HomeMy WebLinkAbout0444 . ~ {
1
J
t
ta
F
t
, ~
_ . 1
_ ~
' ~ J
SCNEDULE SECURITY UST ' Brancfi Address Stamp _
Describe furniture by oolor and style:
Abbreviations - Mod. , Trad: , Col Medi Fr. P.
Describe appliance by size and b~and. ~ Ver~ai Ust? ~
~ M'Yes No
; Sofas # Style T~ , g
~ Color ~ Size ~ Brand ~
~ ~ (AUnge Styte TV .
~ O Chairs A Color Size Brand ~
; O Occ. - N
I a Chairs t Color Size Brand '
i ~d . • Stereo •
, v Tables # S le v~ T Brand
Z Coffee - w Room Air ~j ~ ~ t
- T~~~ # ' S ~e U Conditioners #`5ize Brand
; > R~ ~ z Range
~ - Size Color Q 8rand
~ - - Refrigerator i
~ Size Color Brand ~ ~
! ~~S ~ Dishwasher
~ 7 a Brand
' Dinette Set ~ Freezer
p W # Pieces 5 le l Brand _
~ . Washer
I~ ~ Tables ~ S le Bra~d
~ ~ o Chairs # StYle Dryer
w Color B rand
t ~ o f- Sofa Style Sewing Machi~ ~
~z F. Color Brand
u+ Ue~;k Vacuum :%c~'~a-a^ -
~ Z T Brand
~ _ Power TYPe .
C ~ Lawn Mower Brand
Suite . P~a~O
# p~~ 5 le W T Brand -
~ Suite Z Organ
i # pieces S le T Brand
~ ~
~ ~ Suite J Ma'or _
0 # p~~ 5 le Power Tools
~ J
~ Suite FI CU ~?a~ ii
: ~ W .
# Pieces S le V -
~ R or Size C_F r•)ii. ~
'L Ca ts # Colo~ ~ ~ _ CLEfK ~":CUIT ~OURj
' m Chairs ~ ~
i
Color
~
i I.a"'ps # .
T
When and Where was furniture purchased ? S
~ Cust«ner's estimate of value 3~~ ~
With what company is the furniture insured: Name ,
p,~~i~y ~ Address:
Schedule "A" of Security Agreement dated the ~ day of d J . 19
Loan No.
` ~r ~ ~
(YVitness) ate) (
[Witnessl IDate) (S
i s ae • a
t
~-as ~
BU~K~ ~ ~
. _ , ~
.Y : ~
_ . _ . ~,~~..~~z~--