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SCHEDULE "A" SECURITY LIST Branch Address Stamp , #
Describe furniture by ~color and style: ~ ;
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Abbreviations - Mod. , Trad. , Col Medi Fr. P. €
Describe appliance by size and brand. VSrbal List? ~ ~
I i j Yes I No ~
- TV i! ;
+ Sotas # ± Style z-; Brand ~
Color Size
~ Lounge Style TV
O Chairs M Color Size Brand
O Occ. ~ ~
~ Chairs # ~ Color Size Brand
End Stereo
L St le ~n T • Brand
U Tables I~
z Coffee • Room Air ~y ce~ _
- Tables A St le U Conditioners # L.._ S~ze Brand
~ Rugs z Range
- Size Color Q Brand
- Refrigerator
Carpet
Size Color J Brand
~~S * Dishwasher
j T e a Brand -
Dinelte Set a Freezer
L Z• ~ Pieces ~ St le Brand
~ W ( End Washer ~
~ ~ I Tables k St le Brand -
j ~ o i Chairs # Style Dryer '
w i Color Brand ,
~ v~ F- I Sofa Style ~ Sewing Machin _
; ~ ~ ~ Color ~ Brand
~ w Desk Vacuum i
z Z f -rype ~ Brand ...4-~-+ i
~ - ~ I Power TYPe
~ p< < N Lawn Mower Brand
~ ~ ~ Suite ~ ~ Piano
~ St le T Brand
~ Pieces W
~ i Suite Z Organ
N St le T e • Brand
8 Pieces Q
~ J Major
Suite
~ ~ ~k Pieces Style ~ Power Tools ~
~ : Suite ~ ` Y
~ W ~ry
~ ~ Pieces Style V !y~
~ ~ Rugs or Size N ~ - s~
W ! Carpets # Color -
~ ~ ~ Chairs # 1 ~ ST«~ ~y~~ "`~'7ROE~
LUC.;. . `
Color '~I~R4S
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Lamps # FFr ~Ep~ r -rJ1T ~p ~
~ T e r.,~~ .lI ti 7 . ~ t
~ Wh~n and Where was furniture purchaseci % -
Customer's estimate of value C~C~ ~ ~
With what company is the furniture insured: Name r""~-1•~~~
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~ po~~~y ~ Address:
Schedule "A" of Security Agreement dated the Z 7 day of O~_. 19 -
Original Loan No. 4
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~ ~ 7- 7,<
~ (Witness) (Date) (Se ~
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(Date) (Seal)
(Witness) • ~
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~ itness _
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