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SCHEDULE "A" SECURITY LIST ' Branch Address Stamp ( i
Describe furniture by color and style: ( ! (
Abbreviations - Mod. , Trad. , Col Medi Fr. P.
Describe appliance by size and brand. Ve I List? ~ ~
I L Yes No ~
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, Sofas ~ Style ~G~• TV
Color G ~ Size ' Brand
~ Lounge - Style ~v~ TV
~ Chairs ; Color Size Brand
0 Occ. N
~ Chairs # Color Size Brand
End Stereo
t3 Tables i St le v? T Brand
Z Coffee , W Room Air
" Tables i St le " V Canditioners # Size Brand
~ Rugs z Range
~ Size Color Q Brand f~ S-
Carpet - Refrigerator
Size Color Brand ~ 2S
Lamps ~ a Dishwasher
~ T Brand
Dinette Set Q Freezer
~ Z N Pieces St le Brand
u' E~d Washer
~ ~ Tables / S le Brand ~ ~
~ o , Chairs # Style Dryer
W Colo~ Brand
i 'v o H Sofa Style Sewing Machine
I z 1- Color Brand '
; W Desk Vacuum
~
z z T Brand si~ -
; o - Power Type
i ` _ ~ > Lawn Mower Brand
~ Suite Piano / • /
~ ~ Pieces St le W T Brand
~ Suite Organ
~ # Pieces ~~~St le Z T Brand
~ ; ~ Suite Q Major ~
~ ~ # Pieces St le J Power Tools '
~ ~ Suite . W
~ ~ Pieces St le
~ W Rugs or Size v
Car ts # Color ~
~ - f
~ m Chairs # ~ . L CIE COUNTI? f~A,
~ Color ~ ROCER P
~ ' ~"'PS ~ RECORD VrR
~~Fp COURt ~
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When and Where was furniture purchased ? Cost S ~~~14
- Customer's estimate of value
5 "
~ With what company is the furniture insured: Name ~
} Policy # Address_ y~I'~ i~~p .
° Schedule "A" of Security Agreement dated the day of " , 19
~ Original Loan No
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~ hM!!1~ ~ te) (Seal) i
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~ itness a e ea
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~ L-48 •
~ 800N ~7l! PACE~~~
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