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SCHEDULE "A" SECURITY LIST ~ 8ranch Address Stamp
Describe furniture by color and style: { :
Abbrevialions - Mod. , Trad. , Col Medi Fr. P. i
Describe appl+ance by size and brand. y 1 List?
~
` Yes I ~f No ~
Sofas # Style • TV ~ ~
Color Size ~ Brand
~ ~u~~ Style TV
O Chairs # Color Size Brand
O Occ. TV
~ Chairs ~ ~ Color Size Brand
End Stereo ~
c~ Ta51es ! S le ~n T Brand
z Coifee w Room Ai r
- Tables i l St le U Conditioners # Size Brand
~ Rugs z Range
- Size Color Q Brand
~ - Refrigerator
Carpet ,
Size Color J Brand
~~S # a Dishwasher i
T a Brand
Dinette Set a Freezer
~ Z # Pieces ~ St le Brand
~ W E~d _ Washer
~ ~ Tables # St le Brand
P~ o~ Chairs # Style Dryer
~I w ~ Color Brand _
v o F- 5o(a Style Sewing Machine
Z ~ Color Brand ~ •
W ~ ~Sk Vacuum
~ ^ Z -r Brand
~ Power TYPe
p j > Lawn Mower Brand
Suite u Piano
1 ~ p~~es St le T Brand _
W Organ
Suite Z
' # Pieces St le T Brand
4 ~
~ Suite Ma"or `
• O 'J Power Toois - -
# Pieces St le ~
~ i Suite ~ Q
L
. ~ W S`ao~~
f Pieces _ St~/le V ~-t~ / e+-G ~
~ Rugs or Size N
W ~ ~5 # Color _ '
m Chairs 3 ~ ~
~ Color
` MPs ~ T . AN8 Rf
` When and Where was furniture purc:hased ? COS~ ~E ~ G~~~
~ 7'~Q ~
Customer s estimate of value ~
With what company is the furniture insured: Name
po~~~y ; Address:
Schedule "A" of Security Agreement dated the day of _ . 19 ~ ~
Original Loan No. /~L~7!~~ ~
~ ~r - ~ ~ _ C 7 ~ ~
(Witness) (Date) ~S~ '
(Witness) (Date) (Seal)
iiness a e ea _
L-48
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~ ~ 3