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~ ~CHE~ULE "_4" SECURITY IIST ~ ? B ddress $tamp ~
Describe furnitu~e by color and style: % _
Abbreviations - Mod.. Trad.. Col:, Medi.. Fr. P• '
Desc~ibe appliance by size and brand ~el List~ ~
j~Yes No
Style
Sofas . Color TV Size C Brand -
~ -~1 StYle LI ~ c? L~ ~3rand .a a
L Loun ~i~airs . C~~vi N Sl2e
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V Occ. Chain . Color A TV Size Brand
I P
N End Tables . ~ St le - P Sterec, T e Brand
G n ~ R°°m .
Coffee Tables . St le I Airconditioners . Size Brand
R A
0 Ru Size Cotor N Ra : Brand ~
O C i
M Car t Size -I,.1 Color E Ref~i ator. Brand
' n S ~ -
lam . T oX ~ uiutwasner: oraiiu ' - -
D c~r •
~ D Dinette Set . Pieces St le Freezer: Brand
N ~
~ N End Tables . St le Washer: Brand S
N ~ Style -
G T Chairs . Color Dr er: Brand
1
~f ~ E Sofa St le Color Sewin Machine: Brand
; ~ or
~ D Desk T M Vacuum: Srand 5~
E ~ E ~ _ TYPe
N $ Power Lawn Mower: Brand
C TYPe
~ Suite . Pieces St le • E Piano: Brand -
~ L TYPe :
3 Suite . Pcs. St le e. ~ L Or n: Bra~d - ;
` A
D Suite . Pcs. St te N Ma'or Power Tools 00
~ E Jfr.~ ~ ~
0 Suite . Pcs. St le - O
p Size U
Ru or Car ts . Color S. f LED Ap0 REC ROE
S ' ~ ROCEK : J~TAAS ~
Ch3irs . COlor CLE~K C~ZCUIT COURT
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Lam s . T e ~
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~ bllhen and Where was fumiture purchased _ Cost S
~ Custome~'s estimate of Value SIJOD
With ~vhat company is the furniture insured: Name _ ;f
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Poticy . Address ~
Schedule A of Security Agreement dated the day of , 1~ , Orig~nal loan
No.
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( Witness ) ( Date ) ea
( Witness 1 ~ , ( Seal ~
Witness ) l Date ) Sea 1 _
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