Location moving from: 

Location moving to: 

Date of Move: 

Number of bedrooms:   1 2 3 4 5 6 7 8 9

Other rooms to be moved: 

Living Room 

Dining Room 

Den 

Dinette 

Office 

Playroom 

Sunroom 

Patio 

Garage Items 

Basement Items  

Appliances to be moved: 

Refrigerator 

Washer and Dryer 

Freezer

No piano Spinet or Console Large Upright Baby Grand Piano Grand Piano

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