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SCHEDULE ".4" SECURITY LIST 8ranch A dress Stamp
Describe fumiture by color and styie:
Abbreviations - Mod., Trad., Col., Medi., Fr. P. ' ~
Describe appliance by si2e and brand erbal List?
Q Yes No
Styie
Sofas . • Color TV Size 8~a~d
Style
L Loun Chai~s . Color N Size grand
I "
V Occ. Chairs Color A TV Size Brand
~ P
P Ste~eo T e ~ Brand
N End Tables . St le
~ ~ Room
Coffee Tables , St le 1 Airconditioners . Size Brand
~ A
0 Ru Size - Color N Ra e: Brand
.l' C
~~1 Car t Size ~ Cotor E Retri erator: Brand
S
Lam . T Dishv~asher: Brand
D -
~ D Dinette Set . Pieces St le Freezer: Brand
N ~
N End Tables . St le Washer: Brand
~ E Style
~ Color Dr er. Brartd
, ~ T Chairs . .
T
' R E Sofa St le Color • Sewin Machine: Brand
j ~ o~ -
` ~ D Desk T e M Vacuum: Brand
' ~ TYPe
N $ Power Lawn Mower: Brand
C TYPe
Suite . Pieces St le E Piano: Brand
. ~ Type ~
B Suite . Pcs. St ~ le L Or n_ Brand
E A
D Su:te . Pcs. St le N Ma'or Power Toots
~ E .
O Suite . Pcs. St ~e ~ ~u ~
p Site ~1 .
1.' Ru o~ Car ets . Color S ~
S ~ R~c aaEo
Chairs = Color
CL RK CI~CUIT C URt
Lam s. T e ~ aF.C4R
~Ci I~! ~~a~c~N'7~
- When and Where was furniture purchased
~~5?-~
Customer's estimate of Value 293438
tiVith what company is the furnitu~e insured: Name
Policy . Address
Schedule A af Security Agreement dated the day of ~ ~ , 19 , Orig~nal loan
No. •
o
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g ~ ( Seal 1
( ess ) Date )
~ Witness 1 ( Date y
apQK PAf,F
t Witness ) l Date ) ( Seat y
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