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SCHEDULE "A" SECURITY l.lST , Branch Address Stamp ~
Oescribe furniture by coior and style: i
Abbreviations - Mod. , Trad. , Col Medi Fr. P. _ j '
Describe appliance by size and brand. 1 Ve I List? ~
i
i L Yes i I No ~ _
Sofas # Styte T~
Color Size ~ Brand Z
~ Lounge Style TV ~ t~ 5
/w Brand r/ c
O Chairs # ~ Color Size
O Occ. ~ '
~ Chairs # ~ Color Size Brand
End ~ ,q ' Stereo
U Tables ~ ~ St le ~C•-~~ N T Brand
z Coffee ~ W Room Air
- Tables ; ~ St le U Conditioners # Size Brand
~ i Rugs z Range
~ Size Color Q Brand
Carpet Ref~igerator
Size Color Brand
~~5 # ~ a Dishwasher
{ T a Srand
~ Dinette Set a Freezer
g Z~ ~ Pieces St le Brand
~ W End Washer
~ Tables i St le Brand
~ ~ o~ Chairs A Styie Dryer
w : Color ~ Brand
i o F- i Sofa Style Sewing Machine
I ? F- ~ _ Color Brand
~ w ; pesk ~ Vacuum
Z z ( TYpe Brand
` _ t' ~ Power TYPe
~ p ~ ~ = Lawn Mower Brand
~ ~ Suite i Piano
~ ~ Pieces j St le i W ~ TYPe Srand
Suile Organ
z T.
f Pieces St le Brand '
Q ~
~ Suite J Ma"or
~ ~ # Pieces Style J Power Tools
~ ! Suite ~
~ + ~ Pieces St le ' p
o ~
Rugs or Size N S.l4iCiE GOU~T~ ~
W i Carpets #f Color _ ~OQ€A RiTw.a
~ ~ Chairs # ~ RECOR~ vE ~R= ~~T COt1Rt
Color
; i Lamps #
} rr~ ~~_1 n~ PY ~7?1
,
When and Whe-c was furniture purchased ~ Cost S ~
Customer's estimate of value _`~~C.~ ~
With what company is the furniture insured- Name
po~~~y ; Address: -
Schedule "A" of Security Agreement dated the day of . 19
Original Loan No. . ,
~ ~ " / ' r~ a'` ~ -
(Witness) (Date) (Seal)
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(:~i tness) (Date) [5eal ) _
itness a e - ea
L-48
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