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Branch Address SW~ a
SCHEDULE •A" SECURI~
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Describe furniture by co~or and style: ~ j
Abbreviations - Mod.. Trad.. Col.. Aledi., Fr.P. - ~
Describe aapl~a~ce by si:e and brand. ; Verbal Ust? ~ ~
~ L ~ Yes i_ i No - ~
- St le ~ ~
i Sofas # / C
lor ~t~~~t-? Size Bran d - ~
~ ~ ~ Sty1e S12e Brand ~
o Chairs ~ Color .N ~
O ~ Occ. Size Br~d
~ ~ Chairs # Color ~
Stereo
~ End N T Brand
c~ ! Tables # S /ie t
z ~ Coffee w Ra~m Air ? ~
V Conditioners # Size Brand
Tables # S te ,
z ~'9e ~'j .
7 ~ . ~'!l,c~ .~s1 t~ ~
- i Sizes Color Q Brand
~ i Carpet 8~~~ rator ~~L~L~~
Size Coior a _
Dishwasher
Lamps # ~ T a Brand ~
Q Freezer
- Dinette Set ~ ~ ~ ~ Brand
,t z~: # p~~~ l~ ~ C'.~ 5 te
Washer
C W E~
~ C S le Brand
Tabtes # pryer
C o~ Chairs t Style Brand -
~ ; Color -
Style ~ Sewing Machine
~ 1- : Sofa Brand
~ ~ Color
! ~ ' i Vacuum
~ - W ~S{~ J ~ - -
I Brand TYP~
z ' ~~'L[. . ' - ;L~ T Pawer ~
Z! :
- _ ~ ~ ~n Brand '
p ~ Lawn kiower ~
~ Q~ Piano Brand e
± Suite ~ ~ _ T
' # P+eoes ~ 5 !e 1.;~ :s~- YPe
Suite ' ~ , - Z ~r9~ Brand ~t
`n ; t Pieces 5 le - Q Major
o Suite 5~'e J Power Tools
~ # p;~ IlEO AMD RECORDf
' u; , fT_ 'GiE COUNTIf f -
~ Suite ~ ~ r -
~ ~ # p~~s 5~e CLERK CInCU1T C011RT y
p R~ o~ Si ze ~n
iy ~ ~ ~ ~ Color -
m Chairs # ~
Color °
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~ lamPs ~ r.,.,o - t
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When and Where was furniture purchased ?~i COS~ $ t
Customer's estimate of value ~S d 7~--~
With what company is the furniture insured: Name
Policy # Address: ~
Schedule "A" ot Security Agreement dated the day of _ . 19 ~
Original Loan No. ~ ~
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(Witness) • (Date) (Seaf)
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~ tness) (Date) ~ ~r(Seall
itness a e a .
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