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~ SCHEDULE "A" SECURITY LIST ~ ' Branch Address Stamp
Describe furniture by color and style: ~ "
Abbreviations - Mod. , Trad. , Cof Medi Fr. P. ~
Describe appliance by size and brand. ~ Ve List? ~
~ L es {-"I No ~ i
Sofas • Style TV
Color Size - Brand W~
g Lounge Style N
o Chairs ~ Color Size Brand
O Occ. T~
~ Chai~s ~ Color Size Brand
End ,
Q~ Stereo -
u Tables i ~ S le r ~ T Brand
z Coffee W Room Ai r
- Tabies # ' U Condiiioners # Size Brand
?'St le ~ •
~ ~ Rugs z Range
Size Color Q Brand ~ -
J _
Carpet Refrigerator
Size W--~- ~ Color Brand
~~S ~ a Dishwasher
a Brand
~ Dinette Set - Q Freezer
~ Z # Pieces ~ St le Brand
W End . Washer
G ~ Table~• St le Brand
' ~ o Chairs # Style Dryer ~
i w ~ Color Brand
f U o F- Sofa Style Sewing Machine s
~ z F- ~ Color Brand
~ W p~sk Vacuum
~ z Z T Brand :
~ ` - Power TYPe ~
° ~ o ~ Lawn Mower Brand
~ Suite / Piano .
T
i ~ Pieces - 3 G SL le ~~C~ic~-~ ~ Brand
Suite z Organ Brand ~ f---
~ ~ Pieces St le Q T -
' ~ Ma'or
o Suite ~ Power Tools F 4~D AfiG i~~
~ Pieces St le ~
' ~ ' Suite , W ROCER POIT~~f ~
~ ~ Pieces St le ~ CLERK CIRCUlT
0 V o
Rugs or Si ze N
W Car ts t Color _
m Chairs : ~ ~ y4 . ~j
Color
\ ~~5 ~
L_~ T
~ ` When and Where was furnitu~ purchased ? Cost S
G=? Customer's estimate of• value
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" With what company is the furniture insured: Name
~
po~~~y ~ Address
~ Schedule "A" of Security Agreement dated the / 3 day of , 1~t S
~ Original Loan No.
~ G ^ ,
~ `•-c ~ - .
~ e~ (Seal) ,
(Witness) g J
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~ (Witness) ~ Da ) (Sea11
a e ea
~ itness
L-48
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