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SCHEDULE •A" SECURITY LIST ' Bra~ch Address Stamp ~
Describe turniture by color and style: i
Abbreviations - Mod. , Trad. , ('.ol . , A1edi . , Fr. P. • ,
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Describe appliance by size and brand. Ve List?
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1 L' es i( No
Sofas ~ ~ Style y TV :
Color ~ Size Brand ~
~ Lou~ge Style TV ~j ~ ~ ~ g -
O Chairs ~ Color Size !i /w Brand
O Occ. ~
~ Chairs # Color Size Brand
~ End Stereo /J
~ Tables St le N 'r ' Brand "J~D+~a~'~
~ Coffee ~ / W Room Air
Tabies i~ St •le l~o-o~ V Conditianers f Size Brand
~ Rugs ~ • z Range ~ ;
Siie Color a Brand -
- Refrigerator / ~
Carpet
Color Brand
La e s# a Dishwasher , ~
"'p a
T Brand
~ Dinette Set a Freezer ~
t Z 1 ~ Pieces G St le `?`~SS Brand ILf~ h~~'~ $ F
C LL' k End Washer i/ ' C
Brand ~JC: ~ ~o~fiadg' .
~ ~ ! Tables t S le '
a o C
ah irs ~ Styls Dryer qFC~:t~fl YE=~~ ~t~ ~
w ! Color Brand '
'i ~ H ~ Sofa Style Sewing Machine ~ 7 G
~ ^ ! Color Brand - Yd6 v
I W F- t~esk Yacuum
~ Z ' T Brand -
" Power TYPe . S
~ p i j lawn Mower Brand - ~
~ ~ Suite Piano
, ~ ~ ~ Pieces ~ Style ~ T . Brand ;
W ~
~ i Suite ~ z Organ Brand :
; !k Pieces S le /Ci( l~o~ Q
1 ~
~ ~ #uPieces ~ Style ~ Q-C~i+~~~ ~ ~ Power~Tools . J ~
f
~ Suite w ' ~
~ ( # Pieces St le V r ~ ~ ~
° Rugs or Size N
~ Car ts ~ Color -
~ ~ Chairs # ~ ~
Color ~
Lamps # .
T
` WheR and Where was furniture purchased ? Cost $
Customer's estimate of value
~ J~~' c
~ tiYith what company is the furniture insured: Name
po~~~y # Address=
Schedule "A" of Security Agreement dated the day of . 19 ~
Original Loan No. ~
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ate~ ~ (Seal) '
: " (Witnessl ~ 2L ` ~c~- 7 Lt~
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(Date) (Seal) ~
itness) ~
- itness a e - ea ~
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BOGK PAGF~(?JO ~
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