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SCHEDULE •A° SECURITY UST ' i Branch Address Stamp
Describe furniture by color and style: ~ j
Abbreviations - Mod. , Trad. , Col Medi Fr. P.
Describe appliance by si:e a~d brand. ~ Verbal List' ~
~ L~ Yes i ( No ~
Sofas t Style TV
Color Si ze Brand
~ Lounge Style ~ ~
O Chairs * Color Size Brand
O Occ. ~
~ Chairs t Color Size Brand
i End Stereo
U Tables i S le ~n T Brand -
z Coffee W Room Air
- Tables • St le V Conditio~ers # Size Brand _
> Rugs z Range-
J Size Color Q Brand :
Carpet Refrigerato~ ;
Size Color J Brand
~~S # a Dishwashe ~ A ~
-r a Brand G~ fy---
Dinette Set a Freezer ~
~ Z t * Pieces St le Brand
~ W E~d Washer
~ ~ i Tables • - 5 le Brand FILEO AkL• R~~p~ .
-~.-L~iG~c-F-z')?fl
a o~ Chairs ~ Style Dryer P.UGE i F J~ q~s
w! Coior Brand CLEF.K Ct~ 't!~T (:nf~ar .
~ F- f Sofa Style Sewing Machine •~r•+ V£~;=tc~~~ ~
2 ~ ~ Color Brand
' w pesk Vacuum QZ ~1
~ Z z TYPe Brand
_ r Power TYPe
~ p ; > Lawn Mower Brand
Suite ~ Piano
~ # Pieces St le T Brand
W Or an
~ Suite _ Z ~ g
' ~ Pieces 5 le T/Pe Brand
~ a Major -
Sui te
~ ~ Pieces Style ! Power Tools
, J
~ ~ SUI~e j W c
~ ~ Pieces Style 3
~ ~ U
Rugs or Size N r
~ Ca ts # Color ~ _ !'ie , ~ .
L '
n ~ Chairs # ~
Color
Lamps ~ ~
T
When a~d Where was furniture purchased ? Cost S
Custorner's estimate of value _ f~~ ~
W:th what cosrQany is the furniture +nsured: f`ame
po~~~y # AckJress:
Sch~dule 'A' of ~ecurity Agreement dated the day of . 19
Original Loan No. 'r :
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(Witness) ate) (Seal)
(Witness) (Date) (Seal)
~tness a e ea
~ ~-u8 BOOKL~,7 PAfF~~~ ~
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