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SCHEDUI.E "A" SECURITY LIST ~ Branch Address Stamp I
Describe furniture by color and style: ~ j
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P. ~
Desc~ibe appliance by size and brand. ~a1-List?
~ ~Yes i-I No `
Sofas # Style N a/ ~
Color Size (~O/O Brand ~ ~
~ Lou~ge Style TV
o Chairs • Color Size Brand
O Occ. ~
~ Chairs # Color Size Brand
End Stereo
c~ Tables t St le N T Bra~d
z Coffee W Room Air Oo 0
- Tables # St le U Conditioners S~ze ~"v Brand ~C~,O~.es
> Rugs z Range
- Size Color Q• Brand
~ - Refrigerator ~
Carpet ~
Size Color ~ Brand ±
~~5 ~ Dishwasher ~
T a Brand
^ Dinette Set a Freezer
~ W # Pieces ' St le yy sher
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~ Tables ~ S le Brand e A~
tC o Chairs # Style ~rYer ~A~~
, ' w - Color Brand
; v o H Sofa Style Sewing Machine -
{ ~ F. Color Brand
i w Desk Vacuum
z T Brand ~e A~S
t Z Power TYPe
C ~ Brand
p > Lawn Mower
` Suite ~ Piano
; # Pieces St le T Brand
' W Organ
Suite z Brand
~ Pieces ' St le T
~ a Major
~ Suite J
Q # Pieces St le J Power Tools
~ SUIIE W ~ I 1
~ ~ ~ Pieces St le V
~ Rugs or Size N ~ / • • -
Car ts # Color - `
~ Chairs i ' ~ -
Color ,w ~
Lamps A orn.. ,-Ni3
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_ ~~o~p
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When and Where was furniture purchased? Cost S `~'h'''%•+~
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Custortier's estimate of value ~ 3 O a ~0
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With what company is the furniture insured: Name ~ o~,~~ ~
~ Address:
Policy # ~ ~o
~ Schedule "A" of Security Agreement dated the day of . 19 7~ % . .y
Origina 9 y
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~ itness) (Date) M
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( t ess) (Date) (Seal)
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