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SCHEDULE "l~?" SECURITY LIST Branch Address Stamp
Describe furniture by color and style: -
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P.
Describe appliance by size and bra~d. List?
Yes ~I No
j Sofas # 3 Style ep1.0' ~ ~ ~,h~~ Brand ~ A -
~ Color Size
~ ~ Lounge ~ StY~e CO S e • Brand
~ o Chairs i Color •
o Occ. ~
~ Chai~rs # Color Size Brand .
; ~d Stereo '
i u Tables # S le CO ~ ~ T Brand
Z Coffee / ui Room Ai r -
T~les # St le CD U Conditioners # Size Brand
> Rugs z Range _
- Size Color ~ Brand Ta -
~ Refrigerator L
' ~~t ~ Brand ~ ~r ~ S d1~
; Size Color °
~~S # ~ / a Dishwasher t ` ~
T Brand ~ O t 1u
Dinette Set ~ Freezer ~ 011~~
~ z # Pieces 5 le C~ Brand ~
Rp w E~ Washer
~ Tables # S le Brand ` ~R~
p~ `o Chairs t Style . Dryer ~ F•Ri`
~ ~ w ' Color O ~ Brand
E o F Sof , ~ Style . Sewing Machine '
tz F Color ~ Brand S~
~ C'" w sk _ Vacuum , ~
~ Z -r v Brand ~oOV~/~
N power Type ?
p Q 1 Ilr} Lawn Mower Brand i
~ Suite / p Piano
~ ~ p~~ S le ~O ~ W Or an Brand
~ Suite 2 9 Brand
' # Pieces 5 le ! T
~ a
~ ~ ~uPieces St le D J Power Tools
ST.IUC~E Coi1NTr FLA.
~ o Suite W ROCER POITRA
~ a ~ p~~s St le G~i V C URT
~ Rugs or Size ~G ~ RECdRt~ VERI'!ED
~ w ~ u # ~ Color / _
Chairs # C~ ~ ,
~ 0° ~ ~ 8 ~7 f
Color .
'i L.amps i ~
j Co ~
co~c s ~5~~ ~
When and Where was furniture purchased ?
Customer's estimate of value / d. D 0 O -
Wiih what company is the furniture insured: Name
po~~ry # Address:
Schedule "A° of Security Agreement dated the ,S~ day of d J . 19 7~% _
riginal Loa `1
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(VYitness) at (Seal
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(Witness) ( ate) ~ ( eal)
i ess a e - ~
L-48 ~
600K~~JJ PACE~~~
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