Baby/Toddler Changing station 0 $0.00 $0.00
3414 Baby/Toddler Changing table 0 $0.00 $0.00
3415 Baby/Toddler Changing table cover 0 $0.00 $0.00
3416 Baby/Toddler Changing table pad 0 $0.00 $0.00
3417 Baby/Toddler Christening gifts 0 $0.00 $0.00
3418 Baby/Toddler Clothes - booties/shoes/socks 0 $0.00 $0.00
3419 Baby/Toddler Clothes - daytime 0 $0.00 $0.00
3420 Baby/Toddler Clothes - outdoor 0 $0.00 $0.00
3421 Baby/Toddler Clothes - sleepwear 0 $0.00 $0.00
3422 Baby/Toddler Clothes - swimwear 0 $0.00 $0.00
3423 Baby/Toddler Crib 0 $0.00 $0.00
3424 Baby/Toddler Crib bedding 0 $0.00 $0.00
3425 Baby/Toddler Crib Blanket 0 $0.00 $0.00
3426 Baby/Toddler Crib comforter 0 $0.00 $0.00
3427 Baby/Toddler Crib mattress 0 $0.00 $0.00
3428 Baby/Toddler Crib mattress pad 0 $0.00 $0.00
3429 Baby/Toddler Crib mobile 0 $0.00 $0.00
3430 Baby/Toddler Crib pad 0 $0.00 $0.00
3431 Baby/Toddler Crib sheet 0 $0.00 $0.00

66 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3432 Baby/Toddler Crib sound soother 0 $0.00 $0.00
3433 Baby/Toddler Crib toy 0 $0.00 $0.00
3434 Baby/Toddler Diaper 0 $0.00 $0.00
3435 Baby/Toddler Diaper bag 0 $0.00 $0.00
3436 Baby/Toddler Diaper pail 0 $0.00 $0.00
3437 Baby/Toddler Diaper pins 0 $0.00 $0.00
3438 Baby/Toddler Diaper stacker 0 $0.00 $0.00
3439 Baby/Toddler Diapers 0 $0.00 $0.00
3440 Baby/Toddler Digital thermometer 0 $0.00 $0.00
3441 Baby/Toddler Early development toys 0 $0.00 $0.00
3442 Baby/Toddler Entertainment center - stationary 0 $0.00 $0.00
3443 Baby/Toddler Footed Sleepers 0 $0.00 $0.00
3444 Baby/Toddler Formula 0 $0.00 $0.00
3445 Baby/Toddler Growth Chart 0 $0.00 $0.00
3446 Baby/Toddler Gym/Playmat 0 $0.00 $0.00
3447 Baby/Toddler Hamper 0 $0.00 $0.00
3448 Baby/Toddler Hat and Bonnet 0 $0.00 $0.00
3449 Baby/Toddler High chair 0 $0.00 $0.00
3450 Baby/Toddler Humidifier 0 $0.00 $0.00
3451 Baby/Toddler Infant sleeper 0 $0.00 $0.00
3452 Baby/Toddler Jogger 0 $0.00 $0.00
3453 Baby/Toddler Jumper 0 $0.00 $0.00
3454 Baby/Toddler Laundry soap 0 $0.00 $0.00
3455 Baby/Toddler Lotions, baby oils, and powders 0 $0.00 $0.00
3456 Baby/Toddler Medicine dispenser 0 $0.00 $0.00
3457 Baby/Toddler Mobile 0 $0.00 $0.00
3458 Baby/Toddler Monitor - audio 0 $0.00 $0.00
3459 Baby/Toddler Monitor - audio/visual 0 $0.00 $0.00
3460 Baby/Toddler Monitor - movement 0 $0.00 $0.00
3461 Baby/Toddler Nail clippers 0 $0.00 $0.00
3462 Baby/Toddler Nasal aspirator 0 $0.00 $0.00
3463 Baby/Toddler Nightlight 0 $0.00 $0.00
3464 Baby/Toddler Nose syringe 0 $0.00 $0.00
3465 Baby/Toddler Nursing pillow 0 $0.00 $0.00
3466 Baby/Toddler Onesie 0 $0.00 $0.00
3467 Baby/Toddler Oral medicine syringe 0 $0.00 $0.00
3468 Baby/Toddler Outlet Plugs 0 $0.00 $0.00
3469 Baby/Toddler Pacifier 0 $0.00 $0.00
3470 Baby/Toddler Picture frames 0 $0.00 $0.00
3471 Baby/Toddler Piggy bank 0 $0.00 $0.00
3472 Baby/Toddler Pillow 0 $0.00 $0.00
3473 Baby/Toddler Playard 0 $0.00 $0.00
3474 Baby/Toddler Playpen - travel 0 $0.00 $0.00
3475 Baby/Toddler Potty chair 0 $0.00 $0.00
3476 Baby/Toddler Potty seat 0 $0.00 $0.00
3477 Baby/Toddler Potty training seat 0 $0.00 $0.00
3478 Baby/Toddler Rattles 0 $0.00 $0.00
3479 Baby/Toddler Receiving blanket 0 $0.00 $0.00
3480 Baby/Toddler Rocking chair/slider 0 $0.00 $0.00
3481 Baby/Toddler Rocking chair/slider footstool 0 $0.00 $0.00
3482 Baby/Toddler Rug 0 $0.00 $0.00
3483 Baby/Toddler Safety gate 0 $0.00 $0.00
3484 Baby/Toddler Silver baby cup 0 $0.00 $0.00

67 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3485 Baby/Toddler Sippy cup 0 $0.00 $0.00
3486 Baby/Toddler Sleeper 0 $0.00 $0.00
3487 Baby/Toddler Socks 0 $0.00 $0.00
3488 Baby/Toddler Step stool 0 $0.00 $0.00
3489 Baby/Toddler Story Books 0 $0.00 $0.00
3490 Baby/Toddler Stroller 0 $0.00 $0.00
3491 Baby/Toddler Stroller toys 0 $0.00 $0.00
3492 Baby/Toddler Stroller/Carriage 0 $0.00 $0.00
3493 Baby/Toddler Stroller/Jogger 0 $0.00 $0.00
3494 Baby/Toddler Stuffed animals/plush toys 0 $0.00 $0.00
3495 Baby/Toddler Swing 0 $0.00 $0.00
3496 Baby/Toddler Teethers/Teething ring 0 $0.00 $0.00
3497 Baby/Toddler Temperature strip 0 $0.00 $0.00
3498 Baby/Toddler Thermometer 0 $0.00 $0.00
3499 Baby/Toddler Toddler bed 0 $0.00 $0.00
3500 Baby/Toddler Toddler bedding 0 $0.00 $0.00
3501 Baby/Toddler Toddler clothes - daytime 0 $0.00 $0.00
3502 Baby/Toddler Toddler clothes - outdoor 0 $0.00 $0.00
3503 Baby/Toddler Toddler clothes - shoes/socks 0 $0.00 $0.00
3504 Baby/Toddler Toddler clothes - sleepwear 0 $0.00 $0.00
3505 Baby/Toddler Toddler clothes - swimwear 0 $0.00 $0.00
3506 Baby/Toddler Toddler feeding utensils 0 $0.00 $0.00
3507 Baby/Toddler Towels 0 $0.00 $0.00
3508 Baby/Toddler Toy chest 0 $0.00 $0.00
3509 Baby/Toddler Toy organizer 0 $0.00 $0.00
3510 Baby/Toddler Toys 0 $0.00 $0.00
3511 Baby/Toddler Training Pants/Pull ups 0 $0.00 $0.00
3512 Baby/Toddler Travel play yard 0 $0.00 $0.00
3513 Baby/Toddler Travel stroller 0 $0.00 $0.00
3514 Baby/Toddler Tub 0 $0.00 $0.00
3515 Baby/Toddler Vaporizer 0 $0.00 $0.00
3516 Baby/Toddler Wagon 0 $0.00 $0.00
3517 Baby/Toddler Walker 0 $0.00 $0.00
3518 Baby/Toddler Wall décor 0 $0.00 $0.00
3519 Baby/Toddler Wash cloths 0 $0.00 $0.00
3520 Baby/Toddler Wipes 0 $0.00 $0.00
3521 Baby/Toddler Wipes Warmer 0 $0.00 $0.00
3522
3523 Sub-Total: $0.00 $0.00 $0.00
3524 Sales Tax (CA) 8.75%: $0.00
3525 Delivery Charges: Total Total
Actual Cash
3526 Baby/Toddler Total: $0.00 Depreciation
Value (ACV)
3527
3528 Category CRAFTS For Insurance Adjuster
Item Source Age Replacement Actual Cash
3529 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3530 Crafts 3-Ring Binder 0 $0.00 $0.00
3531 Crafts Airbrush 0 $0.00 $0.00
3532 Crafts Airbrush accessories 0 $0.00 $0.00
3533 Crafts Airbrush compressor 0 $0.00 $0.00
3534 Crafts Airbrush paint 0 $0.00 $0.00
3535 Crafts Art glass 0 $0.00 $0.00

68 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3536 Crafts Artist box 0 $0.00 $0.00
3537 Crafts Artist brush 0 $0.00 $0.00
3538 Crafts Artist manikin 0 $0.00 $0.00
3539 Crafts Bead making tools 0 $0.00 $0.00
3540 Crafts Beads – charms 0 $0.00 $0.00
3541 Crafts Beads – craft 0 $0.00 $0.00
3542 Crafts Beads – wire/stringing 0 $0.00 $0.00
3543 Crafts Binding system/tool 0 $0.00 $0.00
3544 Crafts Bling stones 0 $0.00 $0.00
3545 Crafts Brads 0 $0.00 $0.00
3546 Crafts Brush and tool caddy 0 $0.00 $0.00
3547 Crafts Brush pens 0 $0.00 $0.00
3548 Crafts Buttons 0 $0.00 $0.00
3549 Crafts Cake decorating accessories 0 $0.00 $0.00
3550 Crafts Cake stand 0 $0.00 $0.00
3551 Crafts Calligraphy pens 0 $0.00 $0.00
3552 Crafts Candle making supplies 0 $0.00 $0.00
3553 Crafts Candy making accessories 0 $0.00 $0.00
3554 Crafts Candy making molds 0 $0.00 $0.00
3555 Crafts Canvas 0 $0.00 $0.00
3556 Crafts Card kits 0 $0.00 $0.00
3557 Crafts Ceramics paint 0 $0.00 $0.00
3558 Crafts Clay 0 $0.00 $0.00
3559 Crafts Clay-Ceramic 0 $0.00 $0.00
3560 Crafts Clay cutters/shapers 0 $0.00 $0.00
3561 Crafts Copic markers 0 $0.00 $0.00
3562 Crafts Craft lamp 0 $0.00 $0.00
3563 Crafts Crochet hooks 0 $0.00 $0.00
3564 Crafts Crochet yarn 0 $0.00 $0.00
3565 Crafts Die cutters 0 $0.00 $0.00
3566 Crafts Double stick tape 0 $0.00 $0.00
3567 Crafts Drafting table 0 $0.00 $0.00
3568 Crafts Easel 0 $0.00 $0.00
3569 Crafts Embosser/Die cutter 0 $0.00 $0.00
3570 Crafts Embossing powder 0 $0.00 $0.00
3571 Crafts Embossing supplies 0 $0.00 $0.00
3572 Crafts Embroidery canvas 0 $0.00 $0.00
3573 Crafts Embroidery yarn 0 $0.00 $0.00
3574 Crafts Eyelets 0 $0.00 $0.00
3575 Crafts Eyelets & Punch kit 0 $0.00 $0.00
3576 Crafts Fabric 0 $0.00 $0.00
3577 Crafts Felt embellishments 0 $0.00 $0.00
3578 Crafts Firing supplies (for kiln) 0 $0.00 $0.00
3579 Crafts Foam tape 0 $0.00 $0.00
3580 Crafts Framing equipment 0 $0.00 $0.00
3581 Crafts Gelly roll pens 0 $0.00 $0.00
3582 Crafts Glass cutter 0 $0.00 $0.00
3583 Crafts Glue dots 0 $0.00 $0.00
3584 Crafts Glue gun 0 $0.00 $0.00
3585 Crafts Glue sticks 0 $0.00 $0.00
3586 Crafts Illustration markers 0 $0.00 $0.00
3587 Crafts Ink stamps 0 $0.00 $0.00
3588 Crafts Jewelry making tools 0 $0.00 $0.00

69 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3589 Crafts Kiln 0 $0.00 $0.00
3590 Crafts Knitting accessories 0 $0.00 $0.00
3591 Crafts Knitting needles 0 $0.00 $0.00
3592 Crafts Knitting yarn 0 $0.00 $0.00
3593 Crafts Leather crafting supplies 0 $0.00 $0.00
3594 Crafts Lightbox 0 $0.00 $0.00
3595 Crafts Lighting - table 0 $0.00 $0.00
3596 Crafts Lighting – task/specialty 0 $0.00 $0.00
3597 Crafts Liquid applique pens 0 $0.00 $0.00
3598 Crafts Mallet/hammer 0 $0.00 $0.00
3599 Crafts Marker set (Copic/Marvy/Sharpie/Sakura/Zig) 0 $0.00 $0.00
3600 Crafts Mat cutter 0 $0.00 $0.00
3601 Crafts Molds 0 $0.00 $0.00
3602 Crafts Molds - candy 0 $0.00 $0.00
3603 Crafts Molds - craft 0 $0.00 $0.00
3604 Crafts Mosaic supplies 0 $0.00 $0.00
3605 Crafts Paint – acrylic 0 $0.00 $0.00
3606 Crafts Paint – oil 0 $0.00 $0.00
3607 Crafts Paint – watercolor 0 $0.00 $0.00
3608 Crafts Paint (art) 0 $0.00 $0.00
3609 Crafts Paint brushes 0 $0.00 $0.00
3610 Crafts Paint brushes (art) 0 $0.00 $0.00
3611 Crafts Paint markers 0 $0.00 $0.00
3612 Crafts Painting accessories 0 $0.00 $0.00
3613 Crafts Paper – journal 0 $0.00 $0.00
3614 Crafts Paper – mixed media 0 $0.00 $0.00
3615 Crafts Paper – parchment 0 $0.00 $0.00
3616 Crafts Paper – sketch pad 0 $0.00 $0.00
3617 Crafts Paper & cardstock 0 $0.00 $0.00
3618 Crafts Paper making supplies 0 $0.00 $0.00
3619 Crafts Paper punch 0 $0.00 $0.00
3620 Crafts Paper trimmer/cutter 0 $0.00 $0.00
3621 Crafts Pen & pencil set 0 $0.00 $0.00
3622 Crafts Photo album-book cloth 0 $0.00 $0.00
3623 Crafts Photo album-felt 0 $0.00 $0.00
3624 Crafts Photo album-leather 0 $0.00 $0.00
3625 Crafts Photo album-suede 0 $0.00 $0.00
3626 Crafts Pottery clay 0 $0.00 $0.00
3627 Crafts Pottery glaze 0 $0.00 $0.00
3628 Crafts Pottery wheel 0 $0.00 $0.00
3629 Crafts Quilling paper 0 $0.00 $0.00
3630 Crafts Rhinestones 0 $0.00 $0.00
3631 Crafts Ribbon – adhesive 0 $0.00 $0.00
3632 Crafts Ribbon – sorter 0 $0.00 $0.00
3633 Crafts Ribbon – spool 0 $0.00 $0.00
3634 Crafts Ribbon – tools 0 $0.00 $0.00
3635 Crafts Rubber cement 0 $0.00 $0.00
3636 Crafts Ruler 0 $0.00 $0.00
3637 Crafts Scissors – craft 0 $0.00 $0.00
3638 Crafts Scrapbook art tote 0 $0.00 $0.00
3639 Crafts Scrapbook organizer 0 $0.00 $0.00
3640 Crafts Scrapbook rolling organizer/drawers 0 $0.00 $0.00
3641 Crafts Scrapbook storage bin 0 $0.00 $0.00

70 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3642 Crafts Shaping tool 0 $0.00 $0.00
3643 Crafts Silicone mold 0 $0.00 $0.00
3644 Crafts Stained glass craft supplies 0 $0.00 $0.00
3645 Crafts Stamp - foam 0 $0.00 $0.00
3646 Crafts Stamp ink pads 0 $0.00 $0.00
3647 Crafts Stamping ink 0 $0.00 $0.00
3648 Crafts Stamps – rubber 0 $0.00 $0.00
3649 Crafts Stamps – wood 0 $0.00 $0.00
3650 Crafts Stickers 0 $0.00 $0.00
3651 Crafts Stickers - chipboard 0 $0.00 $0.00
3652 Crafts Stickers - rub-ons 0 $0.00 $0.00
3653 Crafts Stickers - vellum 0 $0.00 $0.00
3654 Crafts Sticky dot stamper 0 $0.00 $0.00
3655 Crafts Tape dispensers 0 $0.00 $0.00
3656 Crafts Texture roller 0 $0.00 $0.00
3657 Crafts Tongs 0 $0.00 $0.00
3658 Crafts Transfer tape 0 $0.00 $0.00
3659 Crafts Uhu glue 0 $0.00 $0.00
3660 Crafts Woodworking tools 0 $0.00 $0.00
3661 Crafts Work chair 0 $0.00 $0.00
3662 Crafts Work table 0 $0.00 $0.00
3663 Crafts Yarn 0 $0.00 $0.00
3664
3665 Sub-Total: $0.00 $0.00 $0.00
3666 Sales Tax (CA) 8.75%: $0.00
3667 Delivery Charges: Total Total
Actual Cash
3668 Crafts Total: $0.00 Depreciation
Value (ACV)
3669
3670 Category ELECTRONICS/COMPUTERS For Insurance Adjuster
Item Source Age Replacement Actual Cash
3671 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3672 Electronics Alarm clock 0 $0.00 $0.00
3673 Electronics Alarm clock docking station 0 $0.00 $0.00
3674 Electronics Anti glare screen protector 0 $0.00 $0.00
3675 Electronics Apple adapter cables 0 $0.00 $0.00
3676 Electronics Apple Blu Ray drive 0 $0.00 $0.00
3677 Electronics Apple display port to DVI 0 $0.00 $0.00
3678 Electronics Apple HDMI cables 0 $0.00 $0.00
3679 Electronics Apple TV 0 $0.00 $0.00
3680 Electronics Batteries - 9 volt 0 $0.00 $0.00
3681 Electronics Batteries - AA 0 $0.00 $0.00
3682 Electronics Batteries - AAA 0 $0.00 $0.00
3683 Electronics Batteries - C 0 $0.00 $0.00
3684 Electronics Batteries - D 0 $0.00 $0.00
3685 Electronics Batteries - rechargeable 0 $0.00 $0.00
3686 Electronics Battery backup for electronics 0 $0.00 $0.00
3687 Electronics Battery charger 0 $0.00 $0.00
3688 Electronics Blu Ray player 0 $0.00 $0.00
3689 Electronics Blu Ray writer 0 $0.00 $0.00
3690 Electronics Bluetooth headset 0 $0.00 $0.00
3691 Electronics Bluetooth speakers 0 $0.00 $0.00
3692 Electronics Burners - CD/DVD/Blu-Ray 0 $0.00 $0.00

71 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3693 Electronics Cable - audio/car 0 $0.00 $0.00
3694 Electronics Cable - audio/home 0 $0.00 $0.00
3695 Electronics Cable - BNC 0 $0.00 $0.00
3696 Electronics Cable - coaxial - 25 ft 0 $0.00 $0.00
3697 Electronics Cable - coaxial - 50 ft 0 $0.00 $0.00
3698 Electronics Cable - digital coaxial 0 $0.00 $0.00
3699 Electronics Cable - harddrive 0 $0.00 $0.00
3700 Electronics Cable - HDMI 0 $0.00 $0.00
3701 Electronics Cable - internal drive 0 $0.00 $0.00
3702 Electronics Cable - monitor to computer 0 $0.00 $0.00
3703 Electronics Cable - monster 0 $0.00 $0.00
3704 Electronics Cable - networking 0 $0.00 $0.00
3705 Electronics Cable - power 0 $0.00 $0.00
3706 Electronics Cable - telephone 0 $0.00 $0.00
3707 Electronics Cable - USB 0 $0.00 $0.00
3708 Electronics Cable - video 0 $0.00 $0.00
3709 Electronics Camcorder 0 $0.00 $0.00
3710 Electronics Camcorder – HD 0 $0.00 $0.00
3711 Electronics Camcorder – pocket 0 $0.00 $0.00
3712 Electronics Camera – bag 0 $0.00 $0.00
3713 Electronics Camera – case 0 $0.00 $0.00
3714 Electronics Camera – charger 0 $0.00 $0.00
3715 Electronics Camera – digital type 0 $0.00 $0.00
3716 Electronics Camera – film 0 $0.00 $0.00
3717 Electronics Camera – film type 0 $0.00 $0.00
3718 Electronics Camera - filters 0 $0.00 $0.00
3719 Electronics Camera - lenses 0 $0.00 $0.00
3720 Electronics Camera – re-chargeable batteries 0 $0.00 $0.00
3721 Electronics Camera – tripod 0 $0.00 $0.00
3722 Electronics Camera – USB cable 0 $0.00 $0.00
3723 Electronics Cell phone 0 $0.00 $0.00
3724 Electronics Cell phone case 0 $0.00 $0.00
3725 Electronics Cell phone charger 0 $0.00 $0.00
3726 Electronics Cell phone USB cable 0 $0.00 $0.00
3727 Electronics Computer - cleaning kit 0 $0.00 $0.00
3728 Electronics Computer - desktop 0 $0.00 $0.00
3729 Electronics Computer - dust cover 0 $0.00 $0.00
3730 Electronics Computer - lock 0 $0.00 $0.00
3731 Electronics Computer - monitor 0 $0.00 $0.00
3732 Electronics Computer - netbook 0 $0.00 $0.00
3733 Electronics Computer - notebook 0 $0.00 $0.00
3734 Electronics Computer - portable charger 0 $0.00 $0.00
3735 Electronics Computer - components - Computer Case 0 $0.00 $0.00
3736 Electronics Computer - components - CPU Processor 0 $0.00 $0.00
3737 Electronics Computer - components - Hardrive 0 $0.00 $0.00
3738 Electronics Computer - components - Keyboard 0 $0.00 $0.00
3739 Electronics Computer - components - Motherboard 0 $0.00 $0.00
3740 Electronics Computer - components - Mouse 0 $0.00 $0.00
3741 Electronics Computer - components - Operating System Software 0 $0.00 $0.00
3742 Electronics Computer - components - Optical Drive 0 $0.00 $0.00
3743 Electronics Computer - components - Power Supply 0 $0.00 $0.00
3744 Electronics Computer - components - RAM 0 $0.00 $0.00
3745 Electronics Computer - components -Video Card 0 $0.00 $0.00

72 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3746 Electronics Corded phone 0 $0.00 $0.00
3747 Electronics Cordless phone 0 $0.00 $0.00
3748 Electronics Desktop switch 0 $0.00 $0.00
3749 Electronics Digital antenna 0 $0.00 $0.00
3750 Electronics Digital photo frame - 10 in 0 $0.00 $0.00
3751 Electronics Digital photo frame - 14 in 0 $0.00 $0.00
3752 Electronics Digital photo frame - 7 in 0 $0.00 $0.00
3753 Electronics Digital photo frame - 9 in 0 $0.00 $0.00
3754 Electronics Disc duplicator 0 $0.00 $0.00
3755 Electronics Disc writer 0 $0.00 $0.00
3756 Electronics Discs - Blu Ray Storage/Read/Write 0 $0.00 $0.00
3757 Electronics Discs - CD 0 $0.00 $0.00
3758 Electronics Discs - DVD Read/Write 0 $0.00 $0.00
3759 Electronics Docking station 0 $0.00 $0.00
3760 Electronics DVD player 0 $0.00 $0.00
3761 Electronics DVD player, portable 0 $0.00 $0.00
3762 Electronics DVD recorder - portable 0 $0.00 $0.00
3763 Electronics DVD/CD case 0 $0.00 $0.00
3764 Electronics DVD/CD cleaning kits 0 $0.00 $0.00
3765 Electronics DVD/CD disk repair kit 0 $0.00 $0.00
3766 Electronics DVD/CD labeling kits 0 $0.00 $0.00
3767 Electronics DVD/VCR lockbox 0 $0.00 $0.00
3768 Electronics Ear buds 0 $0.00 $0.00
3769 Electronics eBook reader 0 $0.00 $0.00
3770 Electronics Electronic dictionary 0 $0.00 $0.00
3771 Electronics Flash drive 16GB 0 $0.00 $0.00
3772 Electronics Flash drive 2GB 0 $0.00 $0.00
3773 Electronics Flash drive 32GB 0 $0.00 $0.00
3774 Electronics Flash drive 4GB 0 $0.00 $0.00
3775 Electronics Flash drive 8GB 0 $0.00 $0.00
3776 Electronics Flashlight - halogen 0 $0.00 $0.00
3777 Electronics Flashlight - lantern 0 $0.00 $0.00
3778 Electronics Flashlight - LED 0 $0.00 $0.00
3779 Electronics Flashlight - mag light 0 $0.00 $0.00
3780 Electronics Flashlight - mini mag light 0 $0.00 $0.00
3781 Electronics Flashlight - pocket 0 $0.00 $0.00
3782 Electronics Flexible cable light 0 $0.00 $0.00
3783 Electronics Gaming system - carrying case 0 $0.00 $0.00
3784 Electronics Gaming system - Game Boy 0 $0.00 $0.00
3785 Electronics Gaming system - Game Boy games (List separately) 0 $0.00 $0.00
3786 Electronics Gaming system - Game cube 0 $0.00 $0.00
3787 Electronics Gaming system - Game cube games 0 $0.00 $0.00
3788 Electronics Gaming system - GameCube 0 $0.00 $0.00
3789 Electronics Gaming system - GameCube accessories (list separately) 0 $0.00 $0.00
3790 Electronics Gaming system - Guitar Hero 0 $0.00 $0.00
3791 Electronics Gaming system - head set 0 $0.00 $0.00
3792 Electronics Gaming system - internet access card 0 $0.00 $0.00
3793 Electronics Gaming system - joy stick 0 $0.00 $0.00
3794 Electronics Gaming system - Nintendo DS 0 $0.00 $0.00
3795 Electronics Gaming system - Nintendo DS 3D 0 $0.00 $0.00
3796 Electronics Gaming system - Nintendo DS XL 0 $0.00 $0.00
3797 Electronics Gaming system - Nintendo Dsi 0 $0.00 $0.00
3798 Electronics Gaming system - Nintendo games 0 $0.00 $0.00

73 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3799 Electronics Gaming system - PlayStation 1 0 $0.00 $0.00
3800 Electronics Gaming system - PlayStation 2 0 $0.00 $0.00
3801 Electronics Gaming system - PlayStation 3 0 $0.00 $0.00
3802 Electronics Gaming system - Playstation DVDs (list separately) 0 $0.00 $0.00
3803 Electronics Gaming system - PlayStation games (List separately) 0 $0.00 $0.00
3804 Electronics Gaming system - PSP 0 $0.00 $0.00
3805 Electronics Gaming system - PSP games (List separately) 0 $0.00 $0.00
3806 Electronics Gaming system - PSP Go 0 $0.00 $0.00
3807 Electronics Gaming system - Rock Band 0 $0.00 $0.00
3808 Electronics Gaming system - Wii 0 $0.00 $0.00
3809 Electronics Gaming system - Wii classic controller 0 $0.00 $0.00
3810 Electronics Gaming system - Wii controller recharging station 0 $0.00 $0.00
3811 Electronics Gaming system - Wii games (List separately) 0 $0.00 $0.00
3812 Electronics Gaming system - Wii racing wheel 0 $0.00 $0.00
3813 Electronics Gaming system - Xbox 0 $0.00 $0.00
3814 Electronics Gaming system - Xbox 360 0 $0.00 $0.00
3815 Electronics Gaming system - Xbox 360 Kinect 0 $0.00 $0.00
3816 Electronics Gaming system - Xbox controllers/accessories 0 $0.00 $0.00
3817 Electronics Gaming system - Xbox games (List separately) 0 $0.00 $0.00
3818 Electronics Global electronic language translator 0 $0.00 $0.00
3819 Electronics GPS - mount 0 $0.00 $0.00
3820 Electronics GPS - navigator 0 $0.00 $0.00
3821 Electronics GPS - navigator adapter 0 $0.00 $0.00
3822 Electronics GPS - portable/mobile 0 $0.00 $0.00
3823 Electronics Graphic tablet 0 $0.00 $0.00
3824 Electronics Hard drive – external 0 $0.00 $0.00
3825 Electronics Hard drive – memory 0 $0.00 $0.00
3826 Electronics HDMI switch 0 $0.00 $0.00
3827 Electronics Headphone 0 $0.00 $0.00
3828 Electronics Headset - analog 0 $0.00 $0.00
3829 Electronics Headset - wireless 0 $0.00 $0.00
3830 Electronics Headset - with microphone 0 $0.00 $0.00
3831 Electronics High Speed Data cable - 3ft 0 $0.00 $0.00
3832 Electronics High Speed Data cable - 6ft 0 $0.00 $0.00
3833 Electronics High Speed Data cable -14ft 0 $0.00 $0.00
3834 Electronics iHome 0 $0.00 $0.00
3835 Electronics iMac 0 $0.00 $0.00
3836 Electronics Ink stamp 0 $0.00 $0.00
3837 Electronics iPad 0 $0.00 $0.00
3838 Electronics iPad hardshell case 0 $0.00 $0.00
3839 Electronics iPad smart cover 0 $0.00 $0.00
3840 Electronics iPad Mini 0 $0.00 $0.00
3841 Electronics iPad Mini hardshell case 0 $0.00 $0.00
3842 Electronics iPad Mini smart cover 0 $0.00 $0.00
3843 Electronics iPhone 0 $0.00 $0.00
3844 Electronics iPhone bumper 0 $0.00 $0.00
3845 Electronics iPhone case 0 $0.00 $0.00
3846 Electronics iPod armband 0 $0.00 $0.00
3847 Electronics iPod carrying case 0 $0.00 $0.00
3848 Electronics iPod case 0 $0.00 $0.00
3849 Electronics iPod classic 0 $0.00 $0.00
3850 Electronics iPod downloaded songs (list quantity) 0 $0.00 $0.00
3851 Electronics iPod ear phones 0 $0.00 $0.00

74 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3852 Electronics iPod nano 0 $0.00 $0.00
3853 Electronics iPod Nano watchband 0 $0.00 $0.00
3854 Electronics iPod shuffle 0 $0.00 $0.00
3855 Electronics iPod speaker 0 $0.00 $0.00
3856 Electronics iPod touch 0 $0.00 $0.00
3857 Electronics iTunes card 0 $0.00 $0.00
3858 Electronics Keyboard - bluetooth 0 $0.00 $0.00
3859 Electronics Keyboard - slim 0 $0.00 $0.00
3860 Electronics Keyboard - wired 0 $0.00 $0.00
3861 Electronics Keyboard - wireless 0 $0.00 $0.00
3862 Electronics Kindle - black & white 0 $0.00 $0.00
3863 Electronics Kindle - color 0 $0.00 $0.00
3864 Electronics Laptop bamboo cooling tray 0 $0.00 $0.00
3865 Electronics Laptop cable lock 0 $0.00 $0.00
3866 Electronics Laptop charger 0 $0.00 $0.00
3867 Electronics Laptop chill mat 0 $0.00 $0.00
3868 Electronics Laptop cushion 0 $0.00 $0.00
3869 Electronics Laser pointer 0 $0.00 $0.00
3870 Electronics Mac mini 0 $0.00 $0.00
3871 Electronics Mac pro 0 $0.00 $0.00
3872 Electronics MacBook 0 $0.00 $0.00
3873 Electronics MacBook Air 0 $0.00 $0.00
3874 Electronics MacBook Pro 0 $0.00 $0.00
3875 Electronics MacBook rechargeable battery 0 $0.00 $0.00
3876 Electronics Media storage – blank DVD/CDs 0 $0.00 $0.00
3877 Electronics Media storage – optical drive 0 $0.00 $0.00
3878 Electronics Memory card 0 $0.00 $0.00
3879 Electronics Memory card reader 0 $0.00 $0.00
3880 Electronics Memory card reader/writer 0 $0.00 $0.00
3881 Electronics Microphone 0 $0.00 $0.00
3882 Electronics Microphone cable 0 $0.00 $0.00
3883 Electronics Mini drive 0 $0.00 $0.00
3884 Electronics Modem – broadband 0 $0.00 $0.00
3885 Electronics Modem – dial-up 0 $0.00 $0.00
3886 Electronics Modem cable 0 $0.00 $0.00
3887 Electronics Mouse - bluetooth 0 $0.00 $0.00
3888 Electronics Mouse - laser 0 $0.00 $0.00
3889 Electronics Mouse - optical 0 $0.00 $0.00
3890 Electronics Mouse - optical track ball 0 $0.00 $0.00
3891 Electronics Mouse - tilt wheel 0 $0.00 $0.00
3892 Electronics Mouse – wire 0 $0.00 $0.00
3893 Electronics Mouse - wireless 0 $0.00 $0.00
3894 Electronics Mouse – wireless 0 $0.00 $0.00
3895 Electronics Mousepad 0 $0.00 $0.00
3896 Electronics MP3 player 0 $0.00 $0.00
3897 Electronics Multicharge cell 0 $0.00 $0.00
3898 Electronics Nightlight 0 $0.00 $0.00
3899 Electronics Notebook cases 0 $0.00 $0.00
3900 Electronics Notebook charger 0 $0.00 $0.00
3901 Electronics Polishing cloth 0 $0.00 $0.00
3902 Electronics Portable light - PC plug in 0 $0.00 $0.00
3903 Electronics Portable mini-speakers 0 $0.00 $0.00
3904 Electronics Power adapter 0 $0.00 $0.00

75 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3905 Electronics Power converter - AC to DC 0 $0.00 $0.00
3906 Electronics Power converter - DC to AC 0 $0.00 $0.00
3907 Electronics Power protector 0 $0.00 $0.00
3908 Electronics Powerbook rechargeable battery 0 $0.00 $0.00
3909 Electronics Printer – all in one 0 $0.00 $0.00
3910 Electronics Printer – ink/toner/cartridges 0 $0.00 $0.00
3911 Electronics Printer – inkjet 0 $0.00 $0.00
3912 Electronics Printer – laser 0 $0.00 $0.00
3913 Electronics Printer - paper 0 $0.00 $0.00
3914 Electronics Printer adapter 0 $0.00 $0.00
3915 Electronics Printer cable 0 $0.00 $0.00
3916 Electronics Projector – LCD 0 $0.00 $0.00
3917 Electronics Projector – portable 0 $0.00 $0.00
3918 Electronics Retractable cable 0 $0.00 $0.00
3919 Electronics Scanner – flat bed 0 $0.00 $0.00
3920 Electronics Scanner – portable 0 $0.00 $0.00
3921 Electronics Smartphone repair kit 0 $0.00 $0.00
3922 Electronics Software – antivirus/utilities/security 0 $0.00 $0.00
3923 Electronics Software – Business 0 $0.00 $0.00
3924 Electronics Software - graphic editing 0 $0.00 $0.00
3925 Electronics Software – graphics/design 0 $0.00 $0.00
3926 Electronics Software - greeting card maker 0 $0.00 $0.00
3927 Electronics Software – handheld software 0 $0.00 $0.00
3928 Electronics Software – linux 0 $0.00 $0.00
3929 Electronics Software - MS Office suite 0 $0.00 $0.00
3930 Electronics Software – multimedia 0 $0.00 $0.00
3931 Electronics Software - operating system 0 $0.00 $0.00
3932 Electronics Software – operating systems 0 $0.00 $0.00
3933 Electronics Software - photo editing 0 $0.00 $0.00
3934 Electronics Software - security 0 $0.00 $0.00
3935 Electronics Solar battery charger 0 $0.00 $0.00
3936 Electronics Sound card 0 $0.00 $0.00
3937 Electronics Speaker docking station 0 $0.00 $0.00
3938 Electronics Speakers - car 0 $0.00 $0.00
3939 Electronics Speakers - desktop 0 $0.00 $0.00
3940 Electronics Speakers - portable 0 $0.00 $0.00
3941 Electronics Surge protector 0 $0.00 $0.00
3942 Electronics Switch - 5 port 10/100/1000 0 $0.00 $0.00
3943 Electronics Switchbox 0 $0.00 $0.00
3944 Electronics Tablet 0 $0.00 $0.00
3945 Electronics Tablet case 0 $0.00 $0.00
3946 Electronics Tablet charger 0 $0.00 $0.00
3947 Electronics Telephone - answering machine 0 $0.00 $0.00
3948 Electronics Telephone - caller ID announcer/display 0 $0.00 $0.00
3949 Electronics Telephone - corded/landline 0 $0.00 $0.00
3950 Electronics Telephone - cordless 0 $0.00 $0.00
3951 Electronics Telephone - handset system with answering machine 0 $0.00 $0.00
3952 Electronics Television - 3D 0 $0.00 $0.00
3953 Electronics Television - home theater system 0 $0.00 $0.00
3954 Electronics Television - LCD 0 $0.00 $0.00
3955 Electronics Television - LED 0 $0.00 $0.00
3956 Electronics Television - plasma 0 $0.00 $0.00
3957 Electronics Television - portable 0 $0.00 $0.00

76 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3958 Electronics Television - rear projection 0 $0.00 $0.00
3959 Electronics Television - smart 0 $0.00 $0.00
3960 Electronics Television - tv/dvd combo 0 $0.00 $0.00
3961 Electronics Television - wall mount 0 $0.00 $0.00
3962 Electronics Touch stylus 0 $0.00 $0.00
3963 Electronics Touch tablet 0 $0.00 $0.00
3964 Electronics Universal AC adapter 0 $0.00 $0.00
3965 Electronics Universal media reader 0 $0.00 $0.00
3966 Electronics Universal remote 0 $0.00 $0.00
3967 Electronics USB 2.0 cable 0 $0.00 $0.00
3968 Electronics USB adapter 0 $0.00 $0.00
3969 Electronics USB adapter - dual band 0 $0.00 $0.00
3970 Electronics USB car charger 0 $0.00 $0.00
3971 Electronics USB extension cable 0 $0.00 $0.00
3972 Electronics USB flash drive 0 $0.00 $0.00
3973 Electronics USB high speed cable 0 $0.00 $0.00
3974 Electronics VGA video splitter 0 $0.00 $0.00
3975 Electronics Video amplifier 0 $0.00 $0.00
3976 Electronics Video card 0 $0.00 $0.00
3977 Electronics VOIP – adapter 0 $0.00 $0.00
3978 Electronics VOIP – videophone 0 $0.00 $0.00
3979 Electronics Weather station 0 $0.00 $0.00
3980 Electronics Webcam 0 $0.00 $0.00
3981 Electronics Wifi antenna 0 $0.00 $0.00
3982 Electronics Wired router/networking 0 $0.00 $0.00
3983 Electronics Wireless router/networking 0 $0.00 $0.00
3984 Electronics World travel adaptors 0 $0.00 $0.00
3985 Electronics Writing tablet 0 $0.00 $0.00
3986
3987 Sub-Total: $0.00 $0.00 $0.00
3988 Sales Tax (CA) 8.75%: $0.00
3989 Delivery Charges: Total Total
Actual Cash
3990 Electronics/Computer Total: $0.00 Depreciation
Value (ACV)
3991
3992 Category EMERGENCY SUPPLIES/KIT For Insurance Adjuster
Item Source Age Replacement Actual Cash
3993 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
3994 Emergency Supplies Batteries - 9 volt 0 $0.00 $0.00
3995 Emergency Supplies Batteries - AA 0 $0.00 $0.00
3996 Emergency Supplies Batteries - AAA 0 $0.00 $0.00
3997 Emergency Supplies Batteries - C 0 $0.00 $0.00
3998 Emergency Supplies Batteries - D 0 $0.00 $0.00
3999 Emergency Supplies Battery - cell phone 0 $0.00 $0.00
4000 Emergency Supplies Can opener 0 $0.00 $0.00
4001 Emergency Supplies Candles 0 $0.00 $0.00
4002 Emergency Supplies Cash 0 $0.00 $0.00
4003 Emergency Supplies Duct tape 0 $0.00 $0.00
4004 Emergency Supplies Fire extinguisher 0 $0.00 $0.00
4005 Emergency Supplies First Aid kit 0 $0.00 $0.00
4006 Emergency Supplies Flashlight 0 $0.00 $0.00
4007 Emergency Supplies Food kit 0 $0.00 $0.00
4008 Emergency Supplies Food storage containers 0 $0.00 $0.00

77 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4009 Emergency Supplies Gas or diesel fuel tank container 0 $0.00 $0.00
4010 Emergency Supplies Glow sticks 0 $0.00 $0.00
4011 Emergency Supplies Ice packs 0 $0.00 $0.00
4012 Emergency Supplies Latern 0 $0.00 $0.00
4013 Emergency Supplies Matches 0 $0.00 $0.00
4014 Emergency Supplies Plastic sheeting 0 $0.00 $0.00
4015 Emergency Supplies Plywood 0 $0.00 $0.00
4016 Emergency Supplies Portable generator 0 $0.00 $0.00
4017 Emergency Supplies Power cords 0 $0.00 $0.00
4018 Emergency Supplies Radio - self powered/NOAA weather 0 $0.00 $0.00
4019 Emergency Supplies Radio - two-way 0 $0.00 $0.00
4020 Emergency Supplies Storm shutter device 0 $0.00 $0.00
4021 Emergency Supplies Tent 0 $0.00 $0.00
4022 Emergency Supplies Water 0 $0.00 $0.00
4023 Emergency Supplies Water storage container 0 $0.00 $0.00
4024 Emergency Supplies Window film 0 $0.00 $0.00
4025
4026 Sub-Total: $0.00 $0.00 $0.00
4027 Sales Tax (CA) 8.75%: $0.00
4028 Delivery Charges: Total Total
Actual Cash
4029 Emergency Supplies/Kit Total: $0.00 Depreciation
Value (ACV)
4030
4031
4032 Category GOURMET/LUXURY/COLLECTIBLES For Insurance Adjuster
Item Source Age Replacement Actual Cash
4033 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4034 Gourmet/Luxury Airplane models 0 $0.00 $0.00
4035 Gourmet/Luxury Arcade machine 0 $0.00 $0.00
4036 Gourmet/Luxury Auto return putting mat (golf) 0 $0.00 $0.00
4037 Gourmet/Luxury Baccarat crystal 0 $0.00 $0.00
4038 Gourmet/Luxury Binoculars - digital camera 0 $0.00 $0.00
4039 Gourmet/Luxury Bladeless fan 0 $0.00 $0.00
4040 Gourmet/Luxury Body fat scale 0 $0.00 $0.00
4041 Gourmet/Luxury Cappuccino maker 0 $0.00 $0.00
4042 Gourmet/Luxury Car models 0 $0.00 $0.00
4043 Gourmet/Luxury Caviar dish & spoon set 0 $0.00 $0.00
4044 Gourmet/Luxury Charging valet 0 $0.00 $0.00
4045 Gourmet/Luxury Christian Louboutin shoes 0 $0.00 $0.00
4046 Gourmet/Luxury Coffee - gourmet 0 $0.00 $0.00
4047 Gourmet/Luxury Coffee maker - single serving 0 $0.00 $0.00
4048 Gourmet/Luxury Collectible - art/figurines 0 $0.00 $0.00
4049 Gourmet/Luxury Collectible - baseball cards 0 $0.00 $0.00
4050 Gourmet/Luxury Collectible - cars 0 $0.00 $0.00
4051 Gourmet/Luxury Collectible - coins 0 $0.00 $0.00
4052 Gourmet/Luxury Collectible - comic books 0 $0.00 $0.00
4053 Gourmet/Luxury Collectible - Disney pins 0 $0.00 $0.00
4054 Gourmet/Luxury Collectible - dolls 0 $0.00 $0.00
4055 Gourmet/Luxury Collectible - hats 0 $0.00 $0.00
4056 Gourmet/Luxury Collectible - photos 0 $0.00 $0.00
4057 Gourmet/Luxury Collectible - rocks 0 $0.00 $0.00
4058 Gourmet/Luxury Collectible - sea shells 0 $0.00 $0.00
4059 Gourmet/Luxury Collectible - stamps 0 $0.00 $0.00

78 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4060 Gourmet/Luxury Collectible - Star Wars collectibles 0 $0.00 $0.00
4061 Gourmet/Luxury Couture accessories 0 $0.00 $0.00
4062 Gourmet/Luxury Couture clothing 0 $0.00 $0.00
4063 Gourmet/Luxury Crystal decanter 0 $0.00 $0.00
4064 Gourmet/Luxury Digital BBQ fork 0 $0.00 $0.00
4065 Gourmet/Luxury Electric salt/pepper mill 0 $0.00 $0.00
4066 Gourmet/Luxury Fine china set 0 $0.00 $0.00
4067 Gourmet/Luxury Fine silverware box/storage 0 $0.00 $0.00
4068 Gourmet/Luxury Fine silverware set 0 $0.00 $0.00
4069 Gourmet/Luxury Foot massager 0 $0.00 $0.00
4070 Gourmet/Luxury Fur coat 0 $0.00 $0.00
4071 Gourmet/Luxury Fur hat 0 $0.00 $0.00
4072 Gourmet/Luxury Gaming chair 0 $0.00 $0.00
4073 Gourmet/Luxury Garment steamer 0 $0.00 $0.00
4074 Gourmet/Luxury Godiva chocolates 0 $0.00 $0.00
4075 Gourmet/Luxury Hammock 0 $0.00 $0.00
4076 Gourmet/Luxury Heated jacket 0 $0.00 $0.00
4077 Gourmet/Luxury Hermes handbag 0 $0.00 $0.00
4078 Gourmet/Luxury Home security camera/system 0 $0.00 $0.00
4079 Gourmet/Luxury Ionic Air Purifier 0 $0.00 $0.00
4080 Gourmet/Luxury iPhone Photo printer 0 $0.00 $0.00
4081 Gourmet/Luxury Kitchen/food heat lamp 0 $0.00 $0.00
4082 Gourmet/Luxury Llardro figurines 0 $0.00 $0.00
4083 Gourmet/Luxury Manolo Blahnik shoes 0 $0.00 $0.00
4084 Gourmet/Luxury Massage table 0 $0.00 $0.00
4085 Gourmet/Luxury Memory foam mattress pad 0 $0.00 $0.00
4086 Gourmet/Luxury Metal detector 0 $0.00 $0.00
4087 Gourmet/Luxury Motorized tie rack 0 $0.00 $0.00
4088 Gourmet/Luxury Pants presser 0 $0.00 $0.00
4089 Gourmet/Luxury Pedicure foot bath 0 $0.00 $0.00
4090 Gourmet/Luxury Pillows - goose down 0 $0.00 $0.00
4091 Gourmet/Luxury Scanning wand/digital reader 0 $0.00 $0.00
4092 Gourmet/Luxury Sculpture 0 $0.00 $0.00
4093 Gourmet/Luxury Serving tray 0 $0.00 $0.00
4094 Gourmet/Luxury Shower mirror 0 $0.00 $0.00
4095 Gourmet/Luxury Silver coffee set 0 $0.00 $0.00
4096 Gourmet/Luxury Silver serving plate 0 $0.00 $0.00
4097 Gourmet/Luxury Silver serving set 0 $0.00 $0.00
4098 Gourmet/Luxury Sound machine/White noise 0 $0.00 $0.00
4099 Gourmet/Luxury Sports action camera 0 $0.00 $0.00
4100 Gourmet/Luxury Steaks - Omaha brand 0 $0.00 $0.00
4101 Gourmet/Luxury Sweater stone 0 $0.00 $0.00
4102 Gourmet/Luxury Tiffany lamp 0 $0.00 $0.00
4103 Gourmet/Luxury Toothbrush sanitizer 0 $0.00 $0.00
4104 Gourmet/Luxury Ultrasonic jewelry cleaner 0 $0.00 $0.00
4105 Gourmet/Luxury Universal travel adaptor 0 $0.00 $0.00
4106 Gourmet/Luxury Waterford glass 0 $0.00 $0.00
4107 Gourmet/Luxury Wine cellar/racks 0 $0.00 $0.00
4108 Gourmet/Luxury Wine cooler/temperature controlled storage 0 $0.00 $0.00
4109 Gourmet/Luxury Wireless TV headphones 0 $0.00 $0.00
4110
4111 Sub-Total: $0.00 $0.00 $0.00
4112 Sales Tax (CA) 8.75%: $0.00

79 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4113 Delivery Charges: Total Total
Actual Cash
4114 Gourmet/Luxury Total: $0.00 Depreciation
Value (ACV)
4115
4116 Category HEALTH CARE & MEDICAL PRODUCTS For Insurance Adjuster
Item Source Age Replacement Actual Cash
4117 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4118 Health Care Bar soap - Caress 0 $0.00 $0.00
4119 Health Care Bar soap - Dial 0 $0.00 $0.00
4120 Health Care Bar soap - Dove 0 $0.00 $0.00
4121 Health Care Bar soap - Irish Spring 0 $0.00 $0.00
4122 Health Care Bar soap - Ivory 0 $0.00 $0.00
4123 Health Care Bar soap - Lever 2000 0 $0.00 $0.00
4124 Health Care Bath - bath oil 0 $0.00 $0.00
4125 Health Care Bath - bath salts 0 $0.00 $0.00
4126 Health Care Body wash - Aveeno 0 $0.00 $0.00
4127 Health Care Body wash - Caress 0 $0.00 $0.00
4128 Health Care Body wash - Dial 0 $0.00 $0.00
4129 Health Care Body wash - Nivea 0 $0.00 $0.00
4130 Health Care Body wash - Olay 0 $0.00 $0.00
4131 Health Care Body wash - Softsoap 0 $0.00 $0.00
4132 Health Care Body wash - St. Ives 0 $0.00 $0.00
4133 Health Care Body wash - Suave 0 $0.00 $0.00
4134 Health Care Body wash - Tone 0 $0.00 $0.00
4135 Health Care Body wash/men - Axe 0 $0.00 $0.00
4136 Health Care Body wash/men - Blade 0 $0.00 $0.00
4137 Health Care Body wash/men - Dial 0 $0.00 $0.00
4138 Health Care Body wash/men - Dove 0 $0.00 $0.00
4139 Health Care Body wash/men - Gillette 0 $0.00 $0.00
4140 Health Care Body wash/men - Irish spring 0 $0.00 $0.00
4141 Health Care Body wash/men - Nivea 0 $0.00 $0.00
4142 Health Care Body wash/men - Old Spice 0 $0.00 $0.00
4143 Health Care Body wash/men - Right Guard 0 $0.00 $0.00
4144 Health Care Body wash/men - Suave 0 $0.00 $0.00
4145 Health Care Cold/Allergy - Advil - infant 0 $0.00 $0.00
4146 Health Care Cold/Allergy - Afrin 0 $0.00 $0.00
4147 Health Care Cold/Allergy - Alka-Seltzer Plus 0 $0.00 $0.00
4148 Health Care Cold/Allergy - Allegra 0 $0.00 $0.00
4149 Health Care Cold/Allergy - children's cough and cold 0 $0.00 $0.00
4150 Health Care Cold/Allergy - children's cough relief 0 $0.00 $0.00
4151 Health Care Cold/Allergy - children's decongestant 0 $0.00 $0.00
4152 Health Care Cold/Allergy - children's pain relievers 0 $0.00 $0.00
4153 Health Care Cold/Allergy - Claritin 0 $0.00 $0.00
4154 Health Care Cold/Allergy - congestion relief 0 $0.00 $0.00
4155 Health Care Cold/Allergy - cough drops 0 $0.00 $0.00
4156 Health Care Cold/Allergy - cough suppressant 0 $0.00 $0.00
4157 Health Care Cold/Allergy - Day time cold relief 0 $0.00 $0.00
4158 Health Care Cold/Allergy - DayQuil 0 $0.00 $0.00
4159 Health Care Cold/Allergy - decongestant 0 $0.00 $0.00
4160 Health Care Cold/Allergy - Delsym 0 $0.00 $0.00
4161 Health Care Cold/Allergy - holistic cold medication 0 $0.00 $0.00
4162 Health Care Cold/Allergy - holistic oils 0 $0.00 $0.00
4163 Health Care Cold/Allergy - humidifier 0 $0.00 $0.00

80 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4164 Health Care Cold/Allergy - infant medicine dispenser 0 $0.00 $0.00
4165 Health Care Cold/Allergy - Musinex 0 $0.00 $0.00
4166 Health Care Cold/Allergy - nasal spray 0 $0.00 $0.00
4167 Health Care Cold/Allergy - nasal strips 0 $0.00 $0.00
4168 Health Care Cold/Allergy - Neti Pot 0 $0.00 $0.00
4169 Health Care Cold/Allergy - Neti Pot solution 0 $0.00 $0.00
4170 Health Care Cold/Allergy - Night time cold relief 0 $0.00 $0.00
4171 Health Care Cold/Allergy - NyQuil 0 $0.00 $0.00
4172 Health Care Cold/Allergy - Robutussin 0 $0.00 $0.00
4173 Health Care Cold/Allergy - saline 0 $0.00 $0.00
4174 Health Care Cold/Allergy - saline drops - infant 0 $0.00 $0.00
4175 Health Care Cold/Allergy - sore throat spray 0 $0.00 $0.00
4176 Health Care Cold/Allergy - Sudafed 0 $0.00 $0.00
4177 Health Care Cold/Allergy - Theraflu 0 $0.00 $0.00
4178 Health Care Cold/Allergy - Tylenol Cold 0 $0.00 $0.00
4179 Health Care Cold/Allergy - vaporizers 0 $0.00 $0.00
4180 Health Care Cold/Allergy - Zycam 0 $0.00 $0.00
4181 Health Care Cold/Allergy - Zycam allergy 0 $0.00 $0.00
4182 Health Care Cold/Allergy - Zyrtec 0 $0.00 $0.00
4183 Health Care Cosmetics - Almay 0 $0.00 $0.00
4184 Health Care Cosmetics - Bert's Bees 0 $0.00 $0.00
4185 Health Care Cosmetics - cologne 0 $0.00 $0.00
4186 Health Care Cosmetics - concealer 0 $0.00 $0.00
4187 Health Care Cosmetics - cotton pads 0 $0.00 $0.00
4188 Health Care Cosmetics - cotton swabs 0 $0.00 $0.00
4189 Health Care Cosmetics - Cover Girl 0 $0.00 $0.00
4190 Health Care Cosmetics - electric nail file 0 $0.00 $0.00
4191 Health Care Cosmetics - eyelash curler 0 $0.00 $0.00
4192 Health Care Cosmetics - eyeliner - liquid 0 $0.00 $0.00
4193 Health Care Cosmetics - eyeliner - pencil 0 $0.00 $0.00
4194 Health Care Cosmetics - eyeshadow 0 $0.00 $0.00
4195 Health Care Cosmetics - lip balm 0 $0.00 $0.00
4196 Health Care Cosmetics - lip gloss 0 $0.00 $0.00
4197 Health Care Cosmetics - lipstick 0 $0.00 $0.00
4198 Health Care Cosmetics - liquid makeup 0 $0.00 $0.00
4199 Health Care Cosmetics - loose powder 0 $0.00 $0.00
4200 Health Care Cosmetics - L'Oreal 0 $0.00 $0.00
4201 Health Care Cosmetics - makeup bag/storage 0 $0.00 $0.00
4202 Health Care Cosmetics - makeup sponge 0 $0.00 $0.00
4203 Health Care Cosmetics - Maybelline 0 $0.00 $0.00
4204 Health Care Cosmetics - mirror magnifying/cosmetic 0 $0.00 $0.00
4205 Health Care Cosmetics - Neutrogena 0 $0.00 $0.00
4206 Health Care Cosmetics - perfume 0 $0.00 $0.00
4207 Health Care Cosmetics - Physicians Formula 0 $0.00 $0.00
4208 Health Care Cosmetics - press on nails 0 $0.00 $0.00
4209 Health Care Cosmetics - pressed powder 0 $0.00 $0.00
4210 Health Care Cosmetics - QTips 0 $0.00 $0.00
4211 Health Care Cosmetics - Revlon 0 $0.00 $0.00
4212 Health Care Cosmetics - Sally Hansen 0 $0.00 $0.00
4213 Health Care Cosmetics - sleep mask 0 $0.00 $0.00
4214 Health Care Cosmetics - tweezers 0 $0.00 $0.00
4215 Health Care Deodorant - Almay 0 $0.00 $0.00
4216 Health Care Deodorant - Arrid XX 0 $0.00 $0.00

81 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4217 Health Care Deodorant - Ban 0 $0.00 $0.00
4218 Health Care Deodorant - Degree 0 $0.00 $0.00
4219 Health Care Deodorant - Dove 0 $0.00 $0.00
4220 Health Care Deodorant - Dry Idea 0 $0.00 $0.00
4221 Health Care Deodorant - Lady Mitchum 0 $0.00 $0.00
4222 Health Care Deodorant - Lady Speed Stick 0 $0.00 $0.00
4223 Health Care Deodorant - Secret 0 $0.00 $0.00
4224 Health Care Deodorant - Suave 0 $0.00 $0.00
4225 Health Care Deodorant - Sure 0 $0.00 $0.00
4226 Health Care Deodorant/men - Axe 0 $0.00 $0.00
4227 Health Care Deodorant/men - Blade 0 $0.00 $0.00
4228 Health Care Deodorant/men - Degree 0 $0.00 $0.00
4229 Health Care Deodorant/men - Dove 0 $0.00 $0.00
4230 Health Care Deodorant/men - Irish spring 0 $0.00 $0.00
4231 Health Care Deodorant/men - Old Spice 0 $0.00 $0.00
4232 Health Care Deodorant/men - Right Guard 0 $0.00 $0.00
4233 Health Care Deodorant/men - Speed Stick 0 $0.00 $0.00
4234 Health Care Digestive aid - Acid reducer 0 $0.00 $0.00
4235 Health Care Digestive aid - Beano 0 $0.00 $0.00
4236 Health Care Digestive aid - Ducolax 0 $0.00 $0.00
4237 Health Care Digestive aid - Ex-Lax 0 $0.00 $0.00
4238 Health Care Digestive aid - GasX 0 $0.00 $0.00
4239 Health Care Digestive aid - Maalox 0 $0.00 $0.00
4240 Health Care Digestive aid - Miralax 0 $0.00 $0.00
4241 Health Care Digestive aid - Pepto Bismol 0 $0.00 $0.00
4242 Health Care Digestive aid - Phillips Milk of Magnesia 0 $0.00 $0.00
4243 Health Care Digestive aid - Preparation X 0 $0.00 $0.00
4244 Health Care Digestive aid - Prevacid 0 $0.00 $0.00
4245 Health Care Digestive aid - Stool softener 0 $0.00 $0.00
4246 Health Care Digestive aid - Tucks 0 $0.00 $0.00
4247 Health Care Digestive aid - Zantax 0 $0.00 $0.00
4248 Health Care Ear care - ear wax remover 0 $0.00 $0.00
4249 Health Care Ear care - earplugs 0 $0.00 $0.00
4250 Health Care Elder care - Adult diapers 0 $0.00 $0.00
4251 Health Care Elder care - bath bench 0 $0.00 $0.00
4252 Health Care Elder care - bed pan 0 $0.00 $0.00
4253 Health Care Elder care - cane 0 $0.00 $0.00
4254 Health Care Elder care - Crutches 0 $0.00 $0.00
4255 Health Care Elder care - elevated toilet seat 0 $0.00 $0.00
4256 Health Care Elder care - Poise pads 0 $0.00 $0.00
4257 Health Care Elder care - walker 0 $0.00 $0.00
4258 Health Care Elder care -hearing aid 0 $0.00 $0.00
4259 Health Care Elder care -hearing aid batteries 0 $0.00 $0.00
4260 Health Care Electric shaver - Braun 0 $0.00 $0.00
4261 Health Care Electric shaver - Conair 0 $0.00 $0.00
4262 Health Care Electric shaver - Emmerson 0 $0.00 $0.00
4263 Health Care Electric shaver - Remmington 0 $0.00 $0.00
4264 Health Care External pain relief - abdomen brace 0 $0.00 $0.00
4265 Health Care External pain relief - ankle brace 0 $0.00 $0.00
4266 Health Care External pain relief - arthritis wrap 0 $0.00 $0.00
4267 Health Care External pain relief - back brace 0 $0.00 $0.00
4268 Health Care External pain relief - back massager 0 $0.00 $0.00
4269 Health Care External pain relief - cold pack 0 $0.00 $0.00

82 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4270 Health Care External pain relief - elbow brace 0 $0.00 $0.00
4271 Health Care External pain relief - foot massager 0 $0.00 $0.00
4272 Health Care External pain relief - hand brace 0 $0.00 $0.00
4273 Health Care External pain relief - hand massager 0 $0.00 $0.00
4274 Health Care External pain relief - heat patch 0 $0.00 $0.00
4275 Health Care External pain relief - heating pad 0 $0.00 $0.00
4276 Health Care External pain relief - icy hot 0 $0.00 $0.00
4277 Health Care External pain relief - knee brace 0 $0.00 $0.00
4278 Health Care External pain relief - massaging cushion 0 $0.00 $0.00
4279 Health Care External pain relief - muscle cream 0 $0.00 $0.00
4280 Health Care External pain relief - neck massager 0 $0.00 $0.00
4281 Health Care External pain relief - sport wrap 0 $0.00 $0.00
4282 Health Care External pain relief - water bottle 0 $0.00 $0.00
4283 Health Care External pain relief - wrist brace 0 $0.00 $0.00
4284 Health Care Eye care - Aosept contact solution 0 $0.00 $0.00
4285 Health Care Eye care - Clear Care contact solution 0 $0.00 $0.00
4286 Health Care Eye care - Complete contact solution 0 $0.00 $0.00
4287 Health Care Eye care - contact cleaner 0 $0.00 $0.00
4288 Health Care Eye care - eye drops 0 $0.00 $0.00
4289 Health Care Eye care - glasses (prescription) 0 $0.00 $0.00
4290 Health Care Eye care - OptiFree contact solution 0 $0.00 $0.00
4291 Health Care Eye care - reading glasses 0 $0.00 $0.00
4292 Health Care Face care - acne cleanser 0 $0.00 $0.00
4293 Health Care Face care - astringent 0 $0.00 $0.00
4294 Health Care Face care - Aveeno anti-wrinkle care 0 $0.00 $0.00
4295 Health Care Face care - Aveeno moisturizer 0 $0.00 $0.00
4296 Health Care Face care - Biore 0 $0.00 $0.00
4297 Health Care Face care - Cetaphyl cleanser 0 $0.00 $0.00
4298 Health Care Face care - Cetaphyl lotion 0 $0.00 $0.00
4299 Health Care Face care - face mask 0 $0.00 $0.00
4300 Health Care Face care - Garnier moisturizer 0 $0.00 $0.00
4301 Health Care Face care - Garnier wrinkle cream 0 $0.00 $0.00
4302 Health Care Face care - L'Oreal Revitalift 0 $0.00 $0.00
4303 Health Care Face care - Neutrogena moisturizer 0 $0.00 $0.00
4304 Health Care Face care - Noxzema cleanser 0 $0.00 $0.00
4305 Health Care Face care - Noxzema lotion 0 $0.00 $0.00
4306 Health Care Face care - Oil of Olay - ProX 0 $0.00 $0.00
4307 Health Care Face care - Oil of Olay - Regenerist 0 $0.00 $0.00
4308 Health Care Face care - pore cleaner 0 $0.00 $0.00
4309 Health Care Face care - toner 0 $0.00 $0.00
4310 Health Care Feminine care - Always pads 0 $0.00 $0.00
4311 Health Care Feminine care - Carefree pads 0 $0.00 $0.00
4312 Health Care Feminine care - Kotex pads 0 $0.00 $0.00
4313 Health Care Feminine care - Monistat 0 $0.00 $0.00
4314 Health Care Feminine care - Pregnancy test 0 $0.00 $0.00
4315 Health Care Feminine care - Stayfree pads 0 $0.00 $0.00
4316 Health Care Feminine care - Tampax 0 $0.00 $0.00
4317 Health Care Fiber supplements - Benefiber 0 $0.00 $0.00
4318 Health Care Fiber supplements - Fiber Choice 0 $0.00 $0.00
4319 Health Care Fiber supplements - Metamucil 0 $0.00 $0.00
4320 Health Care First aid - ace bandages 0 $0.00 $0.00
4321 Health Care First aid - alcohol 0 $0.00 $0.00
4322 Health Care First aid - aloe vera 0 $0.00 $0.00

83 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4323 Health Care First aid - antiseptic wash 0 $0.00 $0.00
4324 Health Care First aid - Bactine 0 $0.00 $0.00
4325 Health Care First aid - Band-Aids 0 $0.00 $0.00
4326 Health Care First aid - Band-Aids - large 0 $0.00 $0.00
4327 Health Care First aid - calamine lotion 0 $0.00 $0.00
4328 Health Care First aid - cloth tape 0 $0.00 $0.00
4329 Health Care First aid - cortisone cream 0 $0.00 $0.00
4330 Health Care First aid - epsom salts 0 $0.00 $0.00
4331 Health Care First aid - first aid kit 0 $0.00 $0.00
4332 Health Care First aid - gauze 0 $0.00 $0.00
4333 Health Care First aid - hydrogen peroxide 0 $0.00 $0.00
4334 Health Care First aid - insect repellant 0 $0.00 $0.00
4335 Health Care First aid - motion sickness pills 0 $0.00 $0.00
4336 Health Care First aid - Neosporin 0 $0.00 $0.00
4337 Health Care First aid - polysporin 0 $0.00 $0.00
4338 Health Care First aid - scar cream 0 $0.00 $0.00
4339 Health Care First aid - Vaseline 0 $0.00 $0.00
4340 Health Care First aid - wart remover 0 $0.00 $0.00
4341 Health Care First aid - witch hazel 0 $0.00 $0.00
4342 Health Care First aid - zinc oxide 0 $0.00 $0.00
4343 Health Care Foot care - anti fungal cream 0 $0.00 $0.00
4344 Health Care Foot care - arch supports 0 $0.00 $0.00
4345 Health Care Foot care - Bert's Bees 0 $0.00 $0.00
4346 Health Care Foot care - blister care 0 $0.00 $0.00
4347 Health Care Foot care - callus remover 0 $0.00 $0.00
4348 Health Care Foot care - foot powder 0 $0.00 $0.00
4349 Health Care Foot care - heal balm 0 $0.00 $0.00
4350 Health Care Foot care - Lotrimin foot cream 0 $0.00 $0.00
4351 Health Care Foot care - pumice stone 0 $0.00 $0.00
4352 Health Care Foot care - toenail clippers 0 $0.00 $0.00
4353 Health Care Foot care -foot spray 0 $0.00 $0.00
4354 Health Care Hair care - Bedhead 0 $0.00 $0.00
4355 Health Care Hair care - Catwalk 0 $0.00 $0.00
4356 Health Care Hair care - Clairol 0 $0.00 $0.00
4357 Health Care Hair care - color for men 0 $0.00 $0.00
4358 Health Care Hair care - comb 0 $0.00 $0.00
4359 Health Care Hair care - conditioner 0 $0.00 $0.00
4360 Health Care Hair care - Crew 0 $0.00 $0.00
4361 Health Care Hair care - curling iron 0 $0.00 $0.00
4362 Health Care Hair care - dandruff control 0 $0.00 $0.00
4363 Health Care Hair care - hair dryer 0 $0.00 $0.00
4364 Health Care Hair care - hair straightener 0 $0.00 $0.00
4365 Health Care Hair care - hairbrush 0 $0.00 $0.00
4366 Health Care Hair care - hairbrush - round 0 $0.00 $0.00
4367 Health Care Hair care - hairclips 0 $0.00 $0.00
4368 Health Care Hair care - Head and Shoulders 0 $0.00 $0.00
4369 Health Care Hair care - headband 0 $0.00 $0.00
4370 Health Care Hair care - John Frieda 0 $0.00 $0.00
4371 Health Care Hair care - L'Oreal 0 $0.00 $0.00
4372 Health Care Hair care - Matrix 0 $0.00 $0.00
4373 Health Care Hair care - Nice N Easy 0 $0.00 $0.00
4374 Health Care Hair care - Paul Mitchell 0 $0.00 $0.00
4375 Health Care Hair care - Redken 0 $0.00 $0.00

84 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4376 Health Care Hair care - Revlon 0 $0.00 $0.00
4377 Health Care Hair care - Rusk 0 $0.00 $0.00
4378 Health Care Hair care - shampoo 0 $0.00 $0.00
4379 Health Care Hair care - spin brush 0 $0.00 $0.00
4380 Health Care Hair care - styling brush 0 $0.00 $0.00
4381 Health Care Hair care - T-Gel shampoo 0 $0.00 $0.00
4382 Health Care Hair care - trimmer 0 $0.00 $0.00
4383 Health Care Hair remover - Nair 0 $0.00 $0.00
4384 Health Care Hair remover - Veet 0 $0.00 $0.00
4385 Health Care Herbs/Extracts - Acai Berry 0 $0.00 $0.00
4386 Health Care Herbs/Extracts - Alfalfa 0 $0.00 $0.00
4387 Health Care Herbs/Extracts - Aloe Vera 0 $0.00 $0.00
4388 Health Care Herbs/Extracts - Astragalus 0 $0.00 $0.00
4389 Health Care Herbs/Extracts - Barley Grass 0 $0.00 $0.00
4390 Health Care Herbs/Extracts - Bilberry 0 $0.00 $0.00
4391 Health Care Herbs/Extracts - Black Cohosh 0 $0.00 $0.00
4392 Health Care Herbs/Extracts - Brewers Yeast 0 $0.00 $0.00
4393 Health Care Herbs/Extracts - Cascara Sagrada 0 $0.00 $0.00
4394 Health Care Herbs/Extracts - Cat's Claw 0 $0.00 $0.00
4395 Health Care Herbs/Extracts - Cayenne 0 $0.00 $0.00
4396 Health Care Herbs/Extracts - Cod Liver Oil 0 $0.00 $0.00
4397 Health Care Herbs/Extracts - Damiana 0 $0.00 $0.00
4398 Health Care Herbs/Extracts - Dandelion 0 $0.00 $0.00
4399 Health Care Herbs/Extracts - Dong Quai 0 $0.00 $0.00
4400 Health Care Herbs/Extracts - Echinacea 0 $0.00 $0.00
4401 Health Care Herbs/Extracts - Fenugreek 0 $0.00 $0.00
4402 Health Care Herbs/Extracts - Fever Few 0 $0.00 $0.00
4403 Health Care Herbs/Extracts - Fish Oil 0 $0.00 $0.00
4404 Health Care Herbs/Extracts - Flax Seed Oil 0 $0.00 $0.00
4405 Health Care Herbs/Extracts - Gaba 0 $0.00 $0.00
4406 Health Care Herbs/Extracts - Ginger 0 $0.00 $0.00
4407 Health Care Herbs/Extracts - Gingko 0 $0.00 $0.00
4408 Health Care Herbs/Extracts - Goji Berry 0 $0.00 $0.00
4409 Health Care Herbs/Extracts - Golden Seal 0 $0.00 $0.00
4410 Health Care Herbs/Extracts - Grape seed extract 0 $0.00 $0.00
4411 Health Care Herbs/Extracts - Hawthorn 0 $0.00 $0.00
4412 Health Care Herbs/Extracts - Holy Basil 0 $0.00 $0.00
4413 Health Care Herbs/Extracts - Horse Chestnut 0 $0.00 $0.00
4414 Health Care Herbs/Extracts - Horsetail 0 $0.00 $0.00
4415 Health Care Herbs/Extracts - Hydrangea 0 $0.00 $0.00
4416 Health Care Herbs/Extracts - Kelp 0 $0.00 $0.00
4417 Health Care Herbs/Extracts - Licorice Root 0 $0.00 $0.00
4418 Health Care Herbs/Extracts - Lobelia 0 $0.00 $0.00
4419 Health Care Herbs/Extracts - Marshmallow Root 0 $0.00 $0.00
4420 Health Care Herbs/Extracts - Melatonin 0 $0.00 $0.00
4421 Health Care Herbs/Extracts - Milk Thistle 0 $0.00 $0.00
4422 Health Care Herbs/Extracts - Olive Leaf 0 $0.00 $0.00
4423 Health Care Herbs/Extracts - Omega - 3 0 $0.00 $0.00
4424 Health Care Herbs/Extracts - Pau D' Arco 0 $0.00 $0.00
4425 Health Care Herbs/Extracts - Probiotics 0 $0.00 $0.00
4426 Health Care Herbs/Extracts - Rhodiola Rosea 0 $0.00 $0.00
4427 Health Care Herbs/Extracts - Sarsaparilla Root 0 $0.00 $0.00
4428 Health Care Herbs/Extracts - Saw Palmetto 0 $0.00 $0.00

85 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4429 Health Care Herbs/Extracts - Schizandra 0 $0.00 $0.00
4430 Health Care Herbs/Extracts - Senna 0 $0.00 $0.00
4431 Health Care Herbs/Extracts - Slippery Elm 0 $0.00 $0.00
4432 Health Care Herbs/Extracts - Spirulina 0 $0.00 $0.00
4433 Health Care Herbs/Extracts - St. John's Wort 0 $0.00 $0.00
4434 Health Care Herbs/Extracts - Super Bluegreen Algae 0 $0.00 $0.00
4435 Health Care Herbs/Extracts - Uva Ursi 0 $0.00 $0.00
4436 Health Care Herbs/Extracts - Valerian Root 0 $0.00 $0.00
4437 Health Care Herbs/Extracts - Vitex 0 $0.00 $0.00
4438 Health Care Herbs/Extracts - Wheat Grass 0 $0.00 $0.00
4439 Health Care Herbs/Extracts - Wild Yam Root 0 $0.00 $0.00
4440 Health Care Herbs/Extracts - Yucca Stalk 0 $0.00 $0.00
4441 Health Care Home diagnostics - blood glucose monitor 0 $0.00 $0.00
4442 Health Care Home diagnostics - blood pressure monitor 0 $0.00 $0.00
4443 Health Care Home diagnostics - heart rate monitor 0 $0.00 $0.00
4444 Health Care Home diagnostics - nebulizer 0 $0.00 $0.00
4445 Health Care Home diagnostics - Thermometer - digital 0 $0.00 $0.00
4446 Health Care Home diagnostics - Thermometer - temporal 0 $0.00 $0.00
4447 Health Care Hosiery - control top 0 $0.00 $0.00
4448 Health Care Hosiery - opaque 0 $0.00 $0.00
4449 Health Care Hosiery - sheer 0 $0.00 $0.00
4450 Health Care Incontinence - Depends pads 0 $0.00 $0.00
4451 Health Care Incontinence - Tena pads 0 $0.00 $0.00
4452 Health Care Lip care - Carmex 0 $0.00 $0.00
4453 Health Care Lip care - Chapstick 0 $0.00 $0.00
4454 Health Care Lip care - cold sore relief 0 $0.00 $0.00
4455 Health Care Medicine - prescription (list separately) 0 $0.00 $0.00
4456 Health Care Medicine - vitamins (list separately) 0 $0.00 $0.00
4457 Health Care Nails - base coat polish 0 $0.00 $0.00
4458 Health Care Nails - cuticle trimmer 0 $0.00 $0.00
4459 Health Care Nails - file 0 $0.00 $0.00
4460 Health Care Nails - polish 0 $0.00 $0.00
4461 Health Care Nails - polish remover 0 $0.00 $0.00
4462 Health Care Nails - top coat polish 0 $0.00 $0.00
4463 Health Care Nutrition supplement - Ensure nutrition drink 0 $0.00 $0.00
4464 Health Care Nutrition supplement - Glucerna nutrition drink 0 $0.00 $0.00
4465 Health Care Nutrition supplement - protein bars 0 $0.00 $0.00
4466 Health Care Nutrition supplement - weight control bars 0 $0.00 $0.00
4467 Health Care Nutrition supplement - weight control pills 0 $0.00 $0.00
4468 Health Care Oral care - Act 0 $0.00 $0.00
4469 Health Care Oral care - Colgate toothpaste 0 $0.00 $0.00
4470 Health Care Oral care - Colgate Total toothpaste 0 $0.00 $0.00
4471 Health Care Oral care - Crest 3D toothpaste 0 $0.00 $0.00
4472 Health Care Oral care - Crest toothpaste 0 $0.00 $0.00
4473 Health Care Oral care - dental floss 0 $0.00 $0.00
4474 Health Care Oral care - dental picks 0 $0.00 $0.00
4475 Health Care Oral care - denture cleaner 0 $0.00 $0.00
4476 Health Care Oral care - Electric toothbrush 0 $0.00 $0.00
4477 Health Care Oral care - Electric toothbrush - Oral B 0 $0.00 $0.00
4478 Health Care Oral care - Electric toothbrush replacement brush 0 $0.00 $0.00
4479 Health Care Oral care - Fixodent 0 $0.00 $0.00
4480 Health Care Oral care - flossers 0 $0.00 $0.00
4481 Health Care Oral care - Go-Betweeners 0 $0.00 $0.00

86 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4482 Health Care Oral care - Listerine 0 $0.00 $0.00
4483 Health Care Oral care - mouthwash 0 $0.00 $0.00
4484 Health Care Oral care - Orajel 0 $0.00 $0.00
4485 Health Care Oral care - Polident 0 $0.00 $0.00
4486 Health Care Oral care - Poligrip 0 $0.00 $0.00
4487 Health Care Oral care - Scope 0 $0.00 $0.00
4488 Health Care Oral care - Sensodyne 0 $0.00 $0.00
4489 Health Care Oral care - Toms 0 $0.00 $0.00
4490 Health Care Oral care - Water flosser 0 $0.00 $0.00
4491 Health Care Oral care - Waterpic 0 $0.00 $0.00
4492 Health Care Oral care - Whitening strips 0 $0.00 $0.00
4493 Health Care Oral care - Whitening systems/gel 0 $0.00 $0.00
4494 Health Care Oral care - Whitening tray 0 $0.00 $0.00
4495 Health Care Pain relievers - Advil caplets 0 $0.00 $0.00
4496 Health Care Pain relievers - Advil liquid gel 0 $0.00 $0.00
4497 Health Care Pain relievers - Advil PM 0 $0.00 $0.00
4498 Health Care Pain relievers - Advil tablets 0 $0.00 $0.00
4499 Health Care Pain relievers - Aspirin 0 $0.00 $0.00
4500 Health Care Pain relievers - Excedrin 0 $0.00 $0.00
4501 Health Care Pain relievers - Motrin caplets 0 $0.00 $0.00
4502 Health Care Pain relievers - Motrin liquid gel 0 $0.00 $0.00
4503 Health Care Pain relievers - Motrin tablets 0 $0.00 $0.00
4504 Health Care Pain relievers - Tylenol 0 $0.00 $0.00
4505 Health Care Pain relievers - Tylenol PM 0 $0.00 $0.00
4506 Health Care Razor - Bic 0 $0.00 $0.00
4507 Health Care Razor - Daisy 0 $0.00 $0.00
4508 Health Care Razor - Gillette 0 $0.00 $0.00
4509 Health Care Razor - Schick 0 $0.00 $0.00
4510 Health Care Razor - Venus 0 $0.00 $0.00
4511 Health Care Shaving cream - Aveeno 0 $0.00 $0.00
4512 Health Care Shaving cream - Edge 0 $0.00 $0.00
4513 Health Care Shaving cream - Gillette 0 $0.00 $0.00
4514 Health Care Shaving cream - Schick 0 $0.00 $0.00
4515 Health Care Skin care - Aquaphor 0 $0.00 $0.00
4516 Health Care Skin care - Aveeno 0 $0.00 $0.00
4517 Health Care Skin care - Bert's Bees 0 $0.00 $0.00
4518 Health Care Skin care - body scrubber 0 $0.00 $0.00
4519 Health Care Skin care - Curel 0 $0.00 $0.00
4520 Health Care Skin care - Dial 0 $0.00 $0.00
4521 Health Care Skin care - Eucerin 0 $0.00 $0.00
4522 Health Care Skin care - Gold Bond 0 $0.00 $0.00
4523 Health Care Skin care - hand sanitizer 0 $0.00 $0.00
4524 Health Care Skin care - Jergens 0 $0.00 $0.00
4525 Health Care Skin care - Johnsons 0 $0.00 $0.00
4526 Health Care Skin care - loofah 0 $0.00 $0.00
4527 Health Care Skin care - Lubriderm 0 $0.00 $0.00
4528 Health Care Skin care - Nivea 0 $0.00 $0.00
4529 Health Care Skin care - Vaseline 0 $0.00 $0.00
4530 Health Care Sunblock - for Babies 0 $0.00 $0.00
4531 Health Care Sunblock - SPF 100 0 $0.00 $0.00
4532 Health Care Sunblock - SPF 15 0 $0.00 $0.00
4533 Health Care Sunblock - SPF 30 0 $0.00 $0.00
4534 Health Care Sunblock - SPF 50 0 $0.00 $0.00

87 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4535 Health Care Sunblock - SPF 70 0 $0.00 $0.00
4536 Health Care Sunblock - Sport 0 $0.00 $0.00
4537 Health Care Sunblock - Tanning lotion 0 $0.00 $0.00
4538 Health Care Travel - lotions 0 $0.00 $0.00
4539 Health Care Travel - accessories/cases 0 $0.00 $0.00
4540 Health Care Travel - shampoo/conditioner 0 $0.00 $0.00
4541 Health Care Vitamins - Calcium 0 $0.00 $0.00
4542 Health Care Vitamins - Chromium picolinate 0 $0.00 $0.00
4543 Health Care Vitamins - Folic acid 0 $0.00 $0.00
4544 Health Care Vitamins - Glucosamine 0 $0.00 $0.00
4545 Health Care Vitamins - Iron 0 $0.00 $0.00
4546 Health Care Vitamins - L-Cysteine 0 $0.00 $0.00
4547 Health Care Vitamins - L-Lysine 0 $0.00 $0.00
4548 Health Care Vitamins - Magnesium 0 $0.00 $0.00
4549 Health Care Vitamins - Men's multi vitamins 0 $0.00 $0.00
4550 Health Care Vitamins - Niacin 0 $0.00 $0.00
4551 Health Care Vitamins - Pantothenic Acid 0 $0.00 $0.00
4552 Health Care Vitamins - Potassium 0 $0.00 $0.00
4553 Health Care Vitamins - Pre-natal 0 $0.00 $0.00
4554 Health Care Vitamins - Protein powder 0 $0.00 $0.00
4555 Health Care Vitamins - Riboflavin 0 $0.00 $0.00
4556 Health Care Vitamins - Selenium 0 $0.00 $0.00
4557 Health Care Vitamins - Vitamin B 0 $0.00 $0.00
4558 Health Care Vitamins - Vitamin C 0 $0.00 $0.00
4559 Health Care Vitamins - Vitamin D 0 $0.00 $0.00
4560 Health Care Vitamins - Vitamin E 0 $0.00 $0.00
4561 Health Care Vitamins - Vitamin K 0 $0.00 $0.00
4562 Health Care Vitamins - Women's multi vitamin 0 $0.00 $0.00
4563 Health Care Vitamins - Zinc 0 $0.00 $0.00
4564
4565 Sub-Total: $0.00 $0.00 $0.00
4566 Sales Tax (CA) 8.75%: $0.00
4567 Delivery Charges: Total Total
Actual Cash
4568 Health Care & Medical Products Total: $0.00 Depreciation
Value (ACV)
4569
4570 Category HOLIDAY DÉCOR For Insurance Adjuster
Item Source Age Replacement Actual Cash
4571 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4572 Holiday Anniversary - gifts (list separately) 0 $0.00 $0.00
4573 Holiday Birthday - gifts (list separately) 0 $0.00 $0.00
4574 Holiday Birthday - home decorations (list separately) 0 $0.00 $0.00
4575 Holiday Birthday - home decorations (list separately) 0 $0.00 $0.00
4576 Holiday Bows and Ribbon 0 $0.00 $0.00
4577 Holiday Candles 0 $0.00 $0.00
4578 Holiday Christmas - dinner ware 0 $0.00 $0.00
4579 Holiday Christmas - exterior lights 0 $0.00 $0.00
4580 Holiday Christmas - garland 0 $0.00 $0.00
4581 Holiday Christmas - gifts (list separately) 0 $0.00 $0.00
4582 Holiday Christmas - home decorations (list separately) 0 $0.00 $0.00
4583 Holiday Christmas - nativity scene figurines 0 $0.00 $0.00
4584 Holiday Christmas - Santa suit 0 $0.00 $0.00
4585 Holiday Christmas - stockings 0 $0.00 $0.00

88 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4586 Holiday Christmas - village scenes/collectibles 0 $0.00 $0.00
4587 Holiday Christmas - wreath 0 $0.00 $0.00
4588 Holiday Christmas tree - artificial 0 $0.00 $0.00
4589 Holiday Christmas tree - lights 0 $0.00 $0.00
4590 Holiday Christmas tree - natural 0 $0.00 $0.00
4591 Holiday Christmas tree - ornaments 0 $0.00 $0.00
4592 Holiday Christmas tree - stand 0 $0.00 $0.00
4593 Holiday Door swag 0 $0.00 $0.00
4594 Holiday Door wreath 0 $0.00 $0.00
4595 Holiday Easter - baskets 0 $0.00 $0.00
4596 Holiday Easter - home decorations (list separately) 0 $0.00 $0.00
4597 Holiday Fall - home decorations (list separately) 0 $0.00 $0.00
4598 Holiday Giant inflatable outdoor decoration 0 $0.00 $0.00
4599 Holiday Gift bags 0 $0.00 $0.00
4600 Holiday Gifts (List separately) 0 $0.00 $0.00
4601 Holiday Halloween - candy 0 $0.00 $0.00
4602 Holiday Halloween - costumes (list separately) 0 $0.00 $0.00
4603 Holiday Halloween - home decorations (list separately) 0 $0.00 $0.00
4604 Holiday Hanukkah - gifts (list separately) 0 $0.00 $0.00
4605 Holiday Hanukkah - home decorations (list separately) 0 $0.00 $0.00
4606 Holiday Hanukkah - menorah 0 $0.00 $0.00
4607 Holiday Holiday linens 0 $0.00 $0.00
4608 Holiday Kwanzaa - home decorations (list separately) 0 $0.00 $0.00
4609 Holiday New Year's - home decorations (list separately) 0 $0.00 $0.00
4610 Holiday Snowglobe 0 $0.00 $0.00
4611 Holiday St. Patrick's Day - home decorations (list separately) 0 $0.00 $0.00
4612 Holiday Thanksgiving - dinner ware 0 $0.00 $0.00
4613 Holiday Thanksgiving - home decorations (list separately) 0 $0.00 $0.00
4614 Holiday Valentines - home decorations (list separately) 0 $0.00 $0.00
4615 Holiday Wrapping paper 0 $0.00 $0.00
4616
4617 Sub-Total: $0.00 $0.00 $0.00
4618 Sales Tax (CA) 8.75%: $0.00
4619 Delivery Charges: Total Total
Actual Cash
4620 Holiday Decor Total: $0.00 Depreciation
Value (ACV)
4621
4622 Category MOVIES For Insurance Adjuster
Item Source Age Replacement Actual Cash
4623 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4624 Movies 12 Angry Men (1957) 0 $0.00 $0.00
4625 Movies 2001: A Space Odyssey (1968) 0 $0.00 $0.00
4626 Movies 8½ (1963) 0 $0.00 $0.00
4627 Movies A Beautiful Mind (2001) 0 $0.00 $0.00
4628 Movies A Bugs Life (1998) 0 $0.00 $0.00
4629 Movies A Clockwork Orange (1971) 0 $0.00 $0.00
4630 Movies A Fistful of Dollars (1964) 0 $0.00 $0.00
4631 Movies A Separation (2011) 0 $0.00 $0.00
4632 Movies A Streetcar Named Desire (1951) 0 $0.00 $0.00
4633 Movies Alien (1979) 0 $0.00 $0.00
4634 Movies Aliens (1986) 0 $0.00 $0.00
4635 Movies All About Eve (1950) 0 $0.00 $0.00
4636 Movies All Quiet on the Western Front (1930) 0 $0.00 $0.00

89 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4637 Movies Amadeus (1984) 0 $0.00 $0.00
4638 Movies Amélie (2001) 0 $0.00 $0.00
4639 Movies American Beauty (1999) 0 $0.00 $0.00
4640 Movies American History X (1998) 0 $0.00 $0.00
4641 Movies Amores Perros (2000) 0 $0.00 $0.00
4642 Movies Anatomy of a Murder (1959) 0 $0.00 $0.00
4643 Movies Annie Hall (1977) 0 $0.00 $0.00
4644 Movies Apocalypse Now (1979) 0 $0.00 $0.00
4645 Movies Argo (2012) 0 $0.00 $0.00
4646 Movies Arsenic and Old Lace (1944) 0 $0.00 $0.00
4647 Movies Avatar (2009) 0 $0.00 $0.00
4648 Movies Back to the Future (1985) 0 $0.00 $0.00
4649 Movies Barry Lyndon (1975) 0 $0.00 $0.00
4650 Movies Batman Begins (2005) 0 $0.00 $0.00
4651 Movies Beauty and the Beast (1991) 0 $0.00 $0.00
4652 Movies Ben-Hur (1959) 0 $0.00 $0.00
4653 Movies Bicycle Thieves (1948) 0 $0.00 $0.00
4654 Movies Big Fish (2003) 0 $0.00 $0.00
4655 Movies Black Swan (2010) 0 $0.00 $0.00
4656 Movies Blade Runner (1982) 0 $0.00 $0.00
4657 Movies Braveheart (1995) 0 $0.00 $0.00
4658 Movies Bringing Up Baby (1938) 0 $0.00 $0.00
4659 Movies Butch Cassidy and the Sundance Kid (1969) 0 $0.00 $0.00
4660 Movies Cars (2006) 0 $0.00 $0.00
4661 Movies Cars 2 (2011) 0 $0.00 $0.00
4662 Movies Casablanca (1942) 0 $0.00 $0.00
4663 Movies Casino (1995) 0 $0.00 $0.00
4664 Movies Castle in the Sky (1986) 0 $0.00 $0.00
4665 Movies Chinatown (1974) 0 $0.00 $0.00
4666 Movies Cinema Paradiso (1988) 0 $0.00 $0.00
4667 Movies Citizen Kane (1941) 0 $0.00 $0.00
4668 Movies City Lights (1931) 0 $0.00 $0.00
4669 Movies City of God (2002) 0 $0.00 $0.00
4670 Movies Cool Hand Luke (1967) 0 $0.00 $0.00
4671 Movies Das Boot (1981) 0 $0.00 $0.00
4672 Movies Dial M for Murder (1954) 0 $0.00 $0.00
4673 Movies Die Hard (1988) 0 $0.00 $0.00
4674 Movies District 9 (2009) 0 $0.00 $0.00
4675 Movies Dog Day Afternoon (1975) 0 $0.00 $0.00
4676 Movies Donnie Darko (2001) 0 $0.00 $0.00
4677 Movies Double Indemnity (1944) 0 $0.00 $0.00
4678 Movies Downfall (2004) 0 $0.00 $0.00
4679 Movies Dr. Strangelove (1964) 0 $0.00 $0.00
4680 Movies Eternal Sunshine of the Spotless Mind (2004) 0 $0.00 $0.00
4681 Movies Fargo (1996) 0 $0.00 $0.00
4682 Movies Fight Club (1999) 0 $0.00 $0.00
4683 Movies Finding Nemo (2003) 0 $0.00 $0.00
4684 Movies For a Few Dollars More (1965) 0 $0.00 $0.00
4685 Movies Forrest Gump (1994) 0 $0.00 $0.00
4686 Movies Full Metal Jacket (1987) 0 $0.00 $0.00
4687 Movies Gandhi (1982) 0 $0.00 $0.00
4688 Movies Gladiator (2000) 0 $0.00 $0.00
4689 Movies Gone with the Wind (1939) 0 $0.00 $0.00

90 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4690 Movies Good Will Hunting (1997) 0 $0.00 $0.00
4691 Movies Goodfellas (1990) 0 $0.00 $0.00
4692 Movies Gran Torino (2008) 0 $0.00 $0.00
4693 Movies Grave of the Fireflies (1988) 0 $0.00 $0.00
4694 Movies Groundhog Day (1993) 0 $0.00 $0.00
4695 Movies Harry Potter and the Sorcerer's Stone (2001) 0 $0.00 $0.00
4696 Movies Harry Potter and the Chamber of Secrets (2002) 0 $0.00 $0.00
4697 Movies Harry Potter and the Prisoner of Azkaban (2004) 0 $0.00 $0.00
4698 Movies Harry Potter and the Goblet of Fire (2005) 0 $0.00 $0.00
4699 Movies Harry Potter and the Order of the Phoenix (2005) 0 $0.00 $0.00
4700 Movies Harry Potter and the Half Blood Prince (2009) 0 $0.00 $0.00
4701 Movies Harry Potter and the Deathly Hallows: Part 1 (2010) 0 $0.00 $0.00
4702 Movies Harry Potter and the Deathly Hallows: Part 2 (2011) 0 $0.00 $0.00
4703 Movies Harvey (1950) 0 $0.00 $0.00
4704 Movies Heat (1995) 0 $0.00 $0.00
4705 Movies High Anxiety (1977) 0 $0.00 $0.00
4706 Movies High Noon (1952) 0 $0.00 $0.00
4707 Movies Hotel Rwanda (2004) 0 $0.00 $0.00
4708 Movies How to Train Your Dragon (2010) 0 $0.00 $0.00
4709 Movies Howl's Moving Castle (2004) 0 $0.00 $0.00
4710 Movies In the Heat of the Night (1967) 0 $0.00 $0.00
4711 Movies In the Mood for Love (2000) 0 $0.00 $0.00
4712 Movies In the Name of the Father (1993) 0 $0.00 $0.00
4713 Movies Inception (2010) 0 $0.00 $0.00
4714 Movies Indiana Jones Raiders of the Last Ark (1981) 0 $0.00 $0.00
4715 Movies Indiana Jones and the Temple of Doom (1984) 0 $0.00 $0.00
4716 Movies Indiana Jones and the Last Crusade (1989) 0 $0.00 $0.00
4717 Movies Indiana Jones and the Kingdom of the Crystal Skull (2008) 0 $0.00 $0.00
4718 Movies Infernal Affairs (2002) 0 $0.00 $0.00
4719 Movies Inglourious Bastards (2009) 0 $0.00 $0.00
4720 Movies Into the Wild (2007) 0 $0.00 $0.00
4721 Movies Ip Man (2008) 0 $0.00 $0.00
4722 Movies Iron Man (2008) 0 $0.00 $0.00
4723 Movies Iron Man 2 (2010) 0 $0.00 $0.00
4724 Movies Iron Man 3 (2013) 0 $0.00 $0.00
4725 Movies It Happened One Night (1934) 0 $0.00 $0.00
4726 Movies It's a Wonderful Life (1946) 0 $0.00 $0.00
4727 Movies Jaws (1975) 0 $0.00 $0.00
4728 Movies Jurassic Park (1993) 0 $0.00 $0.00
4729 Movies Kill Bill: Vol. 1 (2003) 0 $0.00 $0.00
4730 Movies King Kong (1933) 0 $0.00 $0.00
4731 Movies L.A. Confidential (1997) 0 $0.00 $0.00
4732 Movies La Haine (1995) 0 $0.00 $0.00
4733 Movies La Strada (1954) 0 $0.00 $0.00
4734 Movies Lawrence of Arabia (1962) 0 $0.00 $0.00
4735 Movies Léon: The Professional (1994) 0 $0.00 $0.00
4736 Movies Let the Right One In (2008) 0 $0.00 $0.00
4737 Movies Life Is Beautiful (1997) 0 $0.00 $0.00
4738 Movies Life of Brian (1979) 0 $0.00 $0.00
4739 Movies Lock, Stock and Two Smoking Barrels (1998) 0 $0.00 $0.00
4740 Movies M (1931) 0 $0.00 $0.00
4741 Movies Manhattan (1979) 0 $0.00 $0.00
4742 Movies Mary and Max (2009) 0 $0.00 $0.00

91 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4743 Movies Memento (2000) 0 $0.00 $0.00
4744 Movies Metropolis (1927) 0 $0.00 $0.00
4745 Movies Million Dollar Baby (2004) 0 $0.00 $0.00
4746 Movies Modern Times (1936) 0 $0.00 $0.00
4747 Movies Monsters, Inc. (2001) 0 $0.00 $0.00
4748 Movies Monty Python and the Holy Grail (1975) 0 $0.00 $0.00
4749 Movies Mr. Smith Goes to Washington (1939) 0 $0.00 $0.00
4750 Movies My Neighbor Totoro (1988) 0 $0.00 $0.00
4751 Movies Mystic River (2003) 0 $0.00 $0.00
4752 Movies Nausicaä of the Valley of the Wind (1984) 0 $0.00 $0.00
4753 Movies Network (1976) 0 $0.00 $0.00
4754 Movies No Country for Old Men (2007) 0 $0.00 $0.00
4755 Movies North by Northwest (1959) 0 $0.00 $0.00
4756 Movies Nosferatu (1922) 0 $0.00 $0.00
4757 Movies Notorious (1946) 0 $0.00 $0.00
4758 Movies Oldboy (2003) 0 $0.00 $0.00
4759 Movies On the Waterfront (1954) 0 $0.00 $0.00
4760 Movies Once Upon a Time in America (1984) 0 $0.00 $0.00
4761 Movies Once Upon a Time in the West (1968) 0 $0.00 $0.00
4762 Movies One Flew Over the Cuckoo's Nest (1975) 0 $0.00 $0.00
4763 Movies Pan's Labyrinth (2006) 0 $0.00 $0.00
4764 Movies Papillon (1973) 0 $0.00 $0.00
4765 Movies Paths of Glory (1957) 0 $0.00 $0.00
4766 Movies Persona (1966) 0 $0.00 $0.00
4767 Movies Pirates of the Caribbean: The Curse of the Black Pearl (2003) 0 $0.00 $0.00
4768 Movies Pirates of the Caribbean: Dead Mans Chest (2006) 0 $0.00 $0.00
4769 Movies Pirates of the Caribbean: At World's End (2007) 0 $0.00 $0.00
4770 Movies Pirates of the Caribbean: On Stranger Tides (2011) 0 $0.00 $0.00
4771 Movies Platoon (1986) 0 $0.00 $0.00
4772 Movies Psycho (1960) 0 $0.00 $0.00
4773 Movies Pulp Fiction (1994) 0 $0.00 $0.00
4774 Movies Raging Bull (1980) 0 $0.00 $0.00
4775 Movies Rain Man (1988) 0 $0.00 $0.00
4776 Movies Ran (1985) 0 $0.00 $0.00
4777 Movies Rashomon (1950) 0 $0.00 $0.00
4778 Movies Ratatouille (2007) 0 $0.00 $0.00
4779 Movies Rear Window (1954) 0 $0.00 $0.00
4780 Movies Rebecca (1940) 0 $0.00 $0.00
4781 Movies Requiem for a Dream (2000) 0 $0.00 $0.00
4782 Movies Reservoir Dogs (1992) 0 $0.00 $0.00
4783 Movies Rio Bravo (1959) 0 $0.00 $0.00
4784 Movies Rocky (1976) 0 $0.00 $0.00
4785 Movies Roman Holiday (1953) 0 $0.00 $0.00
4786 Movies Rope (1948) 0 $0.00 $0.00
4787 Movies Rosemary's Baby (1968) 0 $0.00 $0.00
4788 Movies Saving Private Ryan (1998) 0 $0.00 $0.00
4789 Movies Scarface (1983) 0 $0.00 $0.00
4790 Movies Schindler's List (1993) 0 $0.00 $0.00
4791 Movies Seven Samurai (1954) 0 $0.00 $0.00
4792 Movies Shadow of a Doubt (1943) 0 $0.00 $0.00
4793 Movies Shrek (2001) 0 $0.00 $0.00
4794 Movies Shrek 2 (2004) 0 $0.00 $0.00
4795 Movies Shrek the Third (2007) 0 $0.00 $0.00

92 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4796 Movies Shrek Forver After (2010) 0 $0.00 $0.00
4797 Movies Shutter Island (2010) 0 $0.00 $0.00
4798 Movies Sin City (2005) 0 $0.00 $0.00
4799 Movies Singin' in the Rain (1952) 0 $0.00 $0.00
4800 Movies Skyfall (2012) 0 $0.00 $0.00
4801 Movies Sleuth (1972) 0 $0.00 $0.00
4802 Movies Slumdog Millionaire (2008) 0 $0.00 $0.00
4803 Movies Snatch. (2000) 0 $0.00 $0.00
4804 Movies Some Like It Hot (1959) 0 $0.00 $0.00
4805 Movies Spirited Away (2001) 0 $0.00 $0.00
4806 Movies Spring, Summer, Fall, Winter... and Spring (2003) 0 $0.00 $0.00
4807 Movies Stalag 17 (1953) 0 $0.00 $0.00
4808 Movies Stalker (1979) 0 $0.00 $0.00
4809 Movies Stand by Me (1986) 0 $0.00 $0.00
4810 Movies Star Trek: The Motion Picture (1979) 0 $0.00 $0.00
4811 Movies Star Trek (2009) 0 $0.00 $0.00
4812 Movies Star Wars: Episode IV - A New Hope (1977) 0 $0.00 $0.00
4813 Movies Star Wars: Episode V - The Empire Strikes Back (1980) 0 $0.00 $0.00
4814 Movies Star Wars: Episode VI - Return of the Jedi (1983) 0 $0.00 $0.00
4815 Movies Star Wars: Episode I - The Phantom Menance (1999) 0 $0.00 $0.00
4816 Movies Star Wars: Episode II - Attack of the Clones (2002) 0 $0.00 $0.00
4817 Movies Star Wars: Episode III - Revenge of the Sith (2005) 0 $0.00 $0.00
4818 Movies Star Wars: The Clone Wars (2008) 0 $0.00 $0.00
4819 Movies Strangers on a Train (1951) 0 $0.00 $0.00
4820 Movies Sunset Blvd. (1950) 0 $0.00 $0.00
4821 Movies Taxi Driver (1976) 0 $0.00 $0.00
4822 Movies Terminator (1984) 0 $0.00 $0.00
4823 Movies Terminator 2: Judgment Day (1991) 0 $0.00 $0.00
4824 Movies Terminator 3: Rise of the Machines (2003) 0 $0.00 $0.00
4825 Movies The 400 Blows (1959) 0 $0.00 $0.00
4826 Movies The Apartment (1960) 0 $0.00 $0.00
4827 Movies The Artist (2011) 0 $0.00 $0.00
4828 Movies The Avengers (2012) 0 $0.00 $0.00
4829 Movies The Big Lebowski (1998) 0 $0.00 $0.00
4830 Movies The Big Sleep (1946) 0 $0.00 $0.00
4831 Movies The Bourne Ultimatum (2007) 0 $0.00 $0.00
4832 Movies The Bridge on the River Kwai (1957) 0 $0.00 $0.00
4833 Movies The Dark Knight (2008) 0 $0.00 $0.00
4834 Movies The Dark Knight Rises (2012) 0 $0.00 $0.00
4835 Movies The Deer Hunter (1978) 0 $0.00 $0.00
4836 Movies The Departed (2006) 0 $0.00 $0.00
4837 Movies The Diving Bell and the Butterfly (2007) 0 $0.00 $0.00
4838 Movies The Elephant Man (1980) 0 $0.00 $0.00
4839 Movies The Exorcist (1973) 0 $0.00 $0.00
4840 Movies The General (1926) 0 $0.00 $0.00
4841 Movies The Godfather (1972) 0 $0.00 $0.00
4842 Movies The Godfather: Part II (1974) 0 $0.00 $0.00
4843 Movies The Godfather: Part III (1990) 0 $0.00 $0.00
4844 Movies The Gold Rush (1925) 0 $0.00 $0.00
4845 Movies The Good, the Bad and the Ugly (1966) 0 $0.00 $0.00
4846 Movies The Graduate (1967) 0 $0.00 $0.00
4847 Movies The Grapes of Wrath (1940) 0 $0.00 $0.00
4848 Movies The Great Dictator (1940) 0 $0.00 $0.00

93 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4849 Movies The Great Escape (1963) 0 $0.00 $0.00
4850 Movies The Green Mile (1999) 0 $0.00 $0.00
4851 Movies The Hustler (1961) 0 $0.00 $0.00
4852 Movies The Intouchables (2011) 0 $0.00 $0.00
4853 Movies The Kid (1921) 0 $0.00 $0.00
4854 Movies The Killing (1956) 0 $0.00 $0.00
4855 Movies The King's Speech (2010) 0 $0.00 $0.00
4856 Movies The Lion King (1994) 0 $0.00 $0.00
4857 Movies The Lives of Others (2006) 0 $0.00 $0.00
4858 Movies The Lord of the Rings: The Fellowship of the Ring (2001) 0 $0.00 $0.00
4859 Movies The Lord of the Rings: The Return of the King (2003) 0 $0.00 $0.00
4860 Movies The Lord of the Rings: The Two Towers (2002) 0 $0.00 $0.00
4861 Movies The Maltese Falcon (1941) 0 $0.00 $0.00
4862 Movies The Man Who Shot Liberty Valance (1962) 0 $0.00 $0.00
4863 Movies The Manchurian Candidate (1962) 0 $0.00 $0.00
4864 Movies The Matrix (1999) 0 $0.00 $0.00
4865 Movies The Night of the Hunter (1955) 0 $0.00 $0.00
4866 Movies The Nightmare Before Christmas (1993) 0 $0.00 $0.00
4867 Movies The Pianist (2002) 0 $0.00 $0.00
4868 Movies The Prestige (2006) 0 $0.00 $0.00
4869 Movies The Princess Bride (1987) 0 $0.00 $0.00
4870 Movies The Searchers (1956) 0 $0.00 $0.00
4871 Movies The Secret in Their Eyes (2009) 0 $0.00 $0.00
4872 Movies The Seventh Seal (1957) 0 $0.00 $0.00
4873 Movies The Shawshank Redemption (1994) 0 $0.00 $0.00
4874 Movies The Shining (1980) 0 $0.00 $0.00
4875 Movies The Sixth Sense (1999) 0 $0.00 $0.00
4876 Movies The Sting (1973) 0 $0.00 $0.00
4877 Movies The Terminator (1984) 0 $0.00 $0.00
4878 Movies The Thing (1982) 0 $0.00 $0.00
4879 Movies The Third Man (1949) 0 $0.00 $0.00
4880 Movies The Treasure of the Sierra Madre (1948) 0 $0.00 $0.00
4881 Movies The Truman Show (1998) 0 $0.00 $0.00
4882 Movies The Untouchables (1987) 0 $0.00 $0.00
4883 Movies The Usual Suspects (1995) 0 $0.00 $0.00
4884 Movies The Wild Bunch (1969) 0 $0.00 $0.00
4885 Movies The Wizard of Oz (1939) 0 $0.00 $0.00
4886 Movies The Wrestler (2008) 0 $0.00 $0.00
4887 Movies There Will Be Blood (2007) 0 $0.00 $0.00
4888 Movies To Kill a Mockingbird (1962) 0 $0.00 $0.00
4889 Movies Touch of Evil (1958) 0 $0.00 $0.00
4890 Movies Toy Story (1995) 0 $0.00 $0.00
4891 Movies Toy Story 2 (1999) 0 $0.00 $0.00
4892 Movies Toy Story 3 (2010) 0 $0.00 $0.00
4893 Movies Trainspotting (1996) 0 $0.00 $0.00
4894 Movies TV Series: 24 0 $0.00 $0.00
4895 Movies TV Series: Arrested Development 0 $0.00 $0.00
4896 Movies TV Series: Breaking Bad 0 $0.00 $0.00
4897 Movies TV Series: Curb Your Enthusiasm 0 $0.00 $0.00
4898 Movies TV Series: Dr. Who 0 $0.00 $0.00
4899 Movies TV Series: Entourage 0 $0.00 $0.00
4900 Movies TV Series: Game of Thrones 0 $0.00 $0.00
4901 Movies TV Series: I Love Lucy 0 $0.00 $0.00

94 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4902 Movies TV Series: It's Always Sunny in Philadelphia 0 $0.00 $0.00
4903 Movies TV Series: Lost 0 $0.00 $0.00
4904 Movies TV Series: Mad Men 0 $0.00 $0.00
4905 Movies TV Series: Modern Family 0 $0.00 $0.00
4906 Movies TV Series: Sex and the City 0 $0.00 $0.00
4907 Movies TV Series: Spiderman 0 $0.00 $0.00
4908 Movies TV Series: Spongebob Squarepants 0 $0.00 $0.00
4909 Movies TV Series: Star Trek Original Series 0 $0.00 $0.00
4910 Movies TV Series: Star Trek The Next Generation 0 $0.00 $0.00
4911 Movies TV Series: That 70's Show 0 $0.00 $0.00
4912 Movies TV Series: The Sopranos 0 $0.00 $0.00
4913 Movies TV Series: The West Wing 0 $0.00 $0.00
4914 Movies TV Series: Walking Dead 0 $0.00 $0.00
4915 Movies TV Series: X-Files 0 $0.00 $0.00
4916 Movies Twelve Monkeys (1995) 0 $0.00 $0.00
4917 Movies Unforgiven (1992) 0 $0.00 $0.00
4918 Movies Up (2009) 0 $0.00 $0.00
4919 Movies V for Vendetta (2005) 0 $0.00 $0.00
4920 Movies Vertigo (1958) 0 $0.00 $0.00
4921 Movies WALL·E (2008) 0 $0.00 $0.00
4922 Movies Warrior (2011/I) 0 $0.00 $0.00
4923 Movies Who's Afraid of Virginia Woolf? (1966) 0 $0.00 $0.00
4924 Movies Wild Strawberries (1957) 0 $0.00 $0.00
4925 Movies Witness for the Prosecution (1957) 0 $0.00 $0.00
4926 Movies Yojimbo (1961) 0 $0.00 $0.00
4927 Movies Young Frankenstein (1974) 0 $0.00 $0.00
4928
4929 Sub-Total: $0.00 $0.00 $0.00
4930 Sales Tax (CA) 8.75%: $0.00
4931 Delivery Charges: Total Total
Actual Cash
4932 Movies Total: $0.00 Depreciation
Value (ACV)
4933
4934 Category MUSIC/CDs For Insurance Adjuster
Item Source Age Replacement Actual Cash
4935 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4936 Music/CDs 2Pac : Greatest Hits 0 $0.00 $0.00
4937 Music/CDs ABBA : ABBA Gold: Greatest Hits 0 $0.00 $0.00
4938 Music/CDs AC/DC : Back in Black 0 $0.00 $0.00
4939 Music/CDs Ace of Base : Happy Nation/The Sign 0 $0.00 $0.00
4940 Music/CDs Adele : 21 0 $0.00 $0.00
4941 Music/CDs Aerosmith : Greatest Hits 0 $0.00 $0.00
4942 Music/CDs Alanis Morissette : Jagged Little Pill 0 $0.00 $0.00
4943 Music/CDs Amy Grant : Home for Christmas 0 $0.00 $0.00
4944 Music/CDs Andrea Bocelli : My Christmas 0 $0.00 $0.00
4945 Music/CDs Andrea Bocelli : Romanza 0 $0.00 $0.00
4946 Music/CDs Backstreet Boys : Backstreet Boys 0 $0.00 $0.00
4947 Music/CDs Backstreet Boys : Backstreet's Back 0 $0.00 $0.00
4948 Music/CDs Backstreet Boys : Millennium 0 $0.00 $0.00
4949 Music/CDs Barbra Streisand : Guilty 0 $0.00 $0.00
4950 Music/CDs Bee Gees / Various artists : Saturday Night Fever 0 $0.00 $0.00
4951 Music/CDs Billy Joel : Greatest Hits Volume I & Volume II 0 $0.00 $0.00
4952 Music/CDs Billy Joel : The Stranger 0 $0.00 $0.00

95 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
4953 Music/CDs Bing Crosby : White Christmas 0 $0.00 $0.00
4954 Music/CDs Blondie : Parallel Lines 0 $0.00 $0.00
4955 Music/CDs Bob Marley & The Wailers : Legend 0 $0.00 $0.00
4956 Music/CDs Bon Jovi : Cross Road 0 $0.00 $0.00
4957 Music/CDs Bon Jovi : Slippery When Wet 0 $0.00 $0.00
4958 Music/CDs Boston : Boston 0 $0.00 $0.00
4959 Music/CDs Boyz II Men : II 0 $0.00 $0.00
4960 Music/CDs Britney Spears : ...Baby One More Time 0 $0.00 $0.00
4961 Music/CDs Britney Spears : Oops!... I Did It Again 0 $0.00 $0.00
4962 Music/CDs Bruce Springsteen : Born in the U.S.A. 0 $0.00 $0.00
4963 Music/CDs Bruce Springsteen : Live/1975–85 0 $0.00 $0.00
4964 Music/CDs Carole King : Tapestry 0 $0.00 $0.00
4965 Music/CDs Celine Dion : Falling into You 0 $0.00 $0.00
4966 Music/CDs Celine Dion : Let's Talk About Love 0 $0.00 $0.00
4967 Music/CDs Celine Dion : These Are Special Times 0 $0.00 $0.00
4968 Music/CDs Creed : Human Clay 0 $0.00 $0.00
4969 Music/CDs Def Leppard : Hysteria 0 $0.00 $0.00
4970 Music/CDs Def Leppard : Pyromania 0 $0.00 $0.00
4971 Music/CDs Dire Straits : Brothers in Arms 0 $0.00 $0.00
4972 Music/CDs Dixie Chicks : Fly 0 $0.00 $0.00
4973 Music/CDs Dixie Chicks : Wide Open Spaces 0 $0.00 $0.00
4974 Music/CDs Doobie Brothers : Best of The Doobies 0 $0.00 $0.00
4975 Music/CDs Eagles : Eagles Greatest Hits, Vol. 2 0 $0.00 $0.00
4976 Music/CDs Eagles : Hotel California 0 $0.00 $0.00
4977 Music/CDs Eagles : Their Greatest Hits (1971–1975) 0 $0.00 $0.00
4978 Music/CDs Elton John : Greatest Hits 0 $0.00 $0.00
4979 Music/CDs Elvis Presley : Elvis' Christmas Album 0 $0.00 $0.00
4980 Music/CDs Elvis Presley : Elvis' Christmas Album 0 $0.00 $0.00
4981 Music/CDs Eminem : The Eminem Show 0 $0.00 $0.00
4982 Music/CDs Eminem : The Marshall Mathers LP 0 $0.00 $0.00
4983 Music/CDs Eric Clapton : Unplugged 0 $0.00 $0.00
4984 Music/CDs Fleetwood Mac : Rumours 0 $0.00 $0.00
4985 Music/CDs Garth Brooks : Double Live 0 $0.00 $0.00
4986 Music/CDs Garth Brooks : Garth Brooks 0 $0.00 $0.00
4987 Music/CDs Garth Brooks : No Fences 0 $0.00 $0.00
4988 Music/CDs Garth Brooks : Ropin' the Wind 0 $0.00 $0.00
4989 Music/CDs Garth Brooks : Sevens 0 $0.00 $0.00
4990 Music/CDs Garth Brooks : The Hits 0 $0.00 $0.00
4991 Music/CDs George Michael : Faith 0 $0.00 $0.00
4992 Music/CDs Green Day : Dookie 0 $0.00 $0.00
4993 Music/CDs Guns N' Roses : Appetite for Destruction 0 $0.00 $0.00
4994 Music/CDs Harry Connick, Jr. : When My Heart Finds Christmas 0 $0.00 $0.00
4995 Music/CDs Hootie & the Blowfish : Cracked Rear View 0 $0.00 $0.00
4996 Music/CDs Iron Butterfly : In-A-Gadda-Da-Vida 0 $0.00 $0.00
4997 Music/CDs James Horner : Titanic: Music from the Motion Picture 0 $0.00 $0.00
4998 Music/CDs James Taylor : Greatest Hits 0 $0.00 $0.00
4999 Music/CDs Jewel : Pieces of You 0 $0.00 $0.00
5000 Music/CDs Josh Groban : Noël 0 $0.00 $0.00
5001 Music/CDs Journey : Greatest Hits 0 $0.00 $0.00
5002 Music/CDs Kenny G : Breathless 0 $0.00 $0.00
5003 Music/CDs Kenny G : Miracles: The Holiday Album 0 $0.00 $0.00
5004 Music/CDs Kenny Rogers : Greatest Hits 0 $0.00 $0.00
5005 Music/CDs Kid Rock : Devil Without a Cause 0 $0.00 $0.00

96 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5006 Music/CDs Led Zeppelin : Houses of the Holy 0 $0.00 $0.00
5007 Music/CDs Led Zeppelin : Led Zeppelin Boxed Set 0 $0.00 $0.00
5008 Music/CDs Led Zeppelin : Led Zeppelin II 0 $0.00 $0.00
5009 Music/CDs Led Zeppelin : Led Zeppelin IV 0 $0.00 $0.00
5010 Music/CDs Led Zeppelin : Physical Graffiti 0 $0.00 $0.00
5011 Music/CDs Linkin Park : Hybrid Theory 0 $0.00 $0.00
5012 Music/CDs Lionel Richie : Can't Slow Down 0 $0.00 $0.00
5013 Music/CDs Madonna : Like a Virgin 0 $0.00 $0.00
5014 Music/CDs Madonna : The Immaculate Collection 0 $0.00 $0.00
5015 Music/CDs Madonna : True Blue 0 $0.00 $0.00
5016 Music/CDs Mannheim Steamroller : A Fresh Aire Christmas 0 $0.00 $0.00
5017 Music/CDs Mannheim Steamroller : Christmas in the Aire 0 $0.00 $0.00
5018 Music/CDs Mannheim Steamroller : Mannheim Steamroller Christmas 0 $0.00 $0.00
5019 Music/CDs Mariah Carey : Daydream 0 $0.00 $0.00
5020 Music/CDs Mariah Carey : Merry Christmas 0 $0.00 $0.00
5021 Music/CDs Mariah Carey : Music Box 0 $0.00 $0.00
5022 Music/CDs Matchbox Twenty : Yourself or Someone Like You 0 $0.00 $0.00
5023 Music/CDs MC Hammer : Please Hammer, Don't Hurt 'Em 0 $0.00 $0.00
5024 Music/CDs Meat Loaf : Bat Out of Hell 0 $0.00 $0.00
5025 Music/CDs Metallica : Metallica 0 $0.00 $0.00
5026 Music/CDs Michael Bublé : Christmas 0 $0.00 $0.00
5027 Music/CDs Michael Jackson : Bad 0 $0.00 $0.00
5028 Music/CDs Michael Jackson : Dangerous 0 $0.00 $0.00
5029 Music/CDs Michael Jackson : HIStory: Past, Present and Future, Book I 0 $0.00 $0.00
5030 Music/CDs Michael Jackson : Off the Wall 0 $0.00 $0.00
5031 Music/CDs Michael Jackson : Thriller 0 $0.00 $0.00
5032 Music/CDs 'N Sync : *NSYNC 0 $0.00 $0.00
5033 Music/CDs 'N Sync : No Strings Attached 0 $0.00 $0.00
5034 Music/CDs Nat King Cole : The Christmas Song 0 $0.00 $0.00
5035 Music/CDs Neil Diamond : The Christmas Album 0 $0.00 $0.00
5036 Music/CDs Nirvana : Nevermind 0 $0.00 $0.00
5037 Music/CDs No Doubt : Tragic Kingdom 0 $0.00 $0.00
5038 Music/CDs Norah Jones : Come Away with Me 0 $0.00 $0.00
5039 Music/CDs Oasis : (What's the Story) Morning Glory? 0 $0.00 $0.00
5040 Music/CDs Outkast : Speakerboxxx/The Love Below 0 $0.00 $0.00
5041 Music/CDs Patsy Cline : Patsy Cline's Greatest Hits 0 $0.00 $0.00
5042 Music/CDs Pearl Jam : Ten 0 $0.00 $0.00
5043 Music/CDs Phil Collins : No Jacket Required 0 $0.00 $0.00
5044 Music/CDs Pink Floyd : The Dark Side of the Moon 0 $0.00 $0.00
5045 Music/CDs Pink Floyd : The Wall 0 $0.00 $0.00
5046 Music/CDs Prince and the Revolution : Purple Rain 0 $0.00 $0.00
5047 Music/CDs Queen : Greatest Hits 0 $0.00 $0.00
5048 Music/CDs Santana : Supernatural 0 $0.00 $0.00
5049 Music/CDs Shania Twain : Come On Over 0 $0.00 $0.00
5050 Music/CDs Shania Twain : The Woman in Me 0 $0.00 $0.00
5051 Music/CDs Shania Twain : Up! 0 $0.00 $0.00
5052 Music/CDs Simon & Garfunkel : Bridge over Troubled Water 0 $0.00 $0.00
5053 Music/CDs Simon & Garfunkel : Simon and Garfunkel's Greatest Hits 0 $0.00 $0.00
5054 Music/CDs Soundtrack / Bee Gees : Saturday Night Fever 0 $0.00 $0.00
5055 Music/CDs Soundtrack / Whitney Houston : The Bodyguard 0 $0.00 $0.00
5056 Music/CDs Soundtrack : Dirty Dancing 0 $0.00 $0.00
5057 Music/CDs Soundtrack : Forrest Gump 0 $0.00 $0.00
5058 Music/CDs Soundtrack : The Lion King 0 $0.00 $0.00

97 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5059 Music/CDs Soundtrack : Titanic 0 $0.00 $0.00
5060 Music/CDs Spice Girls : Spice 0 $0.00 $0.00
5061 Music/CDs Steve Miller Band : Greatest Hits 1974–78 0 $0.00 $0.00
5062 Music/CDs Stevie Wonder : Songs in the Key of Life 0 $0.00 $0.00
5063 Music/CDs Supertramp : Breakfast in America 0 $0.00 $0.00
5064 Music/CDs Susan Boyle : The Gift 0 $0.00 $0.00
5065 Music/CDs The Beatles : 1 0 $0.00 $0.00
5066 Music/CDs The Beatles : 1962–1966 0 $0.00 $0.00
5067 Music/CDs The Beatles : 1967–1970 0 $0.00 $0.00
5068 Music/CDs The Beatles : Abbey Road 0 $0.00 $0.00
5069 Music/CDs The Beatles : Sgt. Pepper's Lonely Hearts Club Band 0 $0.00 $0.00
5070 Music/CDs The Beatles : The Beatles (White Album) 0 $0.00 $0.00
5071 Music/CDs The Carpenters : Christmas Portrait 0 $0.00 $0.00
5072 Music/CDs The Doors : The Best of The Doors 0 $0.00 $0.00
5073 Music/CDs The Notorious B.I.G. : Life After Death 0 $0.00 $0.00
5074 Music/CDs The Rolling Stones : Hot Rocks 1964–1971 0 $0.00 $0.00
5075 Music/CDs The Smashing Pumpkins : Mellon Collie & the Infinite Sadness 0 $0.00 $0.00
5076 Music/CDs Tina Turner : Private Dancer 0 $0.00 $0.00
5077 Music/CDs TLC : CrazySexyCool 0 $0.00 $0.00
5078 Music/CDs Tom Petty and the Heartbreakers : Greatest Hits 0 $0.00 $0.00
5079 Music/CDs Trans-Siberian Orchestra : Christmas Eve and Other Stories 0 $0.00 $0.00
5080 Music/CDs U2 : The Joshua Tree 0 $0.00 $0.00
5081 Music/CDs Usher : Confessions 0 $0.00 $0.00
5082 Music/CDs Van Halen : 1984 (MCMLXXXIV) 0 $0.00 $0.00
5083 Music/CDs Van Halen : Van Halen 0 $0.00 $0.00
5084 Music/CDs Various artists : Grease 0 $0.00 $0.00
5085 Music/CDs Vince Guaraldi Trio : A Charlie Brown Christmas 0 $0.00 $0.00
5086 Music/CDs Whitney Houston : The Bodyguard 0 $0.00 $0.00
5087 Music/CDs Whitney Houston : Whitney 0 $0.00 $0.00
5088 Music/CDs Whitney Houston : Whitney Houston 0 $0.00 $0.00
5089 Music/CDs ZZ Top : Eliminator 0 $0.00 $0.00
5090
5091 Sub-Total: $0.00 $0.00 $0.00
5092 Sales Tax (CA) 8.75%: $0.00
5093 Delivery Charges: Total Total
Actual Cash
5094 Music/CDs Total: $0.00 Depreciation
Value (ACV)
5095
5096
5097 Category MUSICAL EQUIPMENT For Insurance Adjuster
Item Source Age Replacement Actual Cash
5098 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5099 Music equipment Amp head 0 $0.00 $0.00
5100 Music equipment Amplifier 0 $0.00 $0.00
5101 Music equipment Bagpipe case 0 $0.00 $0.00
5102 Music equipment Bagpipes 0 $0.00 $0.00
5103 Music equipment Banjo 0 $0.00 $0.00
5104 Music equipment Banjo case 0 $0.00 $0.00
5105 Music equipment Bass - electric case 0 $0.00 $0.00
5106 Music equipment Bass - electric guitar 0 $0.00 $0.00
5107 Music equipment Bass - upright 0 $0.00 $0.00
5108 Music equipment Bass - upright case 0 $0.00 $0.00
5109 Music equipment Bass half stacks 0 $0.00 $0.00

98 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5110 Music equipment Cables 0 $0.00 $0.00
5111 Music equipment Clarinet 0 $0.00 $0.00
5112 Music equipment Clarinet case 0 $0.00 $0.00
5113 Music equipment DJ equipment 0 $0.00 $0.00
5114 Music equipment Drum rack 0 $0.00 $0.00
5115 Music equipment Drum set 0 $0.00 $0.00
5116 Music equipment Drum sticks 0 $0.00 $0.00
5117 Music equipment Drum throne 0 $0.00 $0.00
5118 Music equipment Drums - bass 0 $0.00 $0.00
5119 Music equipment Drums - crash 0 $0.00 $0.00
5120 Music equipment Drums - cymbals 0 $0.00 $0.00
5121 Music equipment Drums - hi-hat 0 $0.00 $0.00
5122 Music equipment Drums - snare 0 $0.00 $0.00
5123 Music equipment Drums - toms 0 $0.00 $0.00
5124 Music equipment Effects unit 0 $0.00 $0.00
5125 Music equipment Electric guitar 0 $0.00 $0.00
5126 Music equipment Equalizer 0 $0.00 $0.00
5127 Music equipment External speakers 0 $0.00 $0.00
5128 Music equipment Flute 0 $0.00 $0.00
5129 Music equipment Flute case 0 $0.00 $0.00
5130 Music equipment Guitar - acoustic 0 $0.00 $0.00
5131 Music equipment Guitar - bass, acoustic 0 $0.00 $0.00
5132 Music equipment Guitar - bass, electric 0 $0.00 $0.00
5133 Music equipment Guitar - electric 0 $0.00 $0.00
5134 Music equipment Guitar accessories 0 $0.00 $0.00
5135 Music equipment Guitar amplifier 0 $0.00 $0.00
5136 Music equipment Guitar case - hard 0 $0.00 $0.00
5137 Music equipment Guitar case - soft 0 $0.00 $0.00
5138 Music equipment Guitar effects petal 0 $0.00 $0.00
5139 Music equipment Guitar half stacks 0 $0.00 $0.00
5140 Music equipment Guitar tuner 0 $0.00 $0.00
5141 Music equipment Harmonica 0 $0.00 $0.00
5142 Music equipment Harp 0 $0.00 $0.00
5143 Music equipment Harp bench 0 $0.00 $0.00
5144 Music equipment Harp case 0 $0.00 $0.00
5145 Music equipment Instrument Stand 0 $0.00 $0.00
5146 Music equipment Keyboard - electric 0 $0.00 $0.00
5147 Music equipment Keyboard bench 0 $0.00 $0.00
5148 Music equipment Metronome 0 $0.00 $0.00
5149 Music equipment Mic stand 0 $0.00 $0.00
5150 Music equipment Microphone 0 $0.00 $0.00
5151 Music equipment Mixing board 0 $0.00 $0.00
5152 Music equipment Mixing equipment 0 $0.00 $0.00
5153 Music equipment Monitor - studio 0 $0.00 $0.00
5154 Music equipment Music books 0 $0.00 $0.00
5155 Music equipment Music stand 0 $0.00 $0.00
5156 Music equipment PA cabinet 0 $0.00 $0.00
5157 Music equipment PA speakers 0 $0.00 $0.00
5158 Music equipment PA system 0 $0.00 $0.00
5159 Music equipment Piano 0 $0.00 $0.00
5160 Music equipment Piano bench 0 $0.00 $0.00
5161 Music equipment Recording equipment 0 $0.00 $0.00
5162 Music equipment Saxophone - Alto 0 $0.00 $0.00

99 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5163 Music equipment Saxophone - Baritone 0 $0.00 $0.00
5164 Music equipment Saxophone - Tenor 0 $0.00 $0.00
5165 Music equipment Saxophone accessories 0 $0.00 $0.00
5166 Music equipment Saxophone case 0 $0.00 $0.00
5167 Music equipment Sheet music 0 $0.00 $0.00
5168 Music equipment Tambourine 0 $0.00 $0.00
5169 Music equipment Trombone 0 $0.00 $0.00
5170 Music equipment Trombone case 0 $0.00 $0.00
5171 Music equipment Tuners 0 $0.00 $0.00
5172 Music equipment Violin 0 $0.00 $0.00
5173 Music equipment Violin accessories 0 $0.00 $0.00
5174 Music equipment Violin case 0 $0.00 $0.00
5175
5176 Sub-Total: $0.00 $0.00 $0.00
5177 Sales Tax (CA) 8.75%: $0.00
5178 Delivery Charges: Total Total
Actual Cash
5179 Musical Equipment Total: $0.00 Depreciation
Value (ACV)
5180
5181 Category PETS For Insurance Adjuster
Item Source Age Replacement Actual Cash
5182 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5183 Pets Bird - activity playpen 0 $0.00 $0.00
5184 Pets Bird - bath 0 $0.00 $0.00
5185 Pets Bird - cage 0 $0.00 $0.00
5186 Pets Bird - cage accessories (list) 0 $0.00 $0.00
5187 Pets Bird - cage cleaner 0 $0.00 $0.00
5188 Pets Bird - care books 0 $0.00 $0.00
5189 Pets Bird - clippers 0 $0.00 $0.00
5190 Pets Bird - food/seed 0 $0.00 $0.00
5191 Pets Bird - health care items 0 $0.00 $0.00
5192 Pets Bird - nesting material 0 $0.00 $0.00
5193 Pets Bird - perch 0 $0.00 $0.00
5194 Pets Bird - toys (list) 0 $0.00 $0.00
5195 Pets Bird - treats 0 $0.00 $0.00
5196 Pets Bird - vitamins/supplements 0 $0.00 $0.00
5197 Pets Cat - autofeeder 0 $0.00 $0.00
5198 Pets Cat - bed 0 $0.00 $0.00
5199 Pets Cat - brush/comb 0 $0.00 $0.00
5200 Pets Cat - care books 0 $0.00 $0.00
5201 Pets Cat - carrier 0 $0.00 $0.00
5202 Pets Cat - cat tree 0 $0.00 $0.00
5203 Pets Cat - climbing structure 0 $0.00 $0.00
5204 Pets Cat - collar 0 $0.00 $0.00
5205 Pets Cat - dental care 0 $0.00 $0.00
5206 Pets Cat - ear cleaner 0 $0.00 $0.00
5207 Pets Cat - flea treatment 0 $0.00 $0.00
5208 Pets Cat - food & water bowl 0 $0.00 $0.00
5209 Pets Cat - food (dry) 0 $0.00 $0.00
5210 Pets Cat - food (wet/can) 0 $0.00 $0.00
5211 Pets Cat - harness & leash 0 $0.00 $0.00
5212 Pets Cat - litter 0 $0.00 $0.00
5213 Pets Cat - litter box 0 $0.00 $0.00

100 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5214 Pets Cat - litter box liners 0 $0.00 $0.00
5215 Pets Cat - medicine (list) 0 $0.00 $0.00
5216 Pets Cat - nail clippers 0 $0.00 $0.00
5217 Pets Cat - scratcher 0 $0.00 $0.00
5218 Pets Cat - shampoo 0 $0.00 $0.00
5219 Pets Cat - stain & odor cleaner 0 $0.00 $0.00
5220 Pets Cat - sweater/costumes 0 $0.00 $0.00
5221 Pets Cat - toys (list) 0 $0.00 $0.00
5222 Pets Cat - treats 0 $0.00 $0.00
5223 Pets Cat - tunnel 0 $0.00 $0.00
5224 Pets Cat - vitamins/supplements 0 $0.00 $0.00
5225 Pets Cat - window perch 0 $0.00 $0.00
5226 Pets Dog - auto feeder 0 $0.00 $0.00
5227 Pets Dog - bed 0 $0.00 $0.00
5228 Pets Dog - biscuits 0 $0.00 $0.00
5229 Pets Dog - brush/comb 0 $0.00 $0.00
5230 Pets Dog - carrier 0 $0.00 $0.00
5231 Pets Dog - clippers (fur) 0 $0.00 $0.00
5232 Pets Dog - clippers (nail) 0 $0.00 $0.00
5233 Pets Dog - collar 0 $0.00 $0.00
5234 Pets Dog - crate 0 $0.00 $0.00
5235 Pets Dog - crate mat 0 $0.00 $0.00
5236 Pets Dog - dental care 0 $0.00 $0.00
5237 Pets Dog - ear wash 0 $0.00 $0.00
5238 Pets Dog - eye wash 0 $0.00 $0.00
5239 Pets Dog - fencing system 0 $0.00 $0.00
5240 Pets Dog - flea treatment 0 $0.00 $0.00
5241 Pets Dog - food & water bowl 0 $0.00 $0.00
5242 Pets Dog - food (dry) 0 $0.00 $0.00
5243 Pets Dog - food (wet/can) 0 $0.00 $0.00
5244 Pets Dog - food storage 0 $0.00 $0.00
5245 Pets Dog - gate 0 $0.00 $0.00
5246 Pets Dog - heartworm medication 0 $0.00 $0.00
5247 Pets Dog - house 0 $0.00 $0.00
5248 Pets Dog - ID tag 0 $0.00 $0.00
5249 Pets Dog - leash 0 $0.00 $0.00
5250 Pets Dog - medicine (list) 0 $0.00 $0.00
5251 Pets Dog - pooper scooper 0 $0.00 $0.00
5252 Pets Dog - puppy training pads 0 $0.00 $0.00
5253 Pets Dog - shampoo/conditioner 0 $0.00 $0.00
5254 Pets Dog - squeaky toys 0 $0.00 $0.00
5255 Pets Dog - stain & odor cleaner 0 $0.00 $0.00
5256 Pets Dog - steps/ramp 0 $0.00 $0.00
5257 Pets Dog - stuffed toys 0 $0.00 $0.00
5258 Pets Dog - sweaters/costume 0 $0.00 $0.00
5259 Pets Dog - toys (list) 0 $0.00 $0.00
5260 Pets Dog - treats 0 $0.00 $0.00
5261 Pets Dog - vitamins/supplements 0 $0.00 $0.00
5262 Pets Fish - (List each type) 0 $0.00 $0.00
5263 Pets Fish - aquarium 0 $0.00 $0.00
5264 Pets Fish - aquarium aerator 0 $0.00 $0.00
5265 Pets Fish - aquarium decor 0 $0.00 $0.00
5266 Pets Fish - aquarium filter 0 $0.00 $0.00

101 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5267 Pets Fish - aquarium gravel 0 $0.00 $0.00
5268 Pets Fish - aquarium heater 0 $0.00 $0.00
5269 Pets Fish - aquarium hood 0 $0.00 $0.00
5270 Pets Fish - aquarium light 0 $0.00 $0.00
5271 Pets Fish - aquarium plants 0 $0.00 $0.00
5272 Pets Fish - aquarium stand 0 $0.00 $0.00
5273 Pets Fish - aquarium water pump 0 $0.00 $0.00
5274 Pets Fish - aquarium water treatment 0 $0.00 $0.00
5275 Pets Fish - bowl 0 $0.00 $0.00
5276 Pets Fish - care books 0 $0.00 $0.00
5277 Pets Fish - feeder 0 $0.00 $0.00
5278 Pets Fish - filters 0 $0.00 $0.00
5279 Pets Fish - fish (list) 0 $0.00 $0.00
5280 Pets Fish - food/dry 0 $0.00 $0.00
5281 Pets Fish - food/frozen 0 $0.00 $0.00
5282 Pets Fish - medications/vitamins 0 $0.00 $0.00
5283 Pets Fish - salt mix 0 $0.00 $0.00
5284 Pets Fish - tank brushes 0 $0.00 $0.00
5285 Pets Fish - tank cleaning equipment 0 $0.00 $0.00
5286 Pets Fish - tank glass cleaner 0 $0.00 $0.00
5287 Pets Fish - tank skimmer 0 $0.00 $0.00
5288 Pets Fish - thermometer 0 $0.00 $0.00
5289 Pets Fish - water conditioner 0 $0.00 $0.00
5290 Pets Hermit crab - crabs 0 $0.00 $0.00
5291 Pets Hermit crab - food 0 $0.00 $0.00
5292 Pets Hermit crab - food & water dishes 0 $0.00 $0.00
5293 Pets Hermit crab - heater 0 $0.00 $0.00
5294 Pets Hermit crab - light 0 $0.00 $0.00
5295 Pets Hermit crab - substrate 0 $0.00 $0.00
5296 Pets Hermit crab - tank 0 $0.00 $0.00
5297 Pets Hermit crab - tank accessories 0 $0.00 $0.00
5298 Pets Horse - alphalfa 0 $0.00 $0.00
5299 Pets Horse - blanket 0 $0.00 $0.00
5300 Pets Horse - breastplate - leather 0 $0.00 $0.00
5301 Pets Horse - bridle 0 $0.00 $0.00
5302 Pets Horse - bridle - bit 0 $0.00 $0.00
5303 Pets Horse - care books 0 $0.00 $0.00
5304 Pets Horse - comb 0 $0.00 $0.00
5305 Pets Horse - crop 0 $0.00 $0.00
5306 Pets Horse - curry brush 0 $0.00 $0.00
5307 Pets Horse - feed bucket 0 $0.00 $0.00
5308 Pets Horse - feed trough 0 $0.00 $0.00
5309 Pets Horse - girth 0 $0.00 $0.00
5310 Pets Horse - halter 0 $0.00 $0.00
5311 Pets Horse - hoof booties 0 $0.00 $0.00
5312 Pets Horse - hoof ointment 0 $0.00 $0.00
5313 Pets Horse - hoof trim kit 0 $0.00 $0.00
5314 Pets Horse - lead rope 0 $0.00 $0.00
5315 Pets Horse - medicine (list separately) 0 $0.00 $0.00
5316 Pets Horse - oats 0 $0.00 $0.00
5317 Pets Horse - riding boots 0 $0.00 $0.00
5318 Pets Horse - riding gloves 0 $0.00 $0.00
5319 Pets Horse - riding helmet 0 $0.00 $0.00

102 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5320 Pets Horse - riding pants 0 $0.00 $0.00
5321 Pets Horse - saddle - English 0 $0.00 $0.00
5322 Pets Horse - saddle - Western 0 $0.00 $0.00
5323 Pets Horse - saddle pad 0 $0.00 $0.00
5324 Pets Horse - shampoo 0 $0.00 $0.00
5325 Pets Horse - spurs 0 $0.00 $0.00
5326 Pets Horse - wash mit 0 $0.00 $0.00
5327 Pets Horse - whip 0 $0.00 $0.00
5328 Pets Pet brush 0 $0.00 $0.00
5329 Pets Pet food storage container 0 $0.00 $0.00
5330 Pets Pet gate 0 $0.00 $0.00
5331 Pets Reptile - (List each type) 0 $0.00 $0.00
5332 Pets Reptile - bedding/substrate 0 $0.00 $0.00
5333 Pets Reptile - care books 0 $0.00 $0.00
5334 Pets Reptile - food 0 $0.00 $0.00
5335 Pets Reptile - food dish 0 $0.00 $0.00
5336 Pets Reptile - harness/leash 0 $0.00 $0.00
5337 Pets Reptile - live food 0 $0.00 $0.00
5338 Pets Reptile - reptile (live animal) 0 $0.00 $0.00
5339 Pets Reptile - spray bottle 0 $0.00 $0.00
5340 Pets Reptile - tank accessories 0 $0.00 $0.00
5341 Pets Reptile - tank décor 0 $0.00 $0.00
5342 Pets Reptile - tank heat lamp 0 $0.00 $0.00
5343 Pets Reptile - tank heater 0 $0.00 $0.00
5344 Pets Reptile - tank humidifier 0 $0.00 $0.00
5345 Pets Reptile - tank humidity/thermometer gauge 0 $0.00 $0.00
5346 Pets Reptile - tank lighting 0 $0.00 $0.00
5347 Pets Reptile - tank stand 0 $0.00 $0.00
5348 Pets Reptile - tank substrate 0 $0.00 $0.00
5349 Pets Reptile - tanks 0 $0.00 $0.00
5350 Pets Reptile - terrarium 0 $0.00 $0.00
5351 Pets Reptile - terrarium pump & filter 0 $0.00 $0.00
5352 Pets Reptile - vitamins/supplements 0 $0.00 $0.00
5353 Pets Reptile - water dish 0 $0.00 $0.00
5354 Pets Small animal - cage 0 $0.00 $0.00
5355 Pets Small animal - cage accessories 0 $0.00 $0.00
5356 Pets Small animal - cage bedding 0 $0.00 $0.00
5357 Pets Small animal - care books 0 $0.00 $0.00
5358 Pets Small animal - carrier 0 $0.00 $0.00
5359 Pets Small animal - collar/leash 0 $0.00 $0.00
5360 Pets Small animal - ear care 0 $0.00 $0.00
5361 Pets Small animal - feeders 0 $0.00 $0.00
5362 Pets Small animal - food 0 $0.00 $0.00
5363 Pets Small animal - hamster/guinea pig/rat/gerbil/ferret 0 $0.00 $0.00
5364 Pets Small animal - hay/grass 0 $0.00 $0.00
5365 Pets Small animal - hutch 0 $0.00 $0.00
5366 Pets Small animal - litter 0 $0.00 $0.00
5367 Pets Small animal - shampoo/skin & coat cleaner 0 $0.00 $0.00
5368 Pets Small animal - sleeper 0 $0.00 $0.00
5369 Pets Small animal - toys (list) 0 $0.00 $0.00
5370 Pets Small animal - vitamins/supplements 0 $0.00 $0.00
5371 Pets Small animal - water bowl/bottles 0 $0.00 $0.00
5372

103 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5373 Sub-Total: $0.00 $0.00 $0.00
5374 Sales Tax (CA) 8.75%: $0.00
5375 Delivery Charges: Total Total
Actual Cash
5376 Pets Total: $0.00 Depreciation
Value (ACV)
5377
5378 Category SPORTING GOODS For Insurance Adjuster
Item Source Age Replacement Actual Cash
5379 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5380 Sporting Goods Archery - arrows 0 $0.00 $0.00
5381 Sporting Goods Archery - bow 0 $0.00 $0.00
5382 Sporting Goods Archery - crossbow 0 $0.00 $0.00
5383 Sporting Goods Archery - gloves 0 $0.00 $0.00
5384 Sporting Goods Archery - hunting tips 0 $0.00 $0.00
5385 Sporting Goods Baseball / softball - bag 0 $0.00 $0.00
5386 Sporting Goods Baseball / softball - ball 0 $0.00 $0.00
5387 Sporting Goods Baseball / softball - baseballs 0 $0.00 $0.00
5388 Sporting Goods Baseball / softball - bat 0 $0.00 $0.00
5389 Sporting Goods Baseball / softball - batting gloves 0 $0.00 $0.00
5390 Sporting Goods Baseball / softball - batting net 0 $0.00 $0.00
5391 Sporting Goods Baseball / softball - batting tee 0 $0.00 $0.00
5392 Sporting Goods Baseball / softball - cap 0 $0.00 $0.00
5393 Sporting Goods Baseball / softball - catchers gear (list separately) 0 $0.00 $0.00
5394 Sporting Goods Baseball / softball - chest protector 0 $0.00 $0.00
5395 Sporting Goods Baseball / softball - chin strap 0 $0.00 $0.00
5396 Sporting Goods Baseball / softball - cleats 0 $0.00 $0.00
5397 Sporting Goods Baseball / softball - equipment bag 0 $0.00 $0.00
5398 Sporting Goods Baseball / softball - helmet 0 $0.00 $0.00
5399 Sporting Goods Baseball / softball - knee saver 0 $0.00 $0.00
5400 Sporting Goods Baseball / softball - leg guard 0 $0.00 $0.00
5401 Sporting Goods Baseball / softball - mitt 0 $0.00 $0.00
5402 Sporting Goods Baseball / softball - pitcher target 0 $0.00 $0.00
5403 Sporting Goods Baseball / softball - pitcher tee 0 $0.00 $0.00
5404 Sporting Goods Baseball / softball - pitching machine 0 $0.00 $0.00
5405 Sporting Goods Baseball / softball - return trainer 0 $0.00 $0.00
5406 Sporting Goods Baseball / softball - softballs 0 $0.00 $0.00
5407 Sporting Goods Baseball / softball - sport net 0 $0.00 $0.00
5408 Sporting Goods Baseball / softball - supporter/cup 0 $0.00 $0.00
5409 Sporting Goods Baseball / softball - uniform 0 $0.00 $0.00
5410 Sporting Goods Basketball - basketball 0 $0.00 $0.00
5411 Sporting Goods Basketball - freestanding hoop 0 $0.00 $0.00
5412 Sporting Goods Basketball - outdoor hoop 0 $0.00 $0.00
5413 Sporting Goods Billiards - balls 0 $0.00 $0.00
5414 Sporting Goods Billiards - cues 0 $0.00 $0.00
5415 Sporting Goods Billiards - pool table 0 $0.00 $0.00
5416 Sporting Goods Billiards - table cleaner 0 $0.00 $0.00
5417 Sporting Goods Billiards - triangle 0 $0.00 $0.00
5418 Sporting Goods Binoculars 0 $0.00 $0.00
5419 Sporting Goods Bowling - ball 0 $0.00 $0.00
5420 Sporting Goods Bowling - ball bag 0 $0.00 $0.00
5421 Sporting Goods Bowling - shoes 0 $0.00 $0.00
5422 Sporting Goods Boxing - gloves 0 $0.00 $0.00
5423 Sporting Goods Boxing - headgear 0 $0.00 $0.00

104 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5424 Sporting Goods Boxing - heavy bag 0 $0.00 $0.00
5425 Sporting Goods Boxing - heavy bag stand 0 $0.00 $0.00
5426 Sporting Goods Boxing - punch bag 0 $0.00 $0.00
5427 Sporting Goods Camping - air pump 0 $0.00 $0.00
5428 Sporting Goods Camping - backpack 0 $0.00 $0.00
5429 Sporting Goods Camping - batteries 0 $0.00 $0.00
5430 Sporting Goods Camping - camp shower 0 $0.00 $0.00
5431 Sporting Goods Camping - canopy 0 $0.00 $0.00
5432 Sporting Goods Camping - cargo container 0 $0.00 $0.00
5433 Sporting Goods Camping - charcoal 0 $0.00 $0.00
5434 Sporting Goods Camping - coffee pot/kettle 0 $0.00 $0.00
5435 Sporting Goods Camping - cooking/eating utensils 0 $0.00 $0.00
5436 Sporting Goods Camping - cooler (provide size-165/120/60qt) 0 $0.00 $0.00
5437 Sporting Goods Camping - cot 0 $0.00 $0.00
5438 Sporting Goods Camping - Deet 0 $0.00 $0.00
5439 Sporting Goods Camping - dehydrated food 0 $0.00 $0.00
5440 Sporting Goods Camping - first aid kit 0 $0.00 $0.00
5441 Sporting Goods Camping - flashlight 0 $0.00 $0.00
5442 Sporting Goods Camping - folding chair 0 $0.00 $0.00
5443 Sporting Goods Camping - folding chair/table set 0 $0.00 $0.00
5444 Sporting Goods Camping - fuel/propane 0 $0.00 $0.00
5445 Sporting Goods Camping - GPS 0 $0.00 $0.00
5446 Sporting Goods Camping - grill 0 $0.00 $0.00
5447 Sporting Goods Camping - ground tarp 0 $0.00 $0.00
5448 Sporting Goods Camping - hammock 0 $0.00 $0.00
5449 Sporting Goods Camping - headlamp 0 $0.00 $0.00
5450 Sporting Goods Camping - ice chest 0 $0.00 $0.00
5451 Sporting Goods Camping - inflatable air mattress 0 $0.00 $0.00
5452 Sporting Goods Camping - kayak 0 $0.00 $0.00
5453 Sporting Goods Camping - knives 0 $0.00 $0.00
5454 Sporting Goods Camping - lantern 0 $0.00 $0.00
5455 Sporting Goods Camping - lighter/matches 0 $0.00 $0.00
5456 Sporting Goods Camping - maps 0 $0.00 $0.00
5457 Sporting Goods Camping - metal detector 0 $0.00 $0.00
5458 Sporting Goods Camping - picnic table 0 $0.00 $0.00
5459 Sporting Goods Camping - pillow 0 $0.00 $0.00
5460 Sporting Goods Camping - portable heater 0 $0.00 $0.00
5461 Sporting Goods Camping - portable propane heater 0 $0.00 $0.00
5462 Sporting Goods Camping - raft 0 $0.00 $0.00
5463 Sporting Goods Camping - regulator hose 0 $0.00 $0.00
5464 Sporting Goods Camping - rolling cooler 0 $0.00 $0.00
5465 Sporting Goods Camping - rolling duffle bag 0 $0.00 $0.00
5466 Sporting Goods Camping - roof cargo box 0 $0.00 $0.00
5467 Sporting Goods Camping - screen house 0 $0.00 $0.00
5468 Sporting Goods Camping - sleeping bag 0 $0.00 $0.00
5469 Sporting Goods Camping - solar panel battery charger 0 $0.00 $0.00
5470 Sporting Goods Camping - stake mallet 0 $0.00 $0.00
5471 Sporting Goods Camping - stove/burner 0 $0.00 $0.00
5472 Sporting Goods Camping - stove/cooking table 0 $0.00 $0.00
5473 Sporting Goods Camping - tarp 0 $0.00 $0.00
5474 Sporting Goods Camping - tent (provide size-2/4/8 person) 0 $0.00 $0.00
5475 Sporting Goods Camping - thermos 0 $0.00 $0.00
5476 Sporting Goods Camping - walkie talkies 0 $0.00 $0.00

105 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5477 Sporting Goods Cycling - air pump 0 $0.00 $0.00
5478 Sporting Goods Cycling - bag 0 $0.00 $0.00
5479 Sporting Goods Cycling - basket 0 $0.00 $0.00
5480 Sporting Goods Cycling - cable 0 $0.00 $0.00
5481 Sporting Goods Cycling - canteen 0 $0.00 $0.00
5482 Sporting Goods Cycling - car rack 0 $0.00 $0.00
5483 Sporting Goods Cycling - cargo carrier 0 $0.00 $0.00
5484 Sporting Goods Cycling - computer 0 $0.00 $0.00
5485 Sporting Goods Cycling - cruiser 0 $0.00 $0.00
5486 Sporting Goods Cycling - dirt quad minibike 0 $0.00 $0.00
5487 Sporting Goods Cycling - gloves 0 $0.00 $0.00
5488 Sporting Goods Cycling - grips 0 $0.00 $0.00
5489 Sporting Goods Cycling - headlight 0 $0.00 $0.00
5490 Sporting Goods Cycling - helmet 0 $0.00 $0.00
5491 Sporting Goods Cycling - inner tubes 0 $0.00 $0.00
5492 Sporting Goods Cycling - jersey 0 $0.00 $0.00
5493 Sporting Goods Cycling - lock 0 $0.00 $0.00
5494 Sporting Goods Cycling - mirror 0 $0.00 $0.00
5495 Sporting Goods Cycling - mountain bike 0 $0.00 $0.00
5496 Sporting Goods Cycling - pants 0 $0.00 $0.00
5497 Sporting Goods Cycling - pedals 0 $0.00 $0.00
5498 Sporting Goods Cycling - pump 0 $0.00 $0.00
5499 Sporting Goods Cycling - resistance trainer 0 $0.00 $0.00
5500 Sporting Goods Cycling - road bike 0 $0.00 $0.00
5501 Sporting Goods Cycling - saddle 0 $0.00 $0.00
5502 Sporting Goods Cycling - safety seat child carrier 0 $0.00 $0.00
5503 Sporting Goods Cycling - shoes 0 $0.00 $0.00
5504 Sporting Goods Cycling - shorts 0 $0.00 $0.00
5505 Sporting Goods Cycling - socks 0 $0.00 $0.00
5506 Sporting Goods Cycling - storage rack 0 $0.00 $0.00
5507 Sporting Goods Cycling - storage stand 0 $0.00 $0.00
5508 Sporting Goods Cycling - tail light 0 $0.00 $0.00
5509 Sporting Goods Cycling - tricycle 0 $0.00 $0.00
5510 Sporting Goods Cycling - water bottle 0 $0.00 $0.00
5511 Sporting Goods Cycling - wedge pack 0 $0.00 $0.00
5512 Sporting Goods Darts - cabinet 0 $0.00 $0.00
5513 Sporting Goods Darts - dartboard 0 $0.00 $0.00
5514 Sporting Goods Darts - dartboard darts 0 $0.00 $0.00
5515 Sporting Goods Diving - abalone iron 0 $0.00 $0.00
5516 Sporting Goods Diving - aqualung 0 $0.00 $0.00
5517 Sporting Goods Diving - belt weights 0 $0.00 $0.00
5518 Sporting Goods Diving - buoyancy compensator 0 $0.00 $0.00
5519 Sporting Goods Diving - camera 0 $0.00 $0.00
5520 Sporting Goods Diving - fins 0 $0.00 $0.00
5521 Sporting Goods Diving - flashlight 0 $0.00 $0.00
5522 Sporting Goods Diving - gloves 0 $0.00 $0.00
5523 Sporting Goods Diving - knife 0 $0.00 $0.00
5524 Sporting Goods Diving - mask 0 $0.00 $0.00
5525 Sporting Goods Diving - regulator 0 $0.00 $0.00
5526 Sporting Goods Diving - scuba tank 0 $0.00 $0.00
5527 Sporting Goods Diving - snorkel 0 $0.00 $0.00
5528 Sporting Goods Diving - spear gun 0 $0.00 $0.00
5529 Sporting Goods Diving - stopwatch 0 $0.00 $0.00

106 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5530 Sporting Goods Diving - vented hood 0 $0.00 $0.00
5531 Sporting Goods Diving - vest 0 $0.00 $0.00
5532 Sporting Goods Diving - watch 0 $0.00 $0.00
5533 Sporting Goods Diving - weights 0 $0.00 $0.00
5534 Sporting Goods Diving - wet suit 0 $0.00 $0.00
5535 Sporting Goods Fishing - anchor 0 $0.00 $0.00
5536 Sporting Goods Fishing - bait - frozen (list separately) 0 $0.00 $0.00
5537 Sporting Goods Fishing - bait - power bait 0 $0.00 $0.00
5538 Sporting Goods Fishing - bait - salmon eggs 0 $0.00 $0.00
5539 Sporting Goods Fishing - bait net 0 $0.00 $0.00
5540 Sporting Goods Fishing - bait tank net 0 $0.00 $0.00
5541 Sporting Goods Fishing - bait trap 0 $0.00 $0.00
5542 Sporting Goods Fishing - bells 0 $0.00 $0.00
5543 Sporting Goods Fishing - bobber 0 $0.00 $0.00
5544 Sporting Goods Fishing - boots 0 $0.00 $0.00
5545 Sporting Goods Fishing - bouy 0 $0.00 $0.00
5546 Sporting Goods Fishing - bucket 0 $0.00 $0.00
5547 Sporting Goods Fishing - catch and release net 0 $0.00 $0.00
5548 Sporting Goods Fishing - chum basket 0 $0.00 $0.00
5549 Sporting Goods Fishing - cleaner/dressing 0 $0.00 $0.00
5550 Sporting Goods Fishing - cooler 0 $0.00 $0.00
5551 Sporting Goods Fishing - crimp pliers 0 $0.00 $0.00
5552 Sporting Goods Fishing - deck shoes 0 $0.00 $0.00
5553 Sporting Goods Fishing - disposable camera 0 $0.00 $0.00
5554 Sporting Goods Fishing - dock cart 0 $0.00 $0.00
5555 Sporting Goods Fishing - down rigger 0 $0.00 $0.00
5556 Sporting Goods Fishing - fighting belt 0 $0.00 $0.00
5557 Sporting Goods Fishing - filet knife 0 $0.00 $0.00
5558 Sporting Goods Fishing - fish finder - electronic 0 $0.00 $0.00
5559 Sporting Goods Fishing - float tube 0 $0.00 $0.00
5560 Sporting Goods Fishing - float tube fins 0 $0.00 $0.00
5561 Sporting Goods Fishing - fly line 0 $0.00 $0.00
5562 Sporting Goods Fishing - fly rod case 0 $0.00 $0.00
5563 Sporting Goods Fishing - fly tying accessories (list separately) 0 $0.00 $0.00
5564 Sporting Goods Fishing - fly vest 0 $0.00 $0.00
5565 Sporting Goods Fishing - gaff 0 $0.00 $0.00
5566 Sporting Goods Fishing - ghost shrimp pump 0 $0.00 $0.00
5567 Sporting Goods Fishing - gloves 0 $0.00 $0.00
5568 Sporting Goods Fishing - GPS 0 $0.00 $0.00
5569 Sporting Goods Fishing - hand held radio 0 $0.00 $0.00
5570 Sporting Goods Fishing - hand towel 0 $0.00 $0.00
5571 Sporting Goods Fishing - hat 0 $0.00 $0.00
5572 Sporting Goods Fishing - hook (others, list separately) 0 $0.00 $0.00
5573 Sporting Goods Fishing - hook extractor 0 $0.00 $0.00
5574 Sporting Goods Fishing - hook ganion 0 $0.00 $0.00
5575 Sporting Goods Fishing - hooks/swivels 0 $0.00 $0.00
5576 Sporting Goods Fishing - insect repellant 0 $0.00 $0.00
5577 Sporting Goods Fishing - knife 0 $0.00 $0.00
5578 Sporting Goods Fishing - lantern 0 $0.00 $0.00
5579 Sporting Goods Fishing - leader 0 $0.00 $0.00
5580 Sporting Goods Fishing - license 0 $0.00 $0.00
5581 Sporting Goods Fishing - line clippers 0 $0.00 $0.00
5582 Sporting Goods Fishing - line counter 0 $0.00 $0.00

107 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5583 Sporting Goods Fishing - line crimps 0 $0.00 $0.00
5584 Sporting Goods Fishing - line spool (list separately) 0 $0.00 $0.00
5585 Sporting Goods Fishing - lobster hoop net 0 $0.00 $0.00
5586 Sporting Goods Fishing - lure - casting spoon 0 $0.00 $0.00
5587 Sporting Goods Fishing - lure - crank bait 0 $0.00 $0.00
5588 Sporting Goods Fishing - lure - Crocodile 0 $0.00 $0.00
5589 Sporting Goods Fishing - lure - Fish Trap 0 $0.00 $0.00
5590 Sporting Goods Fishing - lure - flies - fresh water (list separately) 0 $0.00 $0.00
5591 Sporting Goods Fishing - lure - flies - salt water (list separately) 0 $0.00 $0.00
5592 Sporting Goods Fishing - lure - organizer 0 $0.00 $0.00
5593 Sporting Goods Fishing - lure - Panther Martin (list separately) 0 $0.00 $0.00
5594 Sporting Goods Fishing - lure - plastic crank bait 0 $0.00 $0.00
5595 Sporting Goods Fishing - lure - plastic worms 0 $0.00 $0.00
5596 Sporting Goods Fishing - lure - Rapala 0 $0.00 $0.00
5597 Sporting Goods Fishing - lure - Scampi 0 $0.00 $0.00
5598 Sporting Goods Fishing - lure - spinner 0 $0.00 $0.00
5599 Sporting Goods Fishing - lure - trolling feather 0 $0.00 $0.00
5600 Sporting Goods Fishing - lure - trolling spoon 0 $0.00 $0.00
5601 Sporting Goods Fishing - lure - Yoyo jig 0 $0.00 $0.00
5602 Sporting Goods Fishing - monofilament line 0 $0.00 $0.00
5603 Sporting Goods Fishing - net 0 $0.00 $0.00
5604 Sporting Goods Fishing - pliers or hemostats 0 $0.00 $0.00
5605 Sporting Goods Fishing - Pole spear 0 $0.00 $0.00
5606 Sporting Goods Fishing - poncho 0 $0.00 $0.00
5607 Sporting Goods Fishing - radio 0 $0.00 $0.00
5608 Sporting Goods Fishing - raft 0 $0.00 $0.00
5609 Sporting Goods Fishing - rain bibs 0 $0.00 $0.00
5610 Sporting Goods Fishing - rain jacket 0 $0.00 $0.00
5611 Sporting Goods Fishing - reel - casting 0 $0.00 $0.00
5612 Sporting Goods Fishing - reel - deep sea 0 $0.00 $0.00
5613 Sporting Goods Fishing - reel - fly fishing 0 $0.00 $0.00
5614 Sporting Goods Fishing - reel - spinning 0 $0.00 $0.00
5615 Sporting Goods Fishing - reel - trolling 0 $0.00 $0.00
5616 Sporting Goods Fishing - reel (others list separately) 0 $0.00 $0.00
5617 Sporting Goods Fishing - rig - halibut 0 $0.00 $0.00
5618 Sporting Goods Fishing - rig - salmon 0 $0.00 $0.00
5619 Sporting Goods Fishing - rig - shark 0 $0.00 $0.00
5620 Sporting Goods Fishing - rod - casting - fresh water 0 $0.00 $0.00
5621 Sporting Goods Fishing - rod - casting - salt water 0 $0.00 $0.00
5622 Sporting Goods Fishing - rod - fly fishing 0 $0.00 $0.00
5623 Sporting Goods Fishing - rod - spinning - fresh water 0 $0.00 $0.00
5624 Sporting Goods Fishing - rod - spinning - salt water 0 $0.00 $0.00
5625 Sporting Goods Fishing - rod - surf casting 0 $0.00 $0.00
5626 Sporting Goods Fishing - rod - trolling - fresh water 0 $0.00 $0.00
5627 Sporting Goods Fishing - rod - trolling - salt water 0 $0.00 $0.00
5628 Sporting Goods Fishing - rod (others - list separately) 0 $0.00 $0.00
5629 Sporting Goods Fishing - rod holder 0 $0.00 $0.00
5630 Sporting Goods Fishing - ruler 0 $0.00 $0.00
5631 Sporting Goods Fishing - scaler 0 $0.00 $0.00
5632 Sporting Goods Fishing - scent oil 0 $0.00 $0.00
5633 Sporting Goods Fishing - signal flare gun 0 $0.00 $0.00
5634 Sporting Goods Fishing - signal horn 0 $0.00 $0.00
5635 Sporting Goods Fishing - sinkers/bobbers 0 $0.00 $0.00

108 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5636 Sporting Goods Fishing - snake gaiters 0 $0.00 $0.00
5637 Sporting Goods Fishing - steel leader 0 $0.00 $0.00
5638 Sporting Goods Fishing - stringer 0 $0.00 $0.00
5639 Sporting Goods Fishing - sun glasses 0 $0.00 $0.00
5640 Sporting Goods Fishing - swivels 0 $0.00 $0.00
5641 Sporting Goods Fishing - tackle box 0 $0.00 $0.00
5642 Sporting Goods Fishing - tail rope 0 $0.00 $0.00
5643 Sporting Goods Fishing - throw net 0 $0.00 $0.00
5644 Sporting Goods Fishing - tippet 0 $0.00 $0.00
5645 Sporting Goods Fishing - tool - forceps 0 $0.00 $0.00
5646 Sporting Goods Fishing - trolling line clip 0 $0.00 $0.00
5647 Sporting Goods Fishing - trolling motor - electric 0 $0.00 $0.00
5648 Sporting Goods Fishing - trout net 0 $0.00 $0.00
5649 Sporting Goods Fishing - vest 0 $0.00 $0.00
5650 Sporting Goods Fishing - waders 0 $0.00 $0.00
5651 Sporting Goods Fishing - wading shoes 0 $0.00 $0.00
5652 Sporting Goods Fishing - weight scale 0 $0.00 $0.00
5653 Sporting Goods Fishing - weights (list separately) 0 $0.00 $0.00
5654 Sporting Goods Football - back plate 0 $0.00 $0.00
5655 Sporting Goods Football - ball 0 $0.00 $0.00
5656 Sporting Goods Football - belt 0 $0.00 $0.00
5657 Sporting Goods Football - chin shield/chin strap 0 $0.00 $0.00
5658 Sporting Goods Football - cleats 0 $0.00 $0.00
5659 Sporting Goods Football - compression undershirt 0 $0.00 $0.00
5660 Sporting Goods Football - cowboy collar 0 $0.00 $0.00
5661 Sporting Goods Football - elbow pad 0 $0.00 $0.00
5662 Sporting Goods Football - football 0 $0.00 $0.00
5663 Sporting Goods Football - gloves 0 $0.00 $0.00
5664 Sporting Goods Football - helmet/face mask 0 $0.00 $0.00
5665 Sporting Goods Football - hip pads/tail pads 0 $0.00 $0.00
5666 Sporting Goods Football - jersey 0 $0.00 $0.00
5667 Sporting Goods Football - jock strap 0 $0.00 $0.00
5668 Sporting Goods Football - kicking tee 0 $0.00 $0.00
5669 Sporting Goods Football - knee pad 0 $0.00 $0.00
5670 Sporting Goods Football - mouth guard 0 $0.00 $0.00
5671 Sporting Goods Football - neck roll 0 $0.00 $0.00
5672 Sporting Goods Football - pads 0 $0.00 $0.00
5673 Sporting Goods Football - pants 0 $0.00 $0.00
5674 Sporting Goods Football - rib protector 0 $0.00 $0.00
5675 Sporting Goods Football - rib vest 0 $0.00 $0.00
5676 Sporting Goods Football - shoulder pads 0 $0.00 $0.00
5677 Sporting Goods Football - socks 0 $0.00 $0.00
5678 Sporting Goods Football - spider pad 0 $0.00 $0.00
5679 Sporting Goods Football - sport bag 0 $0.00 $0.00
5680 Sporting Goods Football - thigh pad 0 $0.00 $0.00
5681 Sporting Goods Football - training cones 0 $0.00 $0.00
5682 Sporting Goods Football - uniform 0 $0.00 $0.00
5683 Sporting Goods Golf - balls 0 $0.00 $0.00
5684 Sporting Goods Golf - club bag 0 $0.00 $0.00
5685 Sporting Goods Golf - club cart 0 $0.00 $0.00
5686 Sporting Goods Golf - clubs (list separately) 0 $0.00 $0.00
5687 Sporting Goods Golf - gloves 0 $0.00 $0.00
5688 Sporting Goods Golf - hat 0 $0.00 $0.00

109 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5689 Sporting Goods Golf - head covers 0 $0.00 $0.00
5690 Sporting Goods Golf - putting ball return 0 $0.00 $0.00
5691 Sporting Goods Golf - putting green 0 $0.00 $0.00
5692 Sporting Goods Golf - shag bag 0 $0.00 $0.00
5693 Sporting Goods Golf - shirts (list separately) 0 $0.00 $0.00
5694 Sporting Goods Golf - shoes 0 $0.00 $0.00
5695 Sporting Goods Golf - tees 0 $0.00 $0.00
5696 Sporting Goods Hunting - ammunition 0 $0.00 $0.00
5697 Sporting Goods Hunting - binoculars 0 $0.00 $0.00
5698 Sporting Goods Hunting - boots 0 $0.00 $0.00
5699 Sporting Goods Hunting - decoy (list separately) 0 $0.00 $0.00
5700 Sporting Goods Hunting - dog training dummy 0 $0.00 $0.00
5701 Sporting Goods Hunting - fatigues 0 $0.00 $0.00
5702 Sporting Goods Hunting - game call (list separately) 0 $0.00 $0.00
5703 Sporting Goods Hunting - glasses 0 $0.00 $0.00
5704 Sporting Goods Hunting - gun case - locking 0 $0.00 $0.00
5705 Sporting Goods Hunting - gun case - soft 0 $0.00 $0.00
5706 Sporting Goods Hunting - gun cleaning kit 0 $0.00 $0.00
5707 Sporting Goods Hunting - gun powder 0 $0.00 $0.00
5708 Sporting Goods Hunting - gun rack 0 $0.00 $0.00
5709 Sporting Goods Hunting - hat 0 $0.00 $0.00
5710 Sporting Goods Hunting - high visibility safety vest 0 $0.00 $0.00
5711 Sporting Goods Hunting - knife 0 $0.00 $0.00
5712 Sporting Goods Hunting - lead shot 0 $0.00 $0.00
5713 Sporting Goods Hunting - pistol (list separately) 0 $0.00 $0.00
5714 Sporting Goods Hunting - reloading - casings 0 $0.00 $0.00
5715 Sporting Goods Hunting - reloading - primers 0 $0.00 $0.00
5716 Sporting Goods Hunting - reloading gun powder 0 $0.00 $0.00
5717 Sporting Goods Hunting - reloading press 0 $0.00 $0.00
5718 Sporting Goods Hunting - reloading shot 0 $0.00 $0.00
5719 Sporting Goods Hunting - rifle (list separately) 0 $0.00 $0.00
5720 Sporting Goods Hunting - shotgun (list separately) 0 $0.00 $0.00
5721 Sporting Goods Hunting - shotgun shell primers 0 $0.00 $0.00
5722 Sporting Goods Hunting - shotgun shell re-loader 0 $0.00 $0.00
5723 Sporting Goods Hunting - trigger lock 0 $0.00 $0.00
5724 Sporting Goods Hunting - trophy (list separately) 0 $0.00 $0.00
5725 Sporting Goods Hunting - under armor 0 $0.00 $0.00
5726 Sporting Goods Hunting - vest 0 $0.00 $0.00
5727 Sporting Goods Hunting - waders 0 $0.00 $0.00
5728 Sporting Goods Kayak - boat-board 0 $0.00 $0.00
5729 Sporting Goods Kayak - helmet 0 $0.00 $0.00
5730 Sporting Goods Kayak - paddle 0 $0.00 $0.00
5731 Sporting Goods Kayak - vest 0 $0.00 $0.00
5732 Sporting Goods Lacrosse - bag 0 $0.00 $0.00
5733 Sporting Goods Lacrosse - ball 0 $0.00 $0.00
5734 Sporting Goods Lacrosse - cleats 0 $0.00 $0.00
5735 Sporting Goods Lacrosse - gloves 0 $0.00 $0.00
5736 Sporting Goods Lacrosse - goal net 0 $0.00 $0.00
5737 Sporting Goods Lacrosse - helmet 0 $0.00 $0.00
5738 Sporting Goods Lacrosse - lacrosse stick 0 $0.00 $0.00
5739 Sporting Goods Lacrosse - shoulder pad 0 $0.00 $0.00
5740 Sporting Goods Martial arts - belt 0 $0.00 $0.00
5741 Sporting Goods Martial arts - gi 0 $0.00 $0.00

110 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5742 Sporting Goods Martial arts - staff 0 $0.00 $0.00
5743 Sporting Goods Racquet ball - balls 0 $0.00 $0.00
5744 Sporting Goods Racquet ball - eye protection 0 $0.00 $0.00
5745 Sporting Goods Racquet ball - racket 0 $0.00 $0.00
5746 Sporting Goods Running - elliptical machine 0 $0.00 $0.00
5747 Sporting Goods Running - shoes 0 $0.00 $0.00
5748 Sporting Goods Running - treadmill 0 $0.00 $0.00
5749 Sporting Goods Shooting - air rifle 0 $0.00 $0.00
5750 Sporting Goods Shooting - air rifle pellets 0 $0.00 $0.00
5751 Sporting Goods Shooting - paintball gun 0 $0.00 $0.00
5752 Sporting Goods Shooting - paintball marker 0 $0.00 $0.00
5753 Sporting Goods Shooting - paintball mask 0 $0.00 $0.00
5754 Sporting Goods Shooting - paintball vest 0 $0.00 $0.00
5755 Sporting Goods Shooting - paintballs 0 $0.00 $0.00
5756 Sporting Goods Shooting - shooting target 0 $0.00 $0.00
5757 Sporting Goods Skateboard - ankle wrap 0 $0.00 $0.00
5758 Sporting Goods Skateboard - elbow pads 0 $0.00 $0.00
5759 Sporting Goods Skateboard - gloves 0 $0.00 $0.00
5760 Sporting Goods Skateboard - helmet 0 $0.00 $0.00
5761 Sporting Goods Skateboard - knee brace 0 $0.00 $0.00
5762 Sporting Goods Skateboard - knee pads 0 $0.00 $0.00
5763 Sporting Goods Skateboard - razor 0 $0.00 $0.00
5764 Sporting Goods Skateboard - skateboard 0 $0.00 $0.00
5765 Sporting Goods Skateboard - skateboard rack 0 $0.00 $0.00
5766 Sporting Goods Skateboard - skateboard ramp 0 $0.00 $0.00
5767 Sporting Goods Skateboard - wheels 0 $0.00 $0.00
5768 Sporting Goods Skating - ice skates 0 $0.00 $0.00
5769 Sporting Goods Skating - ice skating boot covers 0 $0.00 $0.00
5770 Sporting Goods Skating - ice skating pads 0 $0.00 $0.00
5771 Sporting Goods Skating - roller blades 0 $0.00 $0.00
5772 Sporting Goods Skating - roller skates 0 $0.00 $0.00
5773 Sporting Goods Skating - wheels 0 $0.00 $0.00
5774 Sporting Goods Ski/Snowboard - gloves 0 $0.00 $0.00
5775 Sporting Goods Ski/Snowboard - goggles 0 $0.00 $0.00
5776 Sporting Goods Ski/Snowboard - hat 0 $0.00 $0.00
5777 Sporting Goods Ski/Snowboard - helmet 0 $0.00 $0.00
5778 Sporting Goods Ski/Snowboard - hip pads 0 $0.00 $0.00
5779 Sporting Goods Ski/Snowboard - jacket 0 $0.00 $0.00
5780 Sporting Goods Ski/Snowboard - pants 0 $0.00 $0.00
5781 Sporting Goods Ski/Snowboard - roof cargo box 0 $0.00 $0.00
5782 Sporting Goods Ski/Snowboard - skis 0 $0.00 $0.00
5783 Sporting Goods Ski/Snowboard - snow slider 0 $0.00 $0.00
5784 Sporting Goods Ski/Snowboard - snowboard 0 $0.00 $0.00
5785 Sporting Goods Ski/Snowboard - snowboard case 0 $0.00 $0.00
5786 Sporting Goods Ski/Snowboard - thermal underwear 0 $0.00 $0.00
5787 Sporting Goods Ski/Snowboard - tow rope 0 $0.00 $0.00
5788 Sporting Goods Ski/Snowboard - wax 0 $0.00 $0.00
5789 Sporting Goods Snow - sled 0 $0.00 $0.00
5790 Sporting Goods Soccer - cleats 0 $0.00 $0.00
5791 Sporting Goods Soccer - gloves 0 $0.00 $0.00
5792 Sporting Goods Soccer - goal net 0 $0.00 $0.00
5793 Sporting Goods Soccer - soccer ball 0 $0.00 $0.00
5794 Sporting Goods Surf - board bag 0 $0.00 $0.00

111 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5795 Sporting Goods Surf - boogie board 0 $0.00 $0.00
5796 Sporting Goods Surf - fin 0 $0.00 $0.00
5797 Sporting Goods Surf - leash 0 $0.00 $0.00
5798 Sporting Goods Surf - rash guard 0 $0.00 $0.00
5799 Sporting Goods Surf - surfboard 0 $0.00 $0.00
5800 Sporting Goods Swim - cap 0 $0.00 $0.00
5801 Sporting Goods Swim - dumbbells/weights 0 $0.00 $0.00
5802 Sporting Goods Swim - goggles 0 $0.00 $0.00
5803 Sporting Goods Swim - kickboard 0 $0.00 $0.00
5804 Sporting Goods Swim - slippers 0 $0.00 $0.00
5805 Sporting Goods Table tennis - ping pong balls 0 $0.00 $0.00
5806 Sporting Goods Table tennis - ping pong table 0 $0.00 $0.00
5807 Sporting Goods Table tennis - rackets 0 $0.00 $0.00
5808 Sporting Goods Tennis - balls 0 $0.00 $0.00
5809 Sporting Goods Tennis - racquet 0 $0.00 $0.00
5810 Sporting Goods Tennis - racquet cover 0 $0.00 $0.00
5811 Sporting Goods Tennis - racquetball ball racket 0 $0.00 $0.00
5812 Sporting Goods Tennis - racquetballs 0 $0.00 $0.00
5813 Sporting Goods Tennis - shoes 0 $0.00 $0.00
5814 Sporting Goods Volleyball - gloves 0 $0.00 $0.00
5815 Sporting Goods Volleyball - net 0 $0.00 $0.00
5816 Sporting Goods Volleyball - volleyball 0 $0.00 $0.00
5817 Sporting Goods Walking - pedometer 0 $0.00 $0.00
5818 Sporting Goods Walking - shoes 0 $0.00 $0.00
5819 Sporting Goods Water sport - boogie board/body board 0 $0.00 $0.00
5820 Sporting Goods Water sport - canoe/paddles 0 $0.00 $0.00
5821 Sporting Goods Water sport - flotation vest 0 $0.00 $0.00
5822 Sporting Goods Water sport - inflatable boat 0 $0.00 $0.00
5823 Sporting Goods Water sport - inflatable pool 0 $0.00 $0.00
5824 Sporting Goods Water sport - jet ski 0 $0.00 $0.00
5825 Sporting Goods Water sport - kayak 0 $0.00 $0.00
5826 Sporting Goods Water sport - life vest 0 $0.00 $0.00
5827 Sporting Goods Water sport - roof cargo box 0 $0.00 $0.00
5828 Sporting Goods Water sport - skim board 0 $0.00 $0.00
5829 Sporting Goods Water sport - wakeboard 0 $0.00 $0.00
5830 Sporting Goods Water sport - water skis 0 $0.00 $0.00
5831 Sporting Goods Weights - fitness cables 0 $0.00 $0.00
5832 Sporting Goods Weights - free weight stand 0 $0.00 $0.00
5833 Sporting Goods Weights - free weights 0 $0.00 $0.00
5834 Sporting Goods Weights - medicine ball 0 $0.00 $0.00
5835 Sporting Goods Yoga/Pilates - resistance band 0 $0.00 $0.00
5836 Sporting Goods Yoga/Pilates - step platform 0 $0.00 $0.00
5837 Sporting Goods Yoga/Pilates - workout ball 0 $0.00 $0.00
5838 Sporting Goods Yoga/Pilates - workout mat 0 $0.00 $0.00
5839
5840
5841 Sub-Total: $0.00 $0.00 $0.00
5842 Sales Tax (CA) 8.75%: $0.00
5843 Delivery Charges: Total Total
Actual Cash
5844 Sporting Goods Total: $0.00 Depreciation
Value (ACV)
5845
5846 Category TOYS For Insurance Adjuster

112 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
Item Source Age Replacement Actual Cash
5847 Category Description of Item Brand name, serial number, or model. Qty. Total Cost $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5848 Toys Action figures 0 $0.00 $0.00
5849 Toys Activity books 0 $0.00 $0.00
5850 Toys Air soft gun 0 $0.00 $0.00
5851 Toys Airplanes 0 $0.00 $0.00
5852 Toys American girl doll 0 $0.00 $0.00
5853 Toys American girl doll accessories 0 $0.00 $0.00
5854 Toys Anatomy & Biology toys 0 $0.00 $0.00
5855 Toys Animals - plastic 0 $0.00 $0.00
5856 Toys Ant Farm 0 $0.00 $0.00
5857 Toys Army men 0 $0.00 $0.00
5858 Toys Art sets 0 $0.00 $0.00
5859 Toys Astronomy toys 0 $0.00 $0.00
5860 Toys ATM - toy 0 $0.00 $0.00
5861 Toys Baby dolls 0 $0.00 $0.00
5862 Toys Baby Einstein electronics 0 $0.00 $0.00
5863 Toys Baby gym 0 $0.00 $0.00
5864 Toys Baby playmat 0 $0.00 $0.00
5865 Toys Baby rattle 0 $0.00 $0.00
5866 Toys Baby stroller 0 $0.00 $0.00
5867 Toys Backpack 0 $0.00 $0.00
5868 Toys Barbie 0 $0.00 $0.00
5869 Toys Barbie accessories 0 $0.00 $0.00
5870 Toys Barbie car 0 $0.00 $0.00
5871 Toys Barbie clothing 0 $0.00 $0.00
5872 Toys Barbie house 0 $0.00 $0.00
5873 Toys Basketball 0 $0.00 $0.00
5874 Toys Battery - 9 volt (inside toy) 0 $0.00 $0.00
5875 Toys Battery - AA (inside toy) 0 $0.00 $0.00
5876 Toys Battery - AAA (inside toy) 0 $0.00 $0.00
5877 Toys Battery - C (inside toy) 0 $0.00 $0.00
5878 Toys Battery - D (inside toy) 0 $0.00 $0.00
5879 Toys BB gun 0 $0.00 $0.00
5880 Toys Beads & Jewelry Kit 0 $0.00 $0.00
5881 Toys Ben 10 0 $0.00 $0.00
5882 Toys Bicycle 0 $0.00 $0.00
5883 Toys Binocular 0 $0.00 $0.00
5884 Toys Bionicle 0 $0.00 $0.00
5885 Toys Blocks 0 $0.00 $0.00
5886 Toys Blocks - learning 0 $0.00 $0.00
5887 Toys Blocks - wooden 0 $0.00 $0.00
5888 Toys Boats 0 $0.00 $0.00
5889 Toys Bobble heads 0 $0.00 $0.00
5890 Toys Bongo drums 0 $0.00 $0.00
5891 Toys Boogie board 0 $0.00 $0.00
5892 Toys Books - board 0 $0.00 $0.00
5893 Toys Books - hardback 0 $0.00 $0.00
5894 Toys Books - paperback 0 $0.00 $0.00
5895 Toys Bouncy balls 0 $0.00 $0.00
5896 Toys Bug farm 0 $0.00 $0.00
5897 Toys Bug net 0 $0.00 $0.00
5898 Toys Build-A-Bear collectibles 0 $0.00 $0.00

113 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5899 Toys Building set 0 $0.00 $0.00
5900 Toys Building set - erector set 0 $0.00 $0.00
5901 Toys Building set - gears 0 $0.00 $0.00
5902 Toys Building set - marble maze 0 $0.00 $0.00
5903 Toys Building sets - magnetic 0 $0.00 $0.00
5904 Toys Butterfly farm 0 $0.00 $0.00
5905 Toys Camera - toy 0 $0.00 $0.00
5906 Toys Cell phone - toy 0 $0.00 $0.00
5907 Toys Chalk - art set 0 $0.00 $0.00
5908 Toys Chalk - drawing 0 $0.00 $0.00
5909 Toys Chalk - sidewalk 0 $0.00 $0.00
5910 Toys Chemistry set 0 $0.00 $0.00
5911 Toys Circuit kits 0 $0.00 $0.00
5912 Toys Clay/Modeling clay 0 $0.00 $0.00
5913 Toys Climbers 0 $0.00 $0.00
5914 Toys Collectible cars 0 $0.00 $0.00
5915 Toys Collectible dolls 0 $0.00 $0.00
5916 Toys Collectible figurines 0 $0.00 $0.00
5917 Toys Coloring books 0 $0.00 $0.00
5918 Toys Comic books 0 $0.00 $0.00
5919 Toys Construction set 0 $0.00 $0.00
5920 Toys Construction toys 0 $0.00 $0.00
5921 Toys Costumes 0 $0.00 $0.00
5922 Toys Costumes - boy 0 $0.00 $0.00
5923 Toys Costumes - dress up sets 0 $0.00 $0.00
5924 Toys Costumes - girl 0 $0.00 $0.00
5925 Toys Crayola sets 0 $0.00 $0.00
5926 Toys Crayon carrier 0 $0.00 $0.00
5927 Toys Crayons 0 $0.00 $0.00
5928 Toys DC Toy action figures 0 $0.00 $0.00
5929 Toys Die cast toys 0 $0.00 $0.00
5930 Toys Dinosaur 0 $0.00 $0.00
5931 Toys Dinosaur - plush 0 $0.00 $0.00
5932 Toys Dinosaurs - plastic 0 $0.00 $0.00
5933 Toys Disney collectibles 0 $0.00 $0.00
5934 Toys Disney toys 0 $0.00 $0.00
5935 Toys Disneyland memorabilia 0 $0.00 $0.00
5936 Toys Doll accessories 0 $0.00 $0.00
5937 Toys Doll clothing 0 $0.00 $0.00
5938 Toys Doll furniture 0 $0.00 $0.00
5939 Toys Doll house 0 $0.00 $0.00
5940 Toys Dolls 0 $0.00 $0.00
5941 Toys Drum set 0 $0.00 $0.00
5942 Toys Drum sticks 0 $0.00 $0.00
5943 Toys Duplo 0 $0.00 $0.00
5944 Toys Early development toys 0 $0.00 $0.00
5945 Toys Easel/Art Table 0 $0.00 $0.00
5946 Toys Electronic - learning system (Leapfrog/Vtech) 0 $0.00 $0.00
5947 Toys Electronic - pretend toys 0 $0.00 $0.00
5948 Toys Electronic - reading & writing 0 $0.00 $0.00
5949 Toys Electronic toys 0 $0.00 $0.00
5950 Toys Fairy doll 0 $0.00 $0.00
5951 Toys Fashion dolls 0 $0.00 $0.00

114 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
5952 Toys Floaties 0 $0.00 $0.00
5953 Toys Foam sword 0 $0.00 $0.00
5954 Toys Fossil kit 0 $0.00 $0.00
5955 Toys Games - Apples to Apples 0 $0.00 $0.00
5956 Toys Games - Arcade games 0 $0.00 $0.00
5957 Toys Games - Backgammon 0 $0.00 $0.00
5958 Toys Games - Bakugan 0 $0.00 $0.00
5959 Toys Games - Balderdash 0 $0.00 $0.00
5960 Toys Games - Battleship 0 $0.00 $0.00
5961 Toys Games - Beyblade 0 $0.00 $0.00
5962 Toys Games - Bingo set 0 $0.00 $0.00
5963 Toys Games - Blokus 0 $0.00 $0.00
5964 Toys Games - Boggle 0 $0.00 $0.00
5965 Toys Games - Bop It 0 $0.00 $0.00
5966 Toys Games - Bunko 0 $0.00 $0.00
5967 Toys Games - Candyland 0 $0.00 $0.00
5968 Toys Games - Card Games 0 $0.00 $0.00
5969 Toys Games - Checkers set 0 $0.00 $0.00
5970 Toys Games - Chess set 0 $0.00 $0.00
5971 Toys Games - Chinese checkers 0 $0.00 $0.00
5972 Toys Games - Chutes and Ladders 0 $0.00 $0.00
5973 Toys Games - Clue 0 $0.00 $0.00
5974 Toys Games - Connect 4 0 $0.00 $0.00
5975 Toys Games - Concentration 0 $0.00 $0.00
5976 Toys Games - Cootie 0 $0.00 $0.00
5977 Toys Games - Cranium 0 $0.00 $0.00
5978 Toys Games - Dirty Minds 0 $0.00 $0.00
5979 Toys Games - Dominos 0 $0.00 $0.00
5980 Toys Games - Don't Break The Ice 0 $0.00 $0.00
5981 Toys Games - Heroscape 0 $0.00 $0.00
5982 Toys Games - Hungry Hungry Hippo 0 $0.00 $0.00
5983 Toys Games - Husker Du 0 $0.00 $0.00
5984 Toys Games - Life 0 $0.00 $0.00
5985 Toys Games - Mad Gab 0 $0.00 $0.00
5986 Toys Games - Magic the Gathering cards 0 $0.00 $0.00
5987 Toys Games - Mancala 0 $0.00 $0.00
5988 Toys Games - Mastermind 0 $0.00 $0.00
5989 Toys Games - Monopoly 0 $0.00 $0.00
5990 Toys Games - Mouse Trap 0 $0.00 $0.00
5991 Toys Games - Operation 0 $0.00 $0.00
5992 Toys Games - Outburst 0 $0.00 $0.00
5993 Toys Games - Parcheesi 0 $0.00 $0.00
5994 Toys Games - Pictionary 0 $0.00 $0.00
5995 Toys Games - Pictionary Man 0 $0.00 $0.00
5996 Toys Games - Plug and Play TV games 0 $0.00 $0.00
5997 Toys Games - Pokémon cards 0 $0.00 $0.00
5998 Toys Games - Puzzles 0 $0.00 $0.00
5999 Toys Games - Remember game 0 $0.00 $0.00
6000 Toys Games - Risk 0 $0.00 $0.00
6001 Toys Games - Rock'Em Sock'Em 0 $0.00 $0.00
6002 Toys Games - Scattergories 0 $0.00 $0.00
6003 Toys Games - Scene It 0 $0.00 $0.00
6004 Toys Games - Scrabble 0 $0.00 $0.00

115 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
6005 Toys Games - Settlers of Catan 0 $0.00 $0.00
6006 Toys Games - Sorry 0 $0.00 $0.00
6007 Toys Games - Stratego 0 $0.00 $0.00
6008 Toys Games - Taboo 0 $0.00 $0.00
6009 Toys Games - Ticket to Ride 0 $0.00 $0.00
6010 Toys Games - travel games 0 $0.00 $0.00
6011 Toys Games - Trivial Pursuit 0 $0.00 $0.00
6012 Toys Games - Trouble 0 $0.00 $0.00
6013 Toys Games - Twister 0 $0.00 $0.00
6014 Toys Games - Uno 0 $0.00 $0.00
6015 Toys Games - Upwords 0 $0.00 $0.00
6016 Toys Games - Wheel of Fortune 0 $0.00 $0.00
6017 Toys Games - Yahtzee 0 $0.00 $0.00
6018 Toys Gardening tool set 0 $0.00 $0.00
6019 Toys GeoTrax 0 $0.00 $0.00
6020 Toys GiJoe 0 $0.00 $0.00
6021 Toys Globe 0 $0.00 $0.00
6022 Toys Glow in the dark stars 0 $0.00 $0.00
6023 Toys Guitar - toy 0 $0.00 $0.00
6024 Toys Gumball machine 0 $0.00 $0.00
6025 Toys Hacky sack 0 $0.00 $0.00
6026 Toys Harmonica 0 $0.00 $0.00
6027 Toys Hexbugs 0 $0.00 $0.00
6028 Toys Horse dolls 0 $0.00 $0.00
6029 Toys Hot wheel sets 0 $0.00 $0.00
6030 Toys Hot wheels 0 $0.00 $0.00
6031 Toys Infant contumes 0 $0.00 $0.00
6032 Toys Inflatable bouncers 0 $0.00 $0.00
6033 Toys Inflatable pool toys 0 $0.00 $0.00
6034 Toys Innertubes 0 $0.00 $0.00
6035 Toys Interactive doll 0 $0.00 $0.00
6036 Toys Jumbo stuffed animal 0 $0.00 $0.00
6037 Toys Karaoke system 0 $0.00 $0.00
6038 Toys Keyboard 0 $0.00 $0.00
6039 Toys Kiddie pool 0 $0.00 $0.00
6040 Toys Kite 0 $0.00 $0.00
6041 Toys K'Nex set 0 $0.00 $0.00
6042 Toys Lady bug farm 0 $0.00 $0.00
6043 Toys Learning toys 0 $0.00 $0.00
6044 Toys Learning toys - cash register 0 $0.00 $0.00
6045 Toys Learning toys - encyclopedia 0 $0.00 $0.00
6046 Toys Learning toys - hooked on phonics 0 $0.00 $0.00
6047 Toys Learning toys - laptop 0 $0.00 $0.00
6048 Toys Learning toys - Leapfrog 0 $0.00 $0.00
6049 Toys Lego - Architecture set 0 $0.00 $0.00
6050 Toys Lego - Atlantis set 0 $0.00 $0.00
6051 Toys Lego - Bionicle 0 $0.00 $0.00
6052 Toys Lego - Castle 0 $0.00 $0.00
6053 Toys Lego - City 0 $0.00 $0.00
6054 Toys Lego - Creator set 0 $0.00 $0.00
6055 Toys Lego - Duplo 0 $0.00 $0.00
6056 Toys Lego - Hero factory 0 $0.00 $0.00
6057 Toys Lego - Mindstorms 0 $0.00 $0.00

116 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
6058 Toys Lego - mini figures 0 $0.00 $0.00
6059 Toys Lego - Ninja set 0 $0.00 $0.00
6060 Toys Lego - Pharaoh Quest 0 $0.00 $0.00
6061 Toys Lego - Pirates 0 $0.00 $0.00
6062 Toys Lego - Racers set 0 $0.00 $0.00
6063 Toys Lego - SpongeBob 0 $0.00 $0.00
6064 Toys Lego - Star Wars 0 $0.00 $0.00
6065 Toys Lego - Technic set 0 $0.00 $0.00
6066 Toys Lego - Toy Story 0 $0.00 $0.00
6067 Toys Lego accessories 0 $0.00 $0.00
6068 Toys Lego brick sets 0 $0.00 $0.00
6069 Toys Lego sets (list) 0 $0.00 $0.00
6070 Toys Legos 0 $0.00 $0.00
6071 Toys Lightsaber 0 $0.00 $0.00
6072 Toys Lincoln logs 0 $0.00 $0.00
6073 Toys Lite-Brite 0 $0.00 $0.00
6074 Toys Magic set 0 $0.00 $0.00
6075 Toys Magnet toys 0 $0.00 $0.00
6076 Toys Maracas 0 $0.00 $0.00
6077 Toys Marble maze 0 $0.00 $0.00
6078 Toys Marbles 0 $0.00 $0.00
6079 Toys Markers 0 $0.00 $0.00
6080 Toys Martian matter 0 $0.00 $0.00
6081 Toys Marvel action figures 0 $0.00 $0.00
6082 Toys Math & Counting electronic toys 0 $0.00 $0.00
6083 Toys Megabloks sets 0 $0.00 $0.00
6084 Toys Microphone 0 $0.00 $0.00
6085 Toys Microphone stand 0 $0.00 $0.00
6086 Toys Miniature dolls 0 $0.00 $0.00
6087 Toys Model airplanes 0 $0.00 $0.00
6088 Toys Model cars 0 $0.00 $0.00
6089 Toys Moon sand 0 $0.00 $0.00
6090 Toys Motorcycle 0 $0.00 $0.00
6091 Toys Mr. Potato Head 0 $0.00 $0.00
6092 Toys Musical Toys 0 $0.00 $0.00
6093 Toys My Little Pony 0 $0.00 $0.00
6094 Toys Nerf darts 0 $0.00 $0.00
6095 Toys Nerf football/basketball 0 $0.00 $0.00
6096 Toys Nerf games 0 $0.00 $0.00
6097 Toys Nerf gun 0 $0.00 $0.00
6098 Toys Nerf sword 0 $0.00 $0.00
6099 Toys Pedal car 0 $0.00 $0.00
6100 Toys Piggy bank 0 $0.00 $0.00
6101 Toys Piggy bank - electronic 0 $0.00 $0.00
6102 Toys Pillow buddy 0 $0.00 $0.00
6103 Toys Plane 0 $0.00 $0.00
6104 Toys Plastic animals 0 $0.00 $0.00
6105 Toys Play Animal Hospital 0 $0.00 $0.00
6106 Toys Play Doctor Kits 0 $0.00 $0.00
6107 Toys Play Vehicles 0 $0.00 $0.00
6108 Toys Play-Doh 0 $0.00 $0.00
6109 Toys Play-Doh kits 0 $0.00 $0.00
6110 Toys Playhouse - indoor 0 $0.00 $0.00

117 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
6111 Toys Playhouse - outdoor 0 $0.00 $0.00
6112 Toys Playmoblie set 0 $0.00 $0.00
6113 Toys Pocket animal toys 0 $0.00 $0.00
6114 Toys Power Ranger 0 $0.00 $0.00
6115 Toys Powered riding toys 0 $0.00 $0.00
6116 Toys Princess dolls 0 $0.00 $0.00
6117 Toys Puppet theatre 0 $0.00 $0.00
6118 Toys Puppets 0 $0.00 $0.00
6119 Toys Purse - toy 0 $0.00 $0.00
6120 Toys Puzzles 0 $0.00 $0.00
6121 Toys Puzzles - 3-D 0 $0.00 $0.00
6122 Toys Puzzles - jigsaw 0 $0.00 $0.00
6123 Toys Puzzles - peg 0 $0.00 $0.00
6124 Toys Puzzles - wooden 0 $0.00 $0.00
6125 Toys Race cars toy 0 $0.00 $0.00
6126 Toys Raft 0 $0.00 $0.00
6127 Toys Rag dolls 0 $0.00 $0.00
6128 Toys Remote control airplane 0 $0.00 $0.00
6129 Toys Remote control boat 0 $0.00 $0.00
6130 Toys Remote control cars 0 $0.00 $0.00
6131 Toys Remote control helicopter 0 $0.00 $0.00
6132 Toys Remote control robot kits 0 $0.00 $0.00
6133 Toys Riding toys 0 $0.00 $0.00
6134 Toys Rip stick 0 $0.00 $0.00
6135 Toys Robot kits 0 $0.00 $0.00
6136 Toys Robots 0 $0.00 $0.00
6137 Toys Rocket car 0 $0.00 $0.00
6138 Toys Rope swing 0 $0.00 $0.00
6139 Toys Sand & Water Tables 0 $0.00 $0.00
6140 Toys Sand table 0 $0.00 $0.00
6141 Toys Science kits 0 $0.00 $0.00
6142 Toys Scooter 0 $0.00 $0.00
6143 Toys Scooter-electric 0 $0.00 $0.00
6144 Toys Sea monkeys 0 $0.00 $0.00
6145 Toys Sea World collectibles 0 $0.00 $0.00
6146 Toys Six Flags Magic Mountain collectibles 0 $0.00 $0.00
6147 Toys Skateboard 0 $0.00 $0.00
6148 Toys Skates 0 $0.00 $0.00
6149 Toys Sketching set 0 $0.00 $0.00
6150 Toys Slide 0 $0.00 $0.00
6151 Toys Slinky 0 $0.00 $0.00
6152 Toys Slot car race set 0 $0.00 $0.00
6153 Toys Snorkel 0 $0.00 $0.00
6154 Toys Software - Fisher Price 0 $0.00 $0.00
6155 Toys Software - Mobigo 0 $0.00 $0.00
6156 Toys Software - reading & writing 0 $0.00 $0.00
6157 Toys Software - Vtech 0 $0.00 $0.00
6158 Toys Space sand 0 $0.00 $0.00
6159 Toys Spiderman 0 $0.00 $0.00
6160 Toys SpongeBob 0 $0.00 $0.00
6161 Toys Sprinkler toys 0 $0.00 $0.00
6162 Toys Stamps & Stickers 0 $0.00 $0.00
6163 Toys Star War toys 0 $0.00 $0.00

118 of 120 Copyright © Sean Scott 2011


A B C D E F G H I J K
Item Source Age Replacement Actual Cash
30 Category Description of Item Brand name, serial number, or model. Qty. Total Value $ Depreciation
No. (store, gift, etc.) Yrs. Cost $ Value (ACV)
6164 Toys Stickers 0 $0.00 $0.00
6165 Toys Stuffed animals (list) 0 $0.00 $0.00
6166 Toys Swim diaper 0 $0.00 $0.00
6167 Toys Swim goggles 0 $0.00 $0.00
6168 Toys Swim masks 0 $0.00 $0.00
6169 Toys Swim trainers 0 $0.00 $0.00
6170 Toys Swing set - metal 0 $0.00 $0.00
6171 Toys Swing set - plastic 0 $0.00 $0.00
6172 Toys Swing set - wood 0 $0.00 $0.00
6173 Toys Tambourine 0 $0.00 $0.00
6174 Toys Telescope 0 $0.00 $0.00
6175 Toys Toddler costumes 0 $0.00 $0.00
6176 Toys Toddler dolls 0 $0.00 $0.00
6177 Toys Toy guns 0 $0.00 $0.00
6178 Toys Train 0 $0.00 $0.00
6179 Toys Train set - accessories 0 $0.00 $0.00
6180 Toys Train set - Thomas the Tank engine/wood 0 $0.00 $0.00
6181 Toys Train set - track/powered 0 $0.00 $0.00
6182 Toys Transformers 0 $0.00 $0.00
6183 Toys Tricycle 0 $0.00 $0.00
6184 Toys Trucks - metal 0 $0.00 $0.00
6185 Toys Trucks - plastic 0 $0.00 $0.00
6186 Toys Twistable crayons 0 $0.00 $0.00
6187 Toys Universal Studios collectibles 0 $0.00 $0.00
6188 Toys Vacuum - toy 0 $0.00 $0.00
6189 Toys Vehicle toys 0 $0.00 $0.00
6190 Toys Vintage wind-up toy 0 $0.00 $0.00
6191 Toys Wagon 0 $0.00 $0.00
6192 Toys Walkie Talkie 0 $0.00 $0.00
6193 Toys Water guns 0 $0.00 $0.00
6194 Toys Water slide toys 0 $0.00 $0.00
6195 Toys Water soakers 0 $0.00 $0.00
6196 Toys Water table 0 $0.00 $0.00
6197 Toys Workbench 0 $0.00 $0.00
6198 Toys World map 0 $0.00 $0.00
6199 Toys Worm farm 0 $0.00 $0.00
6200 Toys Yo-Yo 0 $0.00 $0.00
6201 Toys Zhu-Zhu pets 0 $0.00 $0.00
6202
6203
6204 Sub-Total: $0.00 $0.00 $0.00
6205 Sales Tax (CA) 8.75%: $0.00
6206 Delivery Charges: Total Total
Actual Cash
6207 Toys Total: $0.00 Depreciation
Value (ACV)

119 of 120 Copyright © Sean Scott 2011


Memory Jogger Personal Inventory EXAMPLE
by The Red Guide to Recovery
IMPORTANT TIPS TO HELP WITH YOUR INVENTORY
* Provide as much detail as possible. All your personal property, regardless of how small the item is has a value so don’t throw
anything away until it has been documented and your adjuster has authorized you to do so.
* Make your list room by room and take your time. If possible, take pictures or video tape inside each room before you begin your
inventory so you have accurate documentation of the quality, size, and appearance of your items.
* Don’t forget to document inside closets, drawers, and cabinets. You may want to use a tape recorder to dictate your inventory.
This allows you to replay the recording and work offsite.

NAME: John and Sally Smith


ADDRESS: 12558 Casablanca Street, San Diego CA 92119
POLICY NUMBER: 11692WW991
CLAIM NUMBER: PC101234-87
DATE OF LOSS: 12/20/2008

ROOM: John's Bedroom


Item Brand name, serial number, or Source (department store, gift, Age Original Cost Replacement Cost
Category Description of Item Qty.
No. model. etc.) Yrs. $ Total $
1 Furniture Desk Traditional Series Ethan Allen 1 5 $350.00 $500.00
2 Clothing Jeans Levi Strauss 501 style Sears 5 1 $35.00 $175.00
3 Clothing Hawaiian shirt Tommy Bahama Nordstrom 3 1 $150.00 $450.00
4 Clothing Sunglasses Oakley - wrap around Gift 1 2 $0.00 $175.00
5 Audio/Video Stereo Bose Best Buy 1 5 $1,500.00 $1,500.00
6 Sporting Goods Fishing Reel Penn International 50TW Bill's Fishing Shop 1 8 $500.00 $575.00

Sub-Total: $3,375.00
Sales Tax (CA) 8.75% $295.31
Delivery Charges $125.00

Grand Total: $3,795.31

You might also like