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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp ;
Describe furniture by color and style: ; !
Abbreviations - Mod., Trad., Col., Medi., Fr.P. ~
Desc~ibe appiiance by size and brand, j Ve I List? ~
~ Yes (_1 No
Sotas R ~ Style ~ TV .
Color Size ~ Brand ~ ,
~ Lounge - Style TV
o Chairs ~ Color Size ~ Brand
O j Occ. ~
~ Chairs t~ Cotor Size Brand
End Stereo
u Tables ik ~ St le ~n T • Brand
z Coffee Room ir
- Tables # l St le V Conditioners # Size Brand
~ ( Rugs _ z Range
J SiZe Color Q Brand
Carpet Retrigerator
Size Color Brand
~~5 ~ n- Dishwasher
; T Brand
Dinette Set1'7 Q Freezer
~ Z` ~ Pieces / St le • Brand
o W~ E~d Washer
~ Tables N St le Brand
i a o; Chairs # Style Dryer ~
f w Color Bra~d
j ~ o F- I Sofa Styte Sewing Machine . ~
~ z F Color Brand '
~ w j Desk Vacuum ~
~ z Z T Brand •
` Power Type
~ ~ ! ~ = Lawn Mower Brand
Suite ~ Piano -
; # Pieces / St le /~l ~O+' T Brand
Suite Z Organ .
~ ~ # Pieces Style Q T Brand
g ( Suite Major -
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~ { ~ Pieces Style j J Power Tools
~ Suite ' w
~ # Pieces St Ie ' . CEC
o V , '~UN7 -
: Rugs or Size N ST_lU~ t` n;'R~S
k,'.; : ~ ~ E'
Car ts ~ Color - ~ ~ ~ ,
m Chairs # ~ prl'~^:-, r~ -sEi~
- Color
~ i Lamps # T a~~` j 'U 10 N~
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~ ~ Cost $
~ When and Where was fur~iture purchased .
Customer's estimate of value ~ l~ ~ C
With what company is the furniture insured: Name
Policy ~f Address:
~ Schedule "A" of Security Agreement dated the day of . 19
' inal L ~
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~ 2[,. T
` (1Vitness) (Date (Seal)
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~ Date) (Seal)
(Witness) ~
~tness a e ea
~ L-48 ~
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