Refrigerator:	Make/model:_____________	Serial #: ___________
Freezer:	Make/model:_____________	Serial #: ___________
Stove/oven:	Make/model:_____________	Serial #: ___________
Cook-top:	Make/model:_____________	Serial #: ___________
Dishwasher:	Make/model:_____________	Serial #: ___________
Microwave:	Make/model:_____________	Serial #: ___________
Extractor/Exhaust Fan:	Make/model:_____________	Serial #: ___________
Garbage Compactor:	Make/model:_____________	Serial #: ___________
Freezer:	Make/model:_____________	Serial #: ___________
Garborator:	Make/model:_____________	Serial #: ___________
Instant hot:	Make/model:_____________	Serial #: ___________

Laundry.

Washer:	Make/model:_____________	Serial #: ___________
Clothes Dryer:	Make/model:_____________	Serial #: ___________

General.

Water softener	Make/model:_____________	Serial #: ___________
Central Vacuum	Make/model:_____________	Serial #: ___________
	Make/model:_____________	Serial #: ___________

Appliances not functioning: ___________________________________

Appliances requiring repair: ___________________________________