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					                  PERSONAL PROPERTY CHECKLIST

DATE:
INSURED:

                                                                           AMOUNT/
                                                            Y      N       VALUE
Increased amount personal property                                       _________
Replacement cost contents                                                _________
Increased limits special classes property                                _________
Personal property at another location                                    _________
Personal property at rental location                                     _________
Scheduled property:
      Coin or stamp collection exhibited?                                _________
      Jewelry, watches in vault?                                         _________
      Furs                                                               _________
      Guns                                                               _________
      Silver, gold, or pewter ware                                       _________
      Antiques                                                           _________
      Artwork                                                            _________
          Breakage                                                       _________
          Pair or set                                                    _________
          Any on loan or exhibited?                                      _________
          Agreed replacement value?                                      _________
      Special collections; rare/unique items                             _________
              Business use                                               _________
      Oriental rugs                                                      _________
      Computers/electronics used in business?                            _________
      Sports equipment                                                   _________
      Cameras (include camcorders)                                       _________
          Breakage                                                       _________
          Professional usage?                                            _________
      Musical instruments                                                _________
          Professional usage?                                            _________
      Valuable papers                                                    _________
      Accounts receivable                                                _________
      Other -                                                            _________




           This form is provided as a PIANC member benefit. It is intended for
           informational purposes only and not as an exhaustive list. It is not
           intended to substitute or replace the agent’s own judgment.
                                                                            AMOUNT/
                                                     Y              N       VALUE
Any scheduled property not at the insured’s residence?                    _________
Comments:


Business property on premises                                             _________
Property with student away at school                                      _________
Watercraft (motorized or not)                                             _________
      How titled?


Motorized vehicles not required to be licensed:
            Snowmobile                                                    _________
            ATV                                                           _________
            Go-kart                                                       _________
            Dune buggy                                                    _________
            Golf cart                                                     _________
            Moped or motorbike                                            _________
Aircraft (include hot air balloons, glider, etc.)                         _________
            How titled?

Motorhome, trailer, camper                                                _________
Personal automobiles
      Physical damage                                                     _________
      Classic or antique auto                                             _________
      Car phone, tapes or CD’s                                            _________
      Rental reimbursement                                                _________

Livestock                                                                 _________

Comments or other considerations:




Agent _________________________Insured

Date___________________________




            This form is provided as a PIANC member benefit. It is intended for
            informational purposes only and not as an exhaustive list. It is not
            intended to substitute or replace the agent’s own judgment.

				
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posted:10/3/2012
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