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~ SCHEDUI.E ".4" SECURITY LIST 6ranch Address Stamp
G~escribe furnitu~e by colu: and style: ~
Abbreviations - Mod., T~ad., Col., Medi.. Fr P. '
Describe appliance by size and brand erbal List? '
? Yes No
Sofas . CAlor ~ TV Size ~~c g~and '
Style
L Loun Chairs . Calor N Size Brand ,
I :3
V Occ. Chairs . Coior A N Size ~ B~and
I ~ P ;
N End Tables St le P Stereo T e Brand ,
G ~ Room '
Coffee Tables = St le I Airconditionen Size Brand
~ A ~
O Ru Size Colo~ N Ra e: B~and •
~ C . ~
M Car t Size Co!or E Refri .rator: Brand
S
Lam s= T Oishv~ash~: Brand
n ~r ~
~ D Dinette Set . Pieces ~ St te Freezer: 6rand
N ~ ~
~ N End Tables . St le Washer: Brand
E Style -
G T Chairs . Color Dr er. Brand _
T _
E Sofa St le Color Sewin Machine: B~and
f~ ~
; ~ or • t
0 D Desk T e M Vacuum: 6rand :.=-ti ~
~ 1 E ~ TYPe
N - S Power lawn Mower: Rrand
C TYPe
Suite . Pieces ~j St le E Piano: Brand ~
' L TYPe
B Suite . Pcs. ~ St le L Or an: Brand
E A , 1
0 Suite . Pcs. ~ Style ~'la?" N Ma'or PoLti~er Tools 0~~ 01 M
R E ~ RECORD YESItt~D
~J Suite . Pcs. ~ St le ~
i7 Size 11 ~ 1}t` ~M ~1~
Ru or Car ts . Color S
S -
Chairs . Color
Lam s . T •oe
~"Jhen and ~'Jhe~e ~vas furniture purchased Cost S
3
Customer's estimate of Value
~Vith what company is the furniture insured: Name
Policy . Address
Schedule A of Security Agreement dated the day of , 19 , Ori~;~nai ~oan
.
. ' - 9 ,Cc~
itness - ( Date ) ~ ( Seal )
1 W~tness 1 ( Date 1 ( Seal ?
OR
1 Vb'~tr.ess ( Date ) BOOK l Seal )
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