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SCHEDULE "A" SECURITY LIST Branch Address Stamp
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Describe furniture by color and style: ! ~
Abbreviations - Mod. , Trad. , Col Medi Fr. P. ;
Describe appliance by size and brand. j~/ I List? ~
~ L Yes 1 I No ,
Sofas A / Style ~ TV _
Color Size Brand C I't
~ Lounye Style N
O Chairs 1~ Color Size Brand
o Occ. N
~ Chairs 1~ ~ Color Size Brand
End . Stereo .
U I Tables N St le v~ T Brand
z Coffee W Raom Air
- Tables # St te U Conditioners (t Size Brand
~ Rugs ~ ~ z Range -
J Size Color Q Brand
Carpet - Refrige tor
Size Color _ J Brand ~
~~5 ~C7'T~o'"" a Dishwasher
~ T Brand
Dinette Set Q Freezer
~ Z~ ~ Pieces . St le Brand
~ W End Washer
~ ~ Tables # St le Brand
i a o Chairs A Style ~rYer
~ w ! Color Brand
~ 'v o F- I Sota Style Sewing Machi e ~
~ z ~ Color Brand
~ - ~+i desk Vacuum 7
z Z ~ T Brand
~ a Power TYPe
~ p ! ~ Lawn Mower Brand
~ ~ Suite ~ Piano
~ # Pieces St le T Brand
' W Organ
Suite ~ G 2
~ ~ l~ Pieces St le T Brand
a 1
~ Suite Ma'or
i ~ J
~ # Pieces • Style J Power Tools
~ ~ Suite ' W ~ '
~ # Pieces St le V .~I . i
~ Rugs or Size ~
Car ts Color _ - `
- m I Chairs M ~ ST. LUC!'' ;,;yJ~ii7 fl~. ` ~
Color R~`,: -
t~;K ; ~LI[; COURr
~ . ~IIlpS ~ a:f~.^;i .r - •t _
~ i T - ~r~rw
When and Where was furniture purchased ? Cost 5~ ~ ~O 1~ ~ r~
~ ;
Customer's estimate ot value ZT~O -
~ IYith what company is the furniture insured: Name
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~ Policy # Address: ~~Q~'~ t'
~ Schedule "A" of Security Agreement dated the day of . 19 j
Original Loa No.
~
~ /
~ 7~ 7
(Witness) (Date) , (Sea1)
~ (Witness) (Date) (Seal)
~ ~tness a e ea
. ~
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L-48 ~
K: o R 2~~1 1663
F~ BoeK PacE
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