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SCHEDULF "4" SECURITY LIST Branch Address Stamp ~
Describe fumiture by color and style: •
Abbreviations - Mod., Trad., Col., Medi.; Fr. P.
Describe appiiance by size and brand • erbal list? ~
? Yes No I
,
Style '
~ Sofas . O.~ r~ Color TV Size ~ Bra~d
~ y tyle
Loun Chairs ~ Color TV Size ~ ~ 6ran
I '
V Occ. Chairs . Color A N Size Brand
I - P
N End Tables . ~ t le P_ Stereo T e Brand
G ~ Room
/ Coffee Tables . ~ t le 1 Airconditioners . Siie 8rand
R ~ ~G+/ A a - •
O~ Ru Size Color N Ra e: Brand
O - C :
M Car et Size Co1or E Refri rator: Brand - '
„ S '
~ Lam s . " Dishwasher: Brand
~ or .
~ D Dinette Set . Pieces ~ St le F~eezer: Brand
ti
! N End Tables . St le Washer: 6rand ~
y E Styte
i G T Chai~s . Color Or er: Brand
j ~ .
E Sofa St le Color Mv
~~`M Yof~~ Sewin Machine: Brand ~ •
~ Q ~r T e, a~G G~F~~`t COV ~ M Vacuum: Brand ~ '
~ ~ D Desk ~
, y E ~~a~1 ~ ~ Type ~
~ aE y1 S Power lavyn Mower. rand
_ C TYpe ~
~ Suite . Pieces 1~~ E Piano: Brand ~
l TYPe ~
B Suite . Pcs. St le L Oraan: Brand
G q , s
U Suite . Pcs. St le N Ma'or Power Tools ~ J ~
t
R E ~ '
0 Suite•. Pcs. St le O
p Size U ~
i Ru or Car eis . Color S
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Chairs . Color
Lam s • T '
~ .
?y° ~ ~ Cost S
~ 'ti:'hen and ~vhere was furniture purchaseA
~ Custamer's estimate of Value ~Q~oa
~
~ ~Vith what company is the turniture insured: Name ~
~
~ Policy . Address
~ Schedule A of Security Agreement dated the day of , 19 Orio~nal ~oan
~V U. .
~ 5? ( Date 1 ~ ~ i
,c~ ' 10 / ~ ~
{ ( Witi ) ( Oate 1 ( Seal ) z
~y ~
( Witr~ess 1600K ~ 85 ( Date 1 ( Sea1 )
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