Farm Personal Property Inventory Form
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1
2fARM peRsonAl pRopeRty inventoRy
______________________________________________ and
NORTH STAR MUTUAL INSURANCE COMPANY
(To Be Used With Renewal Application)
AppliCAnt/insUReD _____________________________________________ poliCy no. _____________________
sCHeDUleD fARM peRsonAl pRopeRty
UnsCHeDUleD fARM peRsonAl pRopeRty
fARM MACHineRy AnD eQUipMent
livestoCK
CATTLE
#
Value
Total
Tractors:
Value
Mach. Trailer (Unlicensed) $ ___________
Dairy Cows
______@______$ ___________
No. 1 _______________ $ ___________
Manure Spreader ______ $ ___________
Heifers
______@______$ ___________
No. 2 _______________ $ ___________
Mower ______________ $ ___________
Dairy Calves
______@______$ ___________
No. 3 _______________ $ ___________
Plows _______________ $ ___________
Feeder Cattle
______@______$ ___________
No. 4 _______________ $ ___________
Potato Digger _________ $ ___________
Stock Cattle
______@______$ ___________
No. 5 _______________ $ ___________
Rakes ______________ $ ___________
Bulls
______@______$ ___________
No. 6 _______________ $ ___________
Rotary Tiller/Hoe ______ $ ___________
Registered Cattle
______@______$ ___________
Garden Tractor _______ $ ___________
Row Cultivator ________ $ ___________
SHEEP
Skid Loader __________ $ ___________
Silage Wagon ________ $ ___________
Ewes
______@______$ ___________
____________________ $ ___________
Silage Cutter/Blower ___ $ ___________
Rams
______@______$ ___________
Combine No. 1 ________ $ ___________
Stalk Cutter __________ $ ___________
Lambs
______@______$ ___________
Combine No. 2 ________ $ ___________
Snow Blower _________ $ ___________
HOGS
Combine Heads _______ $ ___________
Spraying Tank ________ $ ___________
Sows
______@______$ ___________
Combine Heads _______ $ ___________
Tractor Loader ________ $ ___________
Boars
______@______$ ___________
Swather _____________ $ ___________
Vaculator ____________ $ ___________
Feeder Pigs
______@______$ ___________
____________________ $ ___________
TOOLS AND MISC. EQUIPMENT:
HORSES
______@______$ ___________
____________________ $ ___________
Electric Motors ______ $ ___________
Other Self Propelled:
Fuel Tanks__________ $ ___________
1
totAl livestoCK ....................... $
____________________ $ ___________
Port. Generator ______ $ ___________
Port. Elevator _________ $ ___________
Spare Parts _________ $ ___________
poUltRy
Port. Auger No. 1 ______ $ ___________
Power Tools ________ $ ___________
Hens
______@______$ ___________
Port. Auger No. 2 ______ $ ___________
Hand Tools _________ $ ___________
Fryers
______@______$ ___________
____________________ $ ___________
Welder_____________ $ ___________
Compressor ________ $ ___________
2
totAl poUltRy ........................... $
policy provisions require individual
Bldg/Fencing Material _ $ ___________
scheduling of above items when not
__________________ $ ___________
HAy, stRAW AnD foDDeR
being used in Unscheduled farm per-
__________________ $ ___________
Hay
______@______$ ___________
sonal property. following items may
__________________ $ ___________
Straw
______@______$ ___________
be optionally scheduled.
__________________ $ ___________
Fodder/Silage
______@______$ ___________
__________________ $ ___________
Bale Racks & Trailers __ $ ___________
__________________ $ ___________
3
totAl HAy, stRAW & foDDeR .. $
Beet Defoliators _______ $ ___________
5
Beet Lifters __________ $ ___________
totAl fARM
GRAin, feeD AnD sUpplies
MACHineRyAnD
Beet Planters _________ $ ___________
Corn
______@______$ ___________
Beet Thinners ________ $ ___________
eQUipMent .............. $
Soybeans
______@______$ ___________
Chisel Plow __________ $ ___________
instAlleD eQUipMent
Wheat
______@______$ ___________
Corn Planter _________ $ ___________
Oats
______@______$ ___________
(Must be Scheduled if not included
Crop Sprayer _________ $ ___________
Sunflowers
______@______$ ___________
in building value)
Drill Seeder __________ $ ___________
Farm Chemicals
______@______$ ___________
Disc ________________ $ ___________
Bulk Tank/Cooler _____ $ ___________
Veterinary Supplies
______@______$ ___________
Milk House Equip. ____ $ ___________
Drag ________________ $ ___________
Fuel, Oil & Grease
______@______$ ___________
Fert. Spreader ________ $ ___________
Milking Mach. Equip. __ $ ___________
Paints
______@______$ ___________
Hog House Equip. ____ $ ___________
Field Cultivator ________ $ ___________
__________________ ______@______$ ___________
Grain Wagons ________ $ ___________
Poultry Equipment ____ $ ___________
__________________ ______@______$ ___________
Silo Unloader ________ $ ___________
Grinder/Mixer/Mill _____ $ ___________
__________________ ______@______$ ___________
___________________ $ ___________
Hay Baler ____________ $ ___________
Commercial Feed
______@______$ ___________
___________________ $ ___________
Hay/Crimper/Bine _____ $ ___________
Ground Feed
______@______$ ___________
Hay Stacker Loader ____ $ ___________
6
totAl instAlleD
Hay Stack Mover ______ $ ___________
4
totAl GRAin, feeD & sUp. ........ $
eQUipMent .............. $
Livestock Trailer (Unlicensed)$ _________
7 totAl sCHeDUleD vAlUe
8 totAl UnsCHeDUleD vAlUe
(Add 1 through 6) $_______________
(Add 1 through 5) $______________
Comments:
CF-1008 (Ed.
)
- oveR -
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