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SCHEDULE "A" SECURITI~ USl' ! Branch Address Stamp 1 ~
Describe furniture by color and style: - I ~
Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. P ' ~ ~
Describe appliance by size and brand. f- ~j List? ~ ~
~ j Yes 1`I No ~
Sofas # ~ Slyle / TV - ~
Color Size Brand
~ tounge Style ~ ~
0 Cha~rs # ~Z- Color / Size _ Brand
o Occ. TV
~ Chairs # Color Size Brand
~ End Stereo
v ~ Tables / ~ Style v~ T Brand
z Coffee Room Air
- Tables ~ St le U Conditioners # Size Brand
> Rugs z Range
- Size Color d Brand ~
J ~
~~t - Retrigerator ~
Size Color 8rand ~
~~S # a Dishwasher ~
' T a Brand - ~ ~
Dinette Set Q Freezer
Z z k # Pieces ~ Style ~ B~and
G W { End Washer . ~
l C a~ Tables # 5 le Brand -
a o± Chairs # Style ~ryer ~+y~
( w ; Color Brand _
~ ~ 1- i Sofa Style Sewing Machine •
Z f- ; Color Brand
- W, pesk Vacuum
~ Z ~ TYPe 1 Brand
- - j - Power TYPe
c > Lawn Mower Brand
- ----~Suite ~ Piano
~ ~ pieces St le W T Brand ;
Suite Z ~~9a^ '
' # Pieces ~ Style Q T 8rand ~ti
~ ~ Suite ~ Major f =
O J Power Tools -
i Pieces Style ` J
~ ~ Suite W fIIEDAAIL'
~ ~ # Pieces St le ~COR6E0 -
~ Rugs or Size N R'~~'= ~~'"t~+~AS f
u' Cas ls # Color _ CtEfii. _ • ~
u"~. . ~ 'Y• 2
Chairs ~ ~
Color =
~ Lamps # ~ ~
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When and Wher~: was furniture purchased ? Cost S
Customer's estimate of value
With what companr is the furniture insured: Name
po~~~y ~ Addresr
Schedule "A° of Security Agreement dated the ~ day of , 19 ~
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Originai Loan No. ' ~
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(Wit~ess) (Date) ~ ~
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(4Vitness) (Date) (Seal) ~
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~tness a e ea ;
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