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SCNEDULE "A" SECURITY LIST ° Branch Address Stamp
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Describe furniture by color and style: ~
Abbreviatio~s - Mod. , Trad. , Col . , Medi . , F~_ ~ '
Describe appliance by size and brand. t_V~rbal List? I -
i~ Yes j No
Sofas fk Styie TV
Color ~ S~ze Brand
~ Lounge Style TV
O Chairs 1k Color Size Brand
O Occ. ~
a ~ Chairs # Color Size Brand
~ ~d ~ Stereo ~
v ~ Tables ~ St le ~ T Brand
z Coffee ~ Room Air
- Tables N St le U Conclitioners ~ Size . Brand
~ R Rugs Range
Size Color G Q Brand r~~~n
~ - Refrigerator
Ca rpet ~ I
Size Color -i Brand
~~S ~ ~ Dishwasher
T ~1~ti 3 Brand
( Dinette Set Q Freezer j
~ Z ~ Pieces St le Brand
C W End Washer ~
; ~ Tables # St le Brand
; a o; Chairs i1 Style Dryer
~ w ; Color Brand
~ v o t- i Sofa Style Sewing Machine ~
t z ! Color Brand
; w ; pesk Vacuum
~ z Z ~ -~y~ ~ Brand
Power TYPe
g A p j ? Lawn Mower Brand
~ ' Suite _ { 0 Piano
r~'OD"'' Brand
! # Pieces t le I W T
~ ~ Suite Organ
~n Z T e Brand
~ $ Pieces St le Q
~ Suite ~ Major
~ ! ~ p1eCe5 Style j J Power Tools .
~ ~ Suite w FILEO AML~ R~CURDED
~ ~ # Pieces St le .
~ ~ Rugs or Size ~ ROCE4 ~.3~IRes ~ -
°1 I Car ts # Color _ CIER
~ . ~ l yri .clE~
~ Chairs ii ~
~ ' Color
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# 58 ~'15 ~
T e
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_ uytio~ anrl WhPrP w?c furniture purchased ? _ _ Cost S V~'.L~"
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Customer's estimate of value _ -
" With what company is the furniture insured: Name
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po~~~y ~ Address: ,
Schedule "A" of Security Agreement dated the day of . 19 7`~%
:
Original S.aan No_ ~
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~ (Witness) ~(Date) (Seal)
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~ (1Yitness) (Date) (Seal)
itness a e ea
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