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PRIVATE - Household Insurance Sum Determination Form

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Bitte beachten: Alle Wertangaben bitte zum Neuwert erfassen! D.h. bitte keine Abschläge für Alter, Gebrauchsspuren, Rabatte, oder ähnliches vornehmen. Anzusetzen ist der aktuelle Marktpreis der Sache, so wie wenn sie heute (neu) gekauft werden würde.

Specification of living area (due to underinsurance) in sqm

1.1. Furniture, Upholstered Furniture

1.2. Loose-laid floor coverings (please record genuine carpets under valuables)

1.3. Lamps (including LED / halogen light systems), pictures, plants

1.4. Consumer electronics, CDs, cassettes, records, personal computers

1.5. Dishes, porcelain, cutlery, vases, clocks

2.1. Furniture, Beds (Mattresses, Duvets, Bedding) – Children's Room 1

2.1. Furniture, Beds (Mattresses, Duvets, Bedding) – Children's Room 2

2.1. Furniture, Beds (Mattresses, Duvets, Bedding) – Children's Room 3

2.2. Lamps (including LED/halogen light systems), pictures, plants – children's room 1

2.2. Lamps (including LED/halogen light systems), pictures, plants – children's room 2

2.2. Lamps (including LED/halogen light systems), pictures, plants – children's room 3

2.3 Toys, Books, Cassettes, Craft Materials – Children's Room 1

2.3 Toys, Books, Cassettes, Craft Materials – Children's Room 2

2.3 Toys, Books, Cassettes, Craft Materials – Children's Room 3

2.4 CD Player, Radio Recorder, Game Console, TV, Accessories – Children's Room 1

2.4 CD Player, Radio Recorder, Game Console, TV, Accessories – Children's Room 2

2.4 CD Player, Radio Recorder, Game Console, TV, Accessories – Children's Room 3

2.5 Clothing, Shoes, Laundry – Children's Room 1

2.5 Clothing, Shoes, Laundry – Children's Room 2

2.5 Clothing, Shoes, Laundry – Children's Room 3

2.6. Stroller, baby rocker, etc. – Children's room 1

2.6. Stroller, baby rocker, etc. – Children's room 2

2.6. Stroller, baby rocker, etc. – Children's room 3

2.7. Curtains, blinds, loose floor coverings – Children's room 1

2.7. Curtains, blinds, loose floor coverings – Children's room 2

2.7. Curtains, blinds, loose floor coverings – Children's room 3

3.1. Furniture, Beds (Mattresses, Bed Covers, Bedding) – Bedroom 1

3.1. Furniture, Beds (Mattresses, Bed Covers, Bedding) – Bedroom 2

3.2 Lamps (including LED/halogen light systems), pictures, plants – bedroom 1

3.2 Lamps (including LED/halogen light systems), pictures, plants – bedroom 2

3.3. Clothing, Shoes, Laundry – Bedroom 1

3.3. Clothing, Shoes, Laundry – Bedroom 2

3.4. Curtains, blinds, loose floor coverings, mirrors, alarm clocks, clocks – bedroom 1

3.4. Curtains, blinds, loose floor coverings, mirrors, alarm clocks, clocks – bedroom 2

4.1. Custom fitted kitchen, other furniture

4.2. Lamps (including LED/halogen lighting systems), pictures, plants

4.3. Stove, refrigerator, freezer, coffee machine, other kitchen appliances

4.4 Dishes, pots, pans, glasses

4.5 Cleaning devices, cleaning/care products

4.6 Food, supplies, beverages, home bar

5.1. Furniture, curtains, blinds, mirrors, towels, bath mats, drying racks – Bathroom/WC

5.1. Furniture, curtains, blinds, mirrors, towels, bath mats, drying racks – Guest Bathroom/WC

5.2. Lamps (including LED/halogen light systems), pictures, plants – bathroom/WC

5.2. Lamps (including LED/halogen light systems), pictures, plants – guest bathroom/WC

5.3. Razor, hairdryer, scale, toothbrush – bathroom/WC

5.3. Razor, hairdryer, scale, toothbrush – guest bathroom/WC

5.4. Cosmetics, perfume, care products – bathroom/WC

5.4. Cosmetics, Perfume, Care Products – Guest Bathroom/WC

5.5. Own sanitary facilities (applies only to tenants) – Bathroom/WC

5.5. Own sanitary facilities (applies only to tenants) – Guest Bathroom/WC

6.1. Additional Rooms – Total

6.2. Additional Locations – Total

6.3 Additional Locations – Total

6.4. Additional Rooms – Total

7.1. Cash, Documents, Savings Books, Securities

7.2. Jewelry, Gemstones, Pearls, Gold, Platinum, (Pocket) Watches

7.3. Collections (stamps, coins, medals, phone cards)

7.4. Furs, genuine carpets, tapestries

7.5. Art objects (paintings, drawings, graphics, sculptures)

8.1 Ladies', men's, children's bicycles

8.1 E-bikes

8.1 Pedelecs

9.1 Valuable print media (books, magazines, comics, etc.)

9.2 Sewing, typing, calculating machines

9.3. Commercially/officially used work equipment

9.4. Suitcases, bags, umbrellas, hats

9.5. Sports equipment (ski, surfboard, etc.)

9.6. Camping equipment

9.7. Musical instruments, sheet music

9.8. Cameras, video cameras, optical devices

9.9 Satellite antenna, awning (for private sole use)

9.10 Heater, radiator, heating material

9.11 Tools, work equipment, shelves

9.12 Balcony, garden furniture, garden tools

9.13 Pets and pet accessories of any kind

9.14 Planned acquisitions in the next two years

9.15 Household items that remain outside the insured location for more than 3 months, e.g. in garages, garden sheds, second homes, etc.

9.16 Items regularly left in vehicles

9.17 Other

10. Neuwert (Wiederbeschaffungswert) des gesamten Hausrats = Versicherungssumme in €

Hinweis: i.d.R. werden Kosten (z.B. Hotelkosten) auf die Versicherungssumme angerechnet und müssen deshalb zusätzlich berücksichtigt werden.