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SCHEDULE "A" SECURITY UST ; Branch Address Stamp :
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Describe (urniture by color a~d style: ~ f
Abbreviations - Mod., Trad., Col., Medi., Fr.P.
Desc~ibe appliance by size and bra~d. 1 List? , ;
Yes I_I No -
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i Sofas # Style ~ TV ,
Co~ur - -
~ Lounge Style TV
O . Chairs i ~Color Size Brand
O Occ. T~
~ Chairs ~ Color Size Brand
~ End Stereo
c~ f Tables i St le v~ T Brand -
z Cotfee W Room Ai~
- ~ables ~ ~ e U Conditiancrs ~ Size Bra~d
~ Rugs z Range
- Size Color Q Brand i
- ~~~t - Refrigerator ~
Size Color Brand
~ l3m~s ! a Dishwasher c / `
~ Type a Brand G~~~-e•'~'
-t-Dinette Set Q Freezer _
1 Z' # Pieces Style Brand
w~
G Ertd /Washe~
p t / Brand
Q 1 Tables t St le
' a o; Chairs # Style Dryer
~ w ? - Color Brand ~
v~!- Sofa Style Sewing Machine
Z F ' Color Brand
- , Vacuum
w ~ Desk
Z 2 T- ~ Brand
G _ ; _ = Power TYPe
p ~ - •-~jy ~ = Lawn Mower Brand
! Suite ~ Piano
~ Pieces St I t ~ T Brand ~
W Organ
;/r5uite G~ ( : Z
~ Piece ~ :1~-~X Q T Brand
~ I Suite Major ! O~,
J
~ ~ # Pieces Style ~ J Power Tools
~ ~ Suite 0 R'+' aECv,~~ED
, w ST. LIiCtE C~UJiTY F
# Pieces St le V 4$
~ Rugs Or Size ~ ~ ~LEF~ CDURT
w _ R.f,~JRl •rU'•
i Gar ts i Color
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~ ~ Chairs # ~ ~
i Color
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~ When and Where was furniture purchased ? Cost 5
~ Custaner's Estimate of value S. GJ
a With what cortrpany is the turniture insured: Name _
po~~ Acfdress_
S~hedule "A" f Se rity Agreement dated the day of ~ 19 ~
Ori Loan o. 7 =
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ess) Date) ~ -
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(Witnr (Uate) (Seal) -
itness a e ea
48 ~229 ~ 484
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