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SCHEDULE "A" SECURITY LIST Branch Address Stamp 1
Describe furniture by color and style: ~
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P.
Describe appliance by size and brand. ; Ve 1 List? '
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~ L Yes 1- i No ~
5ofas ~ Style TV ,i g ~ ~ 1
Color Size Qz '~J Brand ~
~ Lounge Styte N ~
C Chairs # Color Size Brand ;
O Occ. T~
~ Chairs • Color Size Brand ~
~ End Stereo ,
U ~ Tables ~k St le v? T - Brand ~
z Coffee u+ Room Ai r ~
- Tables ii St le v Conditioners i Size Brand
~ Rugs z Range ~
- Size Color Q Brand ~
J Ca t - Refrigerator
J ~
Size Color Brand
~~S ~ a Dishwasher fILE~ "_:;'~~UED ~
T a Brand ST. Lu;.~~ ~_~!!~+ir FLA. E
- - Q Freezer ~ ' ~ ~
Dinette Set Cl~+:f. . J`' COURT r
L Z` # Pieces St le Brand
c W End Washer
~ ~ Tables 1~ St [e Brand ~ '
~ o; Chairs tk Style Dryer
w ~ Color Brand ~
v v F- ! Sofa Style Sewing Machine ~
z F- ~ Color Brand
f ~ W i Desk Vacuum L
~ Z Z~ T I Brand
€ ~ Power TYPe
` C o! > Lawn Mower Brand
f
~ ~ ~ Suite ~ Piano
` ; ik Pieces Slyle _ T Brand
~ , r W Organ
; Suite ~ Z
~e Pieces St te T Brand
~ Q Ma'or `
Suite , 1 ~
~ ~ ~k Pieces Style ` ~ Power Tools
~ ~ Suite W
~ # Pieces St le
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~ Rugs or Size ~ `
Car ts # Color _
~ Chairs # ~
~ Color
~ I Lamps #
~ T
~ When and Where was furniture purchased ? Cost S
Customer's estimate of value ~O ~
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~ With what company is the furniture insured: Name ~
y a
~ Polic # Address: '
Schedule "A" of Securit A reement dated the day of . 19
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~ Original w~-~1e.~ -
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~ (Witness) (D te) ~ Seal) ~ J t
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~ (Witness) (Date) (Seal)
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~ ~ BOOK ~+vV PAGE
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