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SCHEDULE A SECURITY L'IST '
Describe furniture by cotor and style: ~
Abbreviations - Mod. , Trad. , Col Medi Fr. P.
Describe appliance by size and brand. Verbal List? ~ ~
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Lj Yes [I No 1 ~
Sofas # Style ~
Color Si:e C~~~~~ vl~s~I Brand
, ~ Lounge Style TV ~
O Chairs ~ Color Size Brand
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o Occ. ~ +
oc Chairs # Color Size Brand ~
Stereo 3
End Brand
c~ Tables # ~ ~ 5 ~e • ~n T
z Coffee w Room Air ~
- Tables i~ f St le U Conditioners # Size Brand
> R~95 z Range /~0 ~
~ Size Color Q Brand ~~~C1
Carpet Refrigerator ~ i
Size Color Brand ~
~~S ~ Dishwasher ~
T . a Brand lN~~~ ~
Dinette Set a Freezer :
~ Z # Pieces St le 1~t1~ Brand ~ F
~ W End Washer j~ {
~ ~ Tables t 5 le Bra~d li•~ :
a o Chairs ~ Style - ~rYer `
' w Color Brand
t !J o I- Sofa Style Sewing Machine
~ z F... . Color Brand "
~ W Desk ~ Vacuum s
~ ? Z T Brand
r" Power TYPe
~ p p j Lawn Mower Brand
Suite 3 ~O~ ~ Piano
; p~~~- ~ S le , T Brand
W Organ
Suite z Brand ~
~J Pieces 5 le T
~ a Major
Suite ~
~ # Pieces St le Power Tools
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~ Suite ui . fLLUCiC =:UUMTr FLA. `
~ # Pieces St fe r:
o ~ c~E~.K ;~~t covar
, Rugs or Size ~ P~~~R±' Y~~':=tf9~„~ T
Car ts ~ Color _ ~
0° Chairs ~ ~ -
' Color
; Lamps ~I
~ T
°5 When and Where was furniture purchased? Cost S
~ Customer's estimate of value ~ GbO, - ~
With what company is the furniture insured: Name i
~ po~~~y ; Address: ;
~ Schedule °A" of Security Agreement dated the day of • ~~,c~ . 19 ~ , ?
~ Original Loan No. . ~
- ~ ~/7-
- (Date) Seal
_ _ Witness) ~ m~ ' ~
- (Wit (Date) (Seal) i
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- ~ ess a e ea ~
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