Household Inventory Interactive Form

Instructions: Use this form to make a record of your belongings in up to 10 rooms. Begin by saving a copy of this document on your own computer, using your software’s “save as” command to rename the file (for example, “Smithhouseholdinventory”) as you save it. If your home has more than 10 rooms, you’ll need to save a second copy (for example, “Smithhouseholdinventory2”). Then, start entering your own information by clicking on a shaded area and typing. You can type right over any shaded text that’s already there. 

This form allows you to change or update any information that you enter. You can also use the Tab key to move quickly from one item or column to the next. 

After you’ve completed your inventory, be sure to print two copies—one for your home and another for a secure location outside it.

Adapted for use in the Legally Secure Your Financial Future: Organize, Communicate, Prepare program from original written by
Joyce E. Jones, Ph.D., formerly Kansas State University professor and Extension Family Economics Specialist.

Household Inventory Locations
In this section, list information about where you keep your household inventory documents and supporting information such as photographs, videos, or CDs.  
Home computer user name: Enter your information by typing over the shaded text.
Home computer password:      
Electronic file name: Enter the name of this document.
Copy #1 location: Identify the location of a printed copy of your household inventory.
Copy #2 location: Identify the location of a second copy of your household inventory.
Video or CD location: Identify the location of videotape(s) or other electronic copies of your household inventory.
Photos location: Identify the location of photographs of your household inventory.

Household Inventory Checklist
The following checklist may help you make a complete inventory of each room.
Instructions: Click on the box next to an item to mark it with an X. You can add additional items on the next page.

•	
For Every Room:
 Furniture
 Floor coverings
 Window treatments
 Accessories and lighting fixtures
Living Room:
 Fireplace equipment 
 Accessories and fine arts 
 Entertainment equipment
Kitchen and Utility:
 Major appliances
 Large equipment
 Portable electric equipment
 Food preparation equipment
 Baking equipment
 Top-of-stove equipment
 Cleaning equipment
 Laundry equipment
 Flatware and glassware
 Supplies
Family Room, Den, or Office:
 Computer 
 Entertainment equipment
 Bar and bar accessories
 Desk equipment and accessories
 Recreational equipment
Dining Room:
 Tableware
 Linens
 Dishes and glasses
 Silverware
Hallway and Linen Closet
 Linens
 Extra pillows and quilts
Each Bedroom:
 Linens
 Personal electric appliances
 Jewelry
 Electronic and computer equipment

Each Bathroom:
 Linens and supplies
 Personal electric appliances
Clothing for All Family Members

Other Special Items:
 Books
 Works of art
 Phonograph records, tapes, CDs
 Jewelry
 Antiques
 Collections
 Photographic equipment

Garage, Cellar, Workroom, Auxiliary Buildings

Miscellaneous:
 Baby/children’s equipment/furniture
 Health care equipment
 Exercise equipment
 Luggage
 Office equipment
 Recreational, hobby, leisure equipment
 Sewing equipment and supplies
 Outdoor/patio equipment/furniture
 Lawn/garden equipment
 Workshop equipment
 Heating/cooling equipment
 Musical instruments
 Play equipment
 Guns, hunting and fishing equipment
 Water treatment equipment
 Camping and boating equipment

Anything Else:

 Sample: Antiques	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

      	

Household Inventory

Room: Living Room	Page:      

Date completed/updated:      

Item*	Date purchased	Purchase price	Location of receipt, photo, etc.	
Sample: TV set, Sony model ###, serial number, condition (type over this entry to change it)	12/20/2004	$450	Home file - electronics	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	

*List the item and provide a short description, such as the name of the manufacturer, the model, serial number, and information regarding condition, color, etc. Add as many pages as necessary.

Household Inventory

Room      	Page      

Date completed/updated      

Item*	Date 
purchased	Purchase 
price	Location of receipt, photo, etc.	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	

*List the item and provide a short description, such as the name of the manufacturer, the model, serial number, and information regarding condition, color, etc. Add as many pages as necessary.

Household Inventory

Room      	Page      

Date completed/updated      

Item*	Date 
purchased	Purchase price	Location of receipt, photo, etc.	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	

*List the item and provide a short description, such as the name of the manufacturer, the model, serial number, and information regarding condition, color, etc. Add as many pages as necessary.

Household Inventory

Room      	Page      

Date completed/updated      

Item*	Date 
purchased	Purchase price	Location of receipt, photo, etc.	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	

*List the item and provide a short description, such as the name of the manufacturer, the model, serial number, and information regarding condition, color, etc. Add as many pages as necessary.

Household Inventory

Room      	Page      

Date completed/updated      

Item*	Date 
purchased	Purchase price	Location of receipt, photo, etc.	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	

*List the item and provide a short description, such as the name of the manufacturer, the model, serial number, and information regarding condition, color, etc. Add as many pages as necessary.

Household Inventory

Room      	Page      

Date completed/updated      

Item*	Date 
purchased	Purchase price	Location of receipt, photo, etc.	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	

*List the item and provide a short description, such as the name of the manufacturer, the model, serial number, and information regarding condition, color, etc. Add as many pages as necessary.

Household Inventory

Room      	Page      

Date completed/updated      

Item*	Date 
purchased	Purchase price	Location of receipt, photo, etc.	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	

*List the item and provide a short description, such as the name of the manufacturer, the model, serial number, and information regarding condition, color, etc. Add as many pages as necessary.

Household Inventory

Room      	Page      

Date completed/updated      

Item*	Date 
purchased	Purchase price	Location of receipt, photo, etc.	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	

*List the item and provide a short description, such as the name of the manufacturer, the model, serial number, and information regarding condition, color, etc. Add as many pages as necessary.

Household Inventory

Room      	Page      

Date completed/updated      

Item*	Date 
purchased	Purchase price	Location of receipt, photo, etc.	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	

*List the item and provide a short description, such as the name of the manufacturer, the model, serial number, and information regarding condition, color, etc. Add as many pages as necessary.

Household Inventory

Room      	Page      

Date completed/updated      

Item*	Date 
purchased	Purchase price	Location of receipt, photo, etc.	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	

*List the item and provide a short description, such as the name of the manufacturer, the model, serial number, and information regarding condition, color, etc. Add as many pages as necessary.

This document is for non-profit educational purposes only. This document may not be used by a profit-making company or organization. When used by a non-profit organization, appropriate credit must be given to the Cooperative Extension Legally Secure Your Financial Future: Organize, Communicate, Prepare education program. Materials for this program were developed by a team from six land-grant universities. The program is included in the program toolkit of the Cooperative Extension Financial Security in Later Life national initiative. For more information go to: http://www.csrees.usda.gov/fsll.