Personal Property Inventory Form
Keep This Document in A Safe Place Outside Your Home
Personal Property Inventory
Name: _______________________________
Room this page applies to: ______________________________
Item Description Purchase Date Place of Purchase Original Cost Estimated Value Serial/Model # Receipt or Photo
Page __________ of __________
OTC Insurance Services
a California Corporation
5737 Kanan Road, Suite 630
Agoura Hills, CA 91301
Isaac Ortiz 818-429-8022 (Direct)
Office: 818-991-9019
CAInsuranceAgents.com
License # 3013582
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