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SCHEDULE "A" SECURITY LIST : Branch Ad~ress Stamp
Describe fur~iture by color and style: ; -
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Abbrevialions - Mod. , Trad. , rol Medi Fr. P.
Describe appliance by size and brand. I Verbal List? ~ '
j Yes 1! No i
Sofas # / Style ~ Tv ?
Color Si ze Bra~d
~ ~ lounge Style TV _
O Chairs ~ ~ Color ~ Size GCf Brand ~G'!
'TV
oc Chairs C.~l~ Color v Size Brand
' End Stereo
U Tables ~ St le ~n T Brand
z Coffee W Room Air
- Tables # St le ~ U Conditioners # Size Brand
> i Rugs z Range
- Size Color Q Brand
~ - Refrec-,jerator
' Ca~~ ' --i <1 •
~ Size Color Brand
~~5 # a Oishwasher
T a Brand
Dinette Set Q Freezer -
~ Z # Pieces ~i Sl le Brand
p w E~ Washer
p a Tabies # St le Brand
f a o, Chairs # Style Dryer
w ~ Color Brand
v o i- ~ Sofa , Style Sewing Machine `
z h t Color Brand , ~
~ w Desk Vacuum ~
z Z - T Brand
F- _ ~ Power TYPe
P p~ N Lawn Mower Brand
F- S~e:e Oo . 0 Piano
# p;~ St le , T Brand =
` w Organ
! ~ ~ Suite ~ 2 Brand
` ~ Pieces ~i 5 le Q T
~ ~ Suite ~ Major
p 'J Power Tools
# Pieces ~ (i St le J
Suite f LEO AM~ £C A E
' ~ # Pieces 5 le V
. ~ Rugs or Size ~ ~ROCER ~OITRAS
; m Car ts t ~~Or - JtECORO YERIFIEO..~......~
Chairs # ~
' Color
~,~5 ~ os ~M'7~1
T
When and Whe~e was furniture purchased ? $
C~stomer's estimate o! value ~~00
With what company is the furniture insured: Name
po~~ry ~ Address:
Schedule "A' of Security Ag~eer.~ent dated the day of . t97 ~ -
Original Loan No.
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' (Witnessl (Date) ,{~~~e )
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(Il~itness) (Date) (Seal)
itness a e
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