I. D. A HOUSE INTERNATIONAL, LLC INVENTORY AGREEMENT FORM Primary Property Owner's Name * First Last Secondary Property Owner's Name First Last Email Address * Phone * Property Address Mailing Address (if different) Establishment — Select — Home Business Non-profit Other Organization Name (if applicable) Insurance Co: Policy No: Agent: Agent Phone: Agent Email: Agent's Address Size of Property List how many of each room are on your property Square footage of property Living/Bonus Rooms — Select — 0 1 2 3 4 5 6 7 8 More Dining Rooms — Select — 0 1 2 3 4 5 6 7 8 More Kitchens — Select — 0 1 2 3 4 5 6 7 8 More Bedrooms — Select — 0 1 2 3 4 5 6 7 8 More Bathrooms — Select — 0 1 2 3 4 5 6 7 8 More Hallways — Select — 0 1 2 3 4 5 6 7 8 More Laundry Rooms — Select — 0 1 2 3 4 5 6 7 8 More Offices — Select — 0 1 2 3 4 5 6 7 8 More Home Theater — Select — 0 1 2 3 4 5 6 7 8 More Home Theater or Media Room — Select — 0 1 2 3 4 5 6 7 8 More Linen Closets — Select — 0 1 2 3 4 5 6 7 8 More Garages — Select — 0 1 2 3 4 5 6 7 8 More Patios/Decks — Select — 0 1 2 3 4 5 6 7 8 More Sheds/Outdoor Buildings — Select — 0 1 2 3 4 5 6 7 8 More Comments I agree to hire I.D. A House to assist me in completing a full inventory list of all my personal property that was destroyed due to a peril . (2) I.D. A House has agreed to place the replacement value on each item. (3) I understand that any and all materials used in my inventory is the property of I.D. A House, and not to be shared with any person or business without permission from I.D. A House. (4) I agree to allow I.D. A House to complete an evaluation on any contractor I want to hire to repair my property. (5) I understand I am responsible for giving I.D. A House International, LLC the quantity and ages of each item on my inventory list. (6) I agree to allow I.D. A House International, LLC to discuss my personal property claim with my Insurance adjuster or FEMA representative if necessary. (7) I agree to hold I.D. A House International, LLC harmless for any part of my inventory I present to my insurance company or FEMA. (8) I understand I.D. A House International, LLC can’t represent me in any legal capacity, and their main duty under the provisions of this agreement is to assist me in the completion of my personal property inventory list. (9) I understand and agree this agreement is a legal and binding contract. (10) I agree to pay I.D. A House International, LLC $________ assist me with completing my personal property list. (11) I agree I have the authority as the property owner or legal representative of the property owner to enter into this agreement. * Yes Property Owner/Representative: By typing in your name in this field, you are agreeing to the membership form above. Date / Time