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SCHEDULE "A" SECURITY LIST ' Branch Address Stamp
Describe furniture by color and style: '
Abbreviations - Mod. , Trad. , Cot. , Medi Fr. P. '
Describe appliance by size and brand. i Ve I List?
{ i_ Yes I 1 No ~
So(as ~t Style TV ~ ' .
Color Size C.~ Brand
~ Lounge Style TV S
O Chairs N Color Size Brand
O Occ. - ~
ac Chairs A ~ Color Size Brand C A
1 End 1~ Stereo
U ~ Tables ~i ~ St le / ~ T Brand
z Coffee W Room Air
- Tables 4 ~ Style ~ U Conditioners # Size Brand
~ ~ Rugs z Range /J
~ Size Color Q Brand
Carpet Refrigerator ~
Size Color Brand
Lamps # a Dishwasher
i T a Brand
Dinette Set a Freezer
~ Z ~ ; Pieces St le J Brand
W ~ End Washer
C ~ I Tables # St le Brand
~ o ~ Chairs ~ Style Dryer_
w ' Color Brand
'i o i- } Sofa Style Sewing Mac " ^ ~
j 1 E..- ~ Color Brand
f Vacuum
~ W ' Desk -
~ Z Z ~ Brand
Power Type
~ G p i ~ Lawn Mower and
~ Piano
~ ; Suite ~ O .
! 1~ Pieces St le T Brand
W
~ ~ Suite ' / Z Organ
T B rand
~ ~ ~ # Pieces ~ St le
~ Suite ~ 4 J Major
~ ~ # Pieces ~ Style J Power Tools
~ i Suite ~ ! W fllE~.::•'= "`~~a'~
, ;,~kTY fLA-
~ ( # Piea-.es S1 le ~ T LU: ' _
~ Rugs or Size N Rc~rr.- ~_;T C`:'±RT
Car ts ~t Color _
m Chairs A ~
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Color ~
Lamps
~ ` T
~ When and Where was furniture purchased? c.i ~ ~-t - Cost S ~OOd
~ Customer's estimale of value ~ ~Qa -
~ With what company is the furniture insured: Name
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Policy # Address:
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Schedule "A" of Security Agreement dated the day of
" Original L n No. • ~
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~ (Witness) ate) ( eal)
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~ (Witness) (Date) (Seal)
~ ~tness a e ea
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