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SCHEDULE •A" SECURITY LIST ' Branch Address Stamp
Describe furniture by color and style: i
Abbreviations - Mod.. Trad• . Co~ Medi. , Fr.P.
Describe applia~ce by size and brand. Verbal List2 ~
~ Yes No
i Sofas ! StY~e ~ G1~
~hJ Size ~ Brand
i Color -
~ ~ Lounge Style . - T~
Color Si ze Brand
` O Chaf rs / N -
o Occ.
j~ Chairs # Color Size ~ Brand t
I End Stereo ~
p~ S le v~ T Brand
k U T~~~ * w Room Air
~ Z Coffee V Conditioners # Size Brand
~ - Tables # St le ~
; > R~5 z Range
i - Size Color < Brand
, s ~~t - - Ketrigerator
~ Color , Brand -
Size
~ ~~5 # a Dishwasher ~
~ T ~ Brand .
S le
r~ z #iPiecees~t a Brand r
I~ W End ~ Washer
~ p ~ Tabtes ~ S le . Brand
~ o Chairs. ~ Style , Dryer
; ' w Color ~ Brand
~ ~ o F- Sofa Style Sewing Machine a
~ F. Color B~~^d i
W Desk Vacuum
~ Z Brand
_ ~ Powsr TYPe
P p ~ Lawn Mower Brand
r Suite Piano
~ # Pieces ~ (i St le W T Brand
~ Suite Z Organ -
# Pieces t le T Brand
j ~ a Major ~
I 0 ~uP eces ~ le J Power Tools
~ ~ Suite ui ~~rs ~
- ' ~
I~ # Pieces 5 le v ~uUR
Rugs or $1Ze v? nt~URD VERIFIE~
~ W Ca ts # Color _
Chairs # ~ YW ~0 9 20 ~
Color
~ l.amps ~
T
When and Where was furniture purchased ? ~t S
Custaner's estimate of value
With what company is lhe furniture insured: Name
po~~~y ~ Addresr.
Schedule "A" of Security Agreement dated the y of . 19
Original l.oan No. ~
/o~ o~ ~ 7 `7~ c ~ -
(Witness) (Date)
(Witness) (Date) _ (Seal)
i ess a e a
L-48 s~
~ 600K~J4 PAGE~~Sz
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