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SCHEDULE •A° SECURlTY LIST Branch Address Stamp
Describe furniture by cotor and styte: . ~
Abbreviations - Mod.. Trad., Col., Medi., Fr.P.
Describe appliance by size and brand. ~ Verbal Ust?
Yes rl No
; Sofas # ~ Style TV -
~ Color ~v Size Brand
i ~ Lounge Style ' - N . -
~ O Chairs • ~ Color Size Brand
; o Occ. ~ N .
' a Chairs ~ Color i w Size Brand
End Stereo
S le ~n T Brand
~ t7 Tables # 2 w Room Air
i z Coffee
T~les # S le t~ Conditioners # Size Brand O
y R~ ~ew z Range
~ Size Color 4 Brand .
~~t Refrigerator `
Size Color a Brand.
~~S ~ • Dishwasher
; T a
Brand
i Dinette Set / a Freezer
Z # Pieces S S le •v.~~/ Brand
p w ~~d Washer
p ~ Tables S le Brand .
a o Chairs i Style Dryer
i ; w Color Brand
i v` H Sofa Style Sewing Machine
0
Color 8rand
E ~ w Desk Vacuum
~z Z -r Brand
1- _ - ~ Power TYPe
p ~ Lawn Mower Brand
Suite ~ Piano
Brand
~ # Pieces S le W T
i - Suite - Z Organ
I~ # P~~S S 1e T Brand
Q ~
~ ~ Suite p~yer Tools '
! ~ # p~~~ S le ~ ;
~ ~ Suite W Ftl`c':-;'i~"~~iNTY FE ~
~ ~ # Pieoes St le V ~
~ R~ •
~ o Size . T UP.T
Rugs or ~n f.l f= ' i'. e"
i W Ca ts # Color - . .
' °D Chairs # ~ _ - • - -
~
Color
~
~ Lamps #
, T
When and Where was furniture purchased ? f ~i '~.a -.,y~~~' •J
~
~ Customer's estimate of value ~!/Ur ~ J
With what company is the furniture insured: Name ~ -
4~
po~~~y ; Address: ~
Schedul of Secu~ity Agreement dated the day of . 19
Or g~ Loan No. F
~ . 1 ~ y~ ~
(Witness) , Dat )
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(Witness) (Date) (Seal) .
itness a e ~ ~
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F
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