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SCHEDULE "A" SECURITY LIST Branch Address Stamp
Uescribe furnit~re by color and style: i
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P. -
Describe appliance by size a~d brand. i~ e~~ List? ~ ~
{ Yes 1 I No ~
Sofas * Style TV ~
Color Size B~~d
~ l: mge Style TV
O C'~airs i ~ - Colo~ /~!J' ~ Size Brand
0 ~ TV
~ ( ~airs # Color Size Brand
. ~ ~d Stereo
St le v? T Brand
v Tables ~ w Room Air
z Catfee U Conditioners # Size Brand
- Tables ~ St le
~ Rugs . z Range
- Size J Color )-L~.e " Q Brand
J Car,~et - Retrigerator •
ColOr J Brand .~G
~~~5 # ~ a Dishwasher ~
E T ~ Brand
Dinette Set ~J a Freezer ~
~ Z~ # Pieces / S te - Brand
W Washer ~
~ t End ~
Q a Tables * St le B~~
~ o Chairs t Style Dryer
i w ! . Color Brand
v o H r Sofa Style Sewing Machine
z F. Color Brand
Z w 4 Desk Vacuum
Z ~ T Brand
~ Power YPe -
G p j ] Lawn Mower Brand
, Suite • 0 Piano
, ~ # Pieces St le W I TYPe Srand -
j-Suite ~ Z ~ Organ
`n j # Pieces ~ Style ~ T $ra~id
~ f Suite Major
p J Power Tools
# Pieces St le J
O i~
~ Suite W f:l~~' '.y_ ~i~~• ;
1 # Pieces St le ' ~ Y f ~
~ ~ Rugs or Size ~ ~ • - iRA
w _ S ~
~ Car ts ~ - Color ~ ' , , ~ i
C~r"' :
Chairs # ~ _ r':-•~s:tj.-~.~,..... '
Color ' ~
~~5 = 1a I o3 PH'i ~ `
T
When and Where was furniture pu~ased ? Cost S
Customer's estimate of value 4'C~
With what company is the (urniture ~nsured: Name
po~~~y q Address:
Schedule 'A" of Security Agreement dated the day of , .~g ~
Original Loan No. 'y`~~ _
f?~; ~ ~ ~ ~ .
" f_/-i,~ ~ ~c~- L!~
~tness) (Date) t t: (Seal) ~ _
~j.._~~ ~li ~4 ~ ;
[Witness) (Date) (Seal) ;
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- ~tness
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