FARM PERSONAL PROPERTY INVENTORY _______________________________________________ and __________________ MUTUAL INSURANCE COMPANY (To Be Used With Renewal Application) APPLICANT/INSURED _____________________________________________ POLICY NO. _____________________ SCHEDULED FARM PERSONAL PROPERTY UNSCHEDULED FARM PERSONAL PROPERTY LIVESTOCK CATTLE # Value Total 101 Dairy Cows _____@______$ ___________ 102 Heifers _____@______$ ___________ 103 Dairy Calve _____@______$ ___________ 104 Feeder Cattle _____@______$ ___________ 105 Stock Cattle _____@______$ ___________ 106 Bull _____@______$ ___________ 107 Registered Cattl _____@______$ ___________ SHEEP 111 Ewes _____@______$ ___________ 112 Rams _____@______$ ___________ 113 Lamb _____@______$ ___________ HOGS 121 Sows _____@______$ __________ 122 Boars _____@______$ ___________ 123 Feeder Pig _____@______$ ___________ 131 HORSES _____@______$ ___________ 1 TOTAL LIVESTOCK ...................... $ POULTRY 201 Hen _____@______$ __________ 202 Fryer _____@______$ ___________ 2 TOTAL POULTRY .......................... $ HAY, STRAW AND FODDER 301 Hay _____@______$ ___________ 302 Straw _____@______$ ___________ 303 Fodder/Silage _____@______$ ___________ 3 TOTAL HAY, STRAW & FODDER $ GRAIN, FEED AND SUPPLIES 401 Corn _____@______$ ___________ 402 Soybeans _____@______$ ___________ 403 Wheat _____@______$ ___________ 404 Oats _____@______$ ___________ 405 Sunflower _____@______$ ___________ 406 Farm Chemicals _____@______$ ___________ 411 Veterinary Supplies _____@______$ ___________ 420 Fuel, Oil & Greas _____@______$ ___________ ______@______$ ___________ ________________ _____@______$ __________ 430 Commercial Fee _____@______$ __________ 431 Ground Feed _____@______$ ___________ 4 TOTAL GRAIN, FEED & SUP. ...... $ FARM MACHINERY AND EQUIPMENT 501 Tractors Value No. 1 ____________ __ $ ___________ No. 2 _______________ $ ___________ No. 3 _______________ $ ___________ No. 4 _______________ $ __________ 502 Garden Tractor____ $ ___________ 503 Skid Loader ______ $ ___________ ___________________ $ ___________ 510 Combine No. 1 _____$ ___________ Combine No. 2 _______ $ ___________ Combine Heads ______ $ ___________ 513 Swather________ $ ___________ 514 Picker/Sheller___ $ ___________ 515 Other Self Propelled: ___________________ $ ___________ 520 Port. Elevator_____ $ ___________ 521 Port. Auger No. 1__ $ ___________ Port. Auger No. 2 _____ $ ___________ ___________________ $ ___________ 530 Bale Racks & Trailers $ ___________ Beet Defoliators ______ $ ___________ Beet Lifters __________ $ ___________ Beet Planters ________ $ ___________ Beet Thinners ________ $ ___________ 535 Chisel Plow_______ $ ___________ 536 Corn Planter______ $ ___________ 537 Crop Sprayer ______$ ___________ 538 Drill Seeder _______$ ___________ 539 Disc _____________$ ____________ 540 Drag ____________$ ____________ 541 Fert. Spreader _____$____________ 542 Field Cultivator ____$ ___________ 543 Grain Wagons _____$ ___________ 544 Grinder/Mixer/Mill __$ ___________ 545 Hay Baler _______ $ __________ 546 Hay/Crimper/Bine _ $ ___________ 547 Hay Stacker Loader $ ___________ 548 Hay Stack Mover __ $ ___________ 549 Livestock Trailer (Unlicensed)$_____ 550 Mach. Trailer (Unlicensed) $_______ 551 Manure Spreader _ _$__________ 552 Mower ___________ $ _______ 553 Plows ______________ $ _______ Potato Digger ________ $ ________ 555 Rakes _____________ $ ______ 556 Rotary Tiller/Hoe ______ $ ________ 557 Row Cultivator ________ $ _________ 558 Silage Wagon ________ $ _______ 559 Silage Cutter/Blower ___ $ _________ 560 Stalk Cutter __________ $ _________ 561 Snow Blower _________ $ _________ 562 Spraying Tank ________ $ _________ 563 Tractor Loader _______ $ _________ 564 Vaculator ____________ $ _________ TOOLS AND MISC. EQUIPMENT: 601 Electric Motors ______ $ _________ 602 Fuel Tanks _________ $ _________ 603 Port. Generator _____ $ ________ 604 Spare Parts ________ $ _________ 605 Power Tools ________ $ _________ 606 Hand Tools _________ $ _________ 607 Welder ____________ $ ________ 608 Compressor ________ $ ________ 609 Bldg/Fencing Material $ _________ 610 Misc. Tools & Equip ___ $ _________ _________________ $ ___________ __________________ $ ___________ __________________ $ ___________ 5 TOTAL FARM MACHINERYAND EQUIPMENT ............. $ INSTALLED EQUIPMENT (Must be Scheduled if not included in building value) Bulk Tank/Cooler ____ $ ___________ Milk House Equip. ____ $ ___________ Milking Mach. Equip. __ $ ___________ Hog House Equip. ____ $ ___________ Poultry Equipment ____ $ ___________ Silo Unloader ________ $ ___________ __________________ $ ___________ __________________ $ ___________ 6 TOTAL INSTALLED EQUIPMENT ............. $ 7 TOTAL SCHEDULED VALUE 8 TOTAL UNSCHEDULED VALUE (Add 1 through 6) $_______________ (Add 1 through 5) $______________ Comments: CF-1008 (Ed. 6-09) - OVER - Policy provisions require individual scheduling of above items when not being used in Unscheduled Farm Per- sonal Property. Following items may be optionally scheduled.