HomeMy WebLinkAbout2684 ~
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SCHEDULE "A• SECURITY LIST Branch Address Stamp
Uescribe furniture by color and style: I
Abbreviations - Mod. . Trad. , Col Medi Fr. P.
Describe appliance by size and brand. i Verbal List? l~
~ L~ Yes 1 I No 1
~fas # ~ Style.~~ tn<<._ TV i ~
G Color Size C_!'~s~` Brand '~~=1 ~t~~~-
~ L,ounyye Style,/ TV i• ~ ' ~
O Chairs # Color Size ~ $rand ; ° ~ ~~-~'7~-~
O ~ c. j • ~/t c T~/ _
a ' Chairs #/I Color c.--,-< - Size Brand
i End ,i Stereo , /i
~ T ~ y ~--Brand C_ l7~
c~ ! Tables # S le
z Coftee ~ w Room ~ r ~ ft
~ _Y~-U / % .
_ T~~~ ; ~e U Conditioners / Size ,v~if~•Brand r~~~
> ! Rugs z Range ~ . ~ ~ • ~
- i Size Color - Q Brand~/~d• ~yl- ~ ~tt« -
- Refr" ator ~ - ~
~ ~~t~ .f ~ % /i l ~
Size (G-~t't .t~ r. ~.`olor ! 1.= c1 -r Brand c-cy~'c~ i~ v ,
c
~~S # a Dishwasher
, T a Brand
inette Set ~ / ~ / Q Freezer
z Z ; Pieces l`CLL~ 5'le "~t
~~jY/ Brand
' ~ W End Washer
I o Tables # S!e Brand _ t
f~~~_K t.'_ e._ •
i ~ o' Chairs # Style Dryer
i w ` Color Brand
` u ~ Sewin Machine
k o F- ~ Sofa Style 9 •
~ Z F- : Color Brand ~ -~m~ ~~7
' - W: Desk Vacuum r' ~
~ Z Z, T ~ Brand i ~L~ T r
~ - ~ , Power TYPe
~ ~ ~ ~~C-`~'~t-l~t uI<_~ '"Il~t. :"t..~ . ~ Lawn Mower Brand l-- .l
' - ~ Piano ,
! Suite `
• ~ i Pieces ~ ~ t_ St I ~-a~ W T _ ! -~~1-c. Brand --c~__
, Suite + Z Organ i"
~ ~ Pieces- ~ ~ Style~ .Y~c- ~ T Brand "
a Major I
~ ~ Suite
~ ; Pieces~? t Style ~i~cz ~ 1 J Power Tools ~
v -r.•..:J l.
r
~ Suite ~ w ;~T i~*-:; ~ ..:.:!!iy Fu. ~
O ~ f Pieces Style V _
~ Rugs or Size N _ ~:~~~z GGJAT
~ W ~ Ca ts ~ Cotor _ +cr,,:•- • .
m ; Chairs ~ ~
r
~ j Color
~ ~~ps ~t
T
L ~ ~ ~ ~
When and Where was furniture purchased? ~l~: t~ c ~ Cost S~~ '~~2
~ Customer's estimate of value _ `Y' ~
With what company is the furniture insured: Name t--~ -
/ ~
~ Policy #F Address: ~i~~ ;~~_+C . t~~ ~ .-•..-E - ~ ~
~ Schedule "A' of Security Agreement dated the day of . 19
O inal Loa No. _ • ~ ~
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fZ ~1 'i~ - ' ` • .t G / ? ~ ti C
~ (Witness ~ (Date1 ~ ' (Sea~ ;
~ (Witnessl (Date1 ( eall ' ,
~ i
~ ~tness a e ea
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~ BOOK ~~JV PACE ~V~ ;
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