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SCHEDULE "A" SECURITY LiST ' Branch Address Stamp
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Describe (urniture by color and style:
Abbreviations - Mod., Trad., Col., Medi., Fr.P.
Describe appliance by size and brand. i V al List?
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i L Yes I No
Sofas iC Style TV B
Color Size ~ Brand
~ Lounge Style N B _
O Chairs ~I Color Size „r/ Brand
O Occ. ~
~ Chairs # Color Size Brand
End Stereo
u Tables i St le ~n T Brand
z CoFfee W Room Air
- Tables ~ St le U Conditioners ~ Size Brand
~ Rugs z Range v/
~ Size Color Q Brand
Carpet Refrigerato~
Size Color Brand
~~S ~ a Dishwasher ST. LI~CiC C ~C4TY FLA.
~ T a Brand ~
Dinette Set a Freezer CLEi,!. .r.:l! CIiURT
e'~ # Pie~es St le Brand °(^~'F~
Y W End Washer ~
~ ~ Tables K St le Brand ~
a o~ Chairs ~ Style Dryer
w' Color Brand
~ v o F- I Sofa Style Sewing Machine
~ 2 f- + Color Brand
~ ` w Desk Vacuum ~
~ z z T Brand - t
~ !p _ • Power TYPe
~
~ p i ~ Lawn Mower Brand
~ Suite 0 Piano
~ ~ 1i Pieces St le ~ T Brand
i W Organ
~ Suite Z Brand
~ I • Pieces Style { T
~ a Major
Suite ~
~ ~ # P+eces Style ~ Power Tools
J
~ { SUttE'. W
~ ~ 0 Pieces St le
Q _ U
Rugs or Size ~
W Car ts # Color _
m Chairs M ~
~ Color
~ l.amps It
T
When and Where was furniture purchased ? Cost 5
Customer's estimate of value ,7~~~} ~
~ With what company is the furniture insured: Name
Policy ~ Address:
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Schedule "A" of Security Agreement dated the day of . 19 ~
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~ Original n No. _ S
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~ (Witness) (Date) ,
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(Witness) (Date) • (Seal)
~ ~tness a e ea
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1-48 . ~
~ s00K ~U PAGE~
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