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SCHEDULE °A" SECURITY LIST ~ Branct Address Stamp
Describe fu~niture by color and style: ~ ;
Abbreviations - Mod. , Trad. , Col A1edi Fr. P. '
Describe appliance by size and brand. j y~~ List?
~ 1 es ~ ~ No ~
Sofas ~ Style 1'
~ TV w~
~ Color Size Brand
Style TV
Color Size Brand
O Chairs #
O Occ. ~
~ Chairs # Color Size Brand
~ End Stereo
St le v~ T Brand
c~ f Tables R y ~ w Room Air
z Coffee
- Tables t St le v Conditioners f Size Brand
> Rugs z Range
- ~ Size Color Q Brand ~ -
~ - Refrigerator
Carpet ~
Size Color Brand
~~S ~ ~ a Dishwasher
~ - T a Brand
Dinette Set Q Freezer ~..,dry~ S ~
~ Z? # Pieces St le /t/~ Brand
~ ~ °i ' End Washer , J
i ~ ~ i Tabtes # St le Brend ~Ca.wr-`-~-
~ o ! Chairs * Style Dryer ~
w ' Color Brand •
t-' v F- ' Sofa Style Sewing Machine
z F. ~ Coior Brand
w ~ pesk ~ Vacuum
z Z j Brand
~Q _ ; N Power TYPe
p ~ Lawn Mower Brand
~ ~ Piano
' Suite ( s O Brand
~ ! f Pieces Siyle G` W ~ TYPQ
~ ~ Suite St le ( ' Z ~ TYpe Brand
! ~ Pieces Y ~ Q r
~ Suite ~ , /J Major .
~ # Pieces St le ~~6d.1 ~ ~ Power Tools tA~ ~
0 ! Suite t / ! w ~
~ ~ # Pieces St le •~lit ~y ~
~ Rugs or Size ~
u' Ca ts # _ Color -
m Chairs # ~ f LEO AMG RE
Color
,.~,~5 s ' aoc~a os~tR~t
Ty~ : 0~„~.r.~.
When and VYhere was furniture purchased ? Cost S ~
~ # 02 P~'~+~
Cust~xner's estimate of value ~ 7
O~ ~
With whal company is the furniture insured: Name ~
po~~ry ~ Address:
Sch.~dule "A" of Security Agreement dated the day o( • 19
Or~ginal Loan Na. _
` 1 _ _r • ~'~t~, . T"~..~.C~..1= L' 3~~?~~~r,
_ 1 (Date1 ' f5eal)
(Witness)
( Wi lnessl (Date) (Seal)
~tness a e ea
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