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SCHEDULE "A" SECURITY LIST : Branch Address Stamp
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Describe fu~niture by color and style: i ~
Abbreviations - Mod., Trad., Goi., Medi., Fr.P.
Describe app~iance by size and brand. Verbal List? ~
~ j Yes 1 1 No I i
~ Sc+tas ~ Style ~2'~~/l/i TV
~ Color Size ~ Brand
~ Lounge Style TV
' O Chairs # / Co~o~ Size Brand
O Occ. . ~
a Chairs # olor ? S~Z2 Brand
E~d Stereo
c~ Tables # 5 ~e N T Brand
z Coffee u+ Room Ai r
- Tables i St le U Canditioners # Size Brand
~ ~~S z Range .
- Size Color Q Brand
~ - Refrigerator
, Carpet
Size Color Brand
~~S # a Dishwasher
T a 3rand _
^ Dinette Set Q Freezer
~ Z , / Pieces ~ S le _ Brtind -
O
Q End Brandr ~..Q~
!o ~ Tabtes # S le
a o~ Chairs # Style Dryer -
. w ~ Color Brand
~ o t- Sofa Style Sewing Machine
~ F • Color Brand
Yacuum
z w ~ pesk Brand •
z ~ TYPe
Power TYPe
P p, j Lawn Mower Brand
f Suite ~ Piano
T Brand
~ ~ Pieces ~ St le ~ W Organ
~ Suite Z -
g N ; Pieces o`7~ C~i St le T Brand
i ~ Q Major
; Suite
' O ~ p~~~ St le ~ Power Tools :
~ Suite ~ ~ W FILEO ANp REC
~ # Pieces St le ~T.LUCIE
~ OtTR~S
~ Rugs or Size N CLERK C:RCli1T COURT
~ Carpets # Color -
°D Chairs • ~
~ Color
' r Lamps ~t
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~ When and K'here was furniture purchased ? _ L°St S
Customer's estimate of value d~ ~OU
Witt* what company is the furnitu~e insured~ Name
po~~~ ~ Address: _
Schedule "A" of Security Agreement dated the day oE 19
Original Loan No.
~~-7 X- 7 ~ ~ ' ' ~f l . J /f
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(Witness) (Date) ~ •
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(Witness~ tDate) ~ Seal)
itness a e a
L-48 8~~~
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