CLIENT’S VALUED INVENTORY

(UNDER CONSTRUCTION.) Welcome, customer. Below is a static representation of the form we’ve asked you to complete. Please use the input fields below the form to submit your valued inventory data to RMO. When finished, click the Submit button. A version of the form will be completed using the data you enter; it will be emailed to you for review and signature. Thank you.

 

 

RMO Valued Inventory

 

RMO Sign

 

Rocky Mountain Overseas, Inc. FMC3688

3250 Oakland Street, Unit C, Aurora, CO 80010

303.377.4500

www.rmos.com

Shipper’s Name: Origin City, Country: Date Packed:
Destination(Complete Address): Moving By (Check) Land Sea Air
Instructions: ITEMS NOT DECLARED AND VALUED ARE NOT INSURED
A. Living Room: F. Linens/Clothing: I. Bedroom No. 1: M. Miscellaneous:
Sofas Coats/Jackets Beds Typewriters
Chairs Suits Chairs Clocks
Lamps & Shades Dresses Night Stands Figurines
Tables Sport Coats Vanity Baskets, Plant Holders
Radio Slacks Chest & Drawers Toys & Games
Record Player/Stereo Sweaters Mirrors Fax/Phone
TVs Blouses Lamps Bicycles
Rugs & Carpets Skirts Curtains & Drapes Computer/Printer
Piano Shirts Bookcases Computer Supplies
Tape Deck/Recorder Sleepwear Desks Sewing Machine
Bookcase/Room Divider Shoes/Boots Armoire/Wardrobe Sewing Supplies
B. Dining Room: Purses/Belts Other: Sports Equipment
Table Hosiery/socks J. Bedroom No. 2: Cameras/Lens
Chairs Ties/Scarves Beds Misc. Camera Equip.
China Cabinet Underwear Chairs Projectors/ Camcorder
Buffet Table Lingerie Night Stands Books/Records/Movies
Serving Table/Tea Cart Sportswear Vanity Pictures/Paintings
Lamps & Chandeliers Sheets/Pillow Cases Chest & Drawers Fireplace Equipment
Rugs & Carpets Blankets Mirrors
Curtains &Drapes Quilts Lamps N. Other:
Mirrors Other: Curtains & Drapes
Table/linens/Accessories Bookcases
C. Kitchen: G. Basement and Garage: Desks
Step Stool Workbench Armoire/Wardrobe
Table Set/Chairs Tools: Other:
Electric Appliances K. Bedroom No. 3:
Cabinets Beds
Kitchen Linens/ Curtains Lawn Mower Chairs
Dishwasher Garden Tools Night Stands
Oven Furniture Vanity
Microwave Luggage/Trunks/Brief Cases Chest & Drawers Column Sub Total:
Dishes Washing Machine/Dryer Mirrors TOTAL HOUSEHOLD GOODSUS $
Utensils/ Silverware Iron/Ironing Board Rugs
Pots & Pans Vacuum Lamps
Bowls, Trays, Etc. Other: Curtains & Drapes AUTOMOBILEYr./Make:VIN:  Non-Factory Installed Auto Accessories must be separately listed and valued
Refrigerator/ Freezer Bookcases
Trash/Garbage Cans H. Bathrooms: Desks
D. China and Glassware: Rugs/Toilet Covers Armoire/Wardrobe
Toilet Articles Other:
Medical Supplies L. Den/Family Room:
Towels Chairs
Clothes Hamper Curtains & Drapes
Trash Can Sofa TOTAL AUTOMOBILEUS $
Cabinets/Shelves/Mirrors Tables
E. Silver: Razors, Hair Dryers Lamps
Other Rugs & Carpeting GRAND TOTAL-INSURED VALUEUS $
Desks
Bookcases
Other:
Column Sub Total: Column Sub Total:   Column Sub Total:

I, understand that my shipment is insured for US $ __________ which represents cost at destination. I further understand, that the insured value of the shipment cannot be less than $6.00 per pound and all items over $100.00 in value must be individually declared/ itemized.

Please Sign: X___________________________________________