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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp ~
Describe furniture by color and style: I '
Abbreviations - Mod. , Trad. , Col Medi Fr. P. '
Describe appliance by size and brand. i Ve I List? ~ ~
Yes I I No ~
~ IJ
~ Sofas ~1 ~ Style TV .
Color S i ze B rand
~ Lounge Style TV
O Chairs # Color Size Brand
O Occ. TV '
~ ' Chairs t~ Color Size Brand `
End Stereo
V Tables # St le w T ~ Brand
z Coffee - W Raom Air
- Tables f~ t St le U Conditioners ~ Size Brand ;
~ Rugs 2 Range ~
J $j2@ Color Q Brand
Carpet Refrigerator
Size J'~ Color Brand
~~5 ~ Q- Dishwasher
~ T a Brand
! Dinette Set Q Freezer flLE~ ;c~~R~E
,r ,~z-~--- l(/j Brand 1 lJ~,: ~.~UNTY fU.
# Pieces ~ St 1e
~ End Washer ?
t° :T COURT
~ ~ Tables ~ 5 le " Brand CL~'
a o; Chairs # Style Oryer ~ ~ ~
w ! Color Brand ~
i v o F- j Sofa Style Sewi~g Machine
j 2 f- ~ Color Brand
~ - W Desk Vacuum ~A(~
~ Z Z Brand ~?^'l
~ - Power TYPe
' p p~ f ~ Lawn Mower Brand
~ ~ Suite 0 Piano
~ Pieces St le T Brand
~ W Organ
Suite Z
~ i ~ Pieces ~ St le T e Brand
Q Major
~ ! Suite J
J
~ i # Pieces St le J Power Tools
~ j Suite W
~ ~ Pieces ° Style ~
~ r Rugs or Size ~
~ Car ts 1t Color _
m Chairs # ~ ~
~ Color
~ Lamps A
~ T
~ When and Where was furniture purchased ? Cost $
e~ ^
~ Customer's estimate of value ~~~G d
With what company is the furniture insured: Name
Policy N Address:
~ Schedule "A" ot Security Agreement dated the ~ day of . 197~:
~ Origin I L
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~ - , s~ -e~c-e-~--
~ (Witness) (Date) ~ (Sea ~
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~ (Witness) (Date) Seal) ~
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