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SCHEDt1LE "A" SECURITY LIST ' Branch Address Stamp ~
Describe furniture by color and style: , ~
Abbreviatio~s - Mod. T~ad. , Col Medi Fr. P. .
Describe appliance by size and brand. Verbal List? ~ '
. ~ (y'Yes r1 No ~
' Sofas ~ Style G~ -
Color (SR Size ~ R ~9 Brand /L1 /
j~ Lounge Style ~C TV
j O ~Chain # Color /e. Size Brand
' O Occ. ~
~ ~ Chairs • Color Size Brand ~
End _ Stereo ~d~D _ )
c~ Tables # v S fe v~ T (r~JM ~ / Il/Brandff'~~d
' z Coffee Room Air ~N,
- Tabies # St le RA/ V Conditioners t Size ~C:~~Brand SL'/f~ s
> R~ys z Ran9e ~
- Size Color Q Brand
~ t - Refrigerator i
1~ Size~ Color -i Brand S ~ ~~r f.
~ ~~S # a Dishwasher :
T ~~i a Brand :
Dinette Set ~ Freezer -
~ Z~j # p~~s S le ~t/ Brand '
(.t !r
!Q ~ Tabies # 5 le /u ~'~~~t/ Brandr / ~ / !
~ o Chairs # Style . ~rYer v
' w Color B~and
i I L F- Sofa Style Sewing Machine )
k '~~z ~ F.. Color Brand w S a~
E L Vawum ~ ~ ~ ~
~ z Z Desk T Q~ Brand
r' _ ~ Power TYPe
~ p ~ Lawn Mower Brand
r Suite Piano
# Pieces 3 I~C 5 le W T BranR~
i ~ . C011M'1Y FIA.
Suite S'e v ~ z T 9 Bra . RBCE' rOiTR~ S
I # Pieces ~ .
Suite ~ Major RFI QF!: VE';F1El1..i...~,._
I° # p~eces S Ie J Power Tools I~ 54 AM ~7~
~ ~ Suite w
~ ~ # Pieces S le V
' Rugs or Size N i ~
; w Ca ts i Co1or a~ _ /e ~ t~ -G
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~ °D Chairs # ~
I Color
~ Lamps # _Pi
~ T
When ~d Where was furniture purchased ? ~t $
~ Customer'~ estimate of value
With what company is the furniture insured: Name
po~~~y ~ Address:
5ch e " of Security Agreement dated the day of ~e~ • 19 7 .
i I Loan No. ~
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(Witness) / , t , (Seal) .
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(Witness) ( ate) ~ [Seaq
- itness a e • a
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