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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp l
Describe turniture by colo~ and style: i !
Abbreviatio~s - Mod. , Trad. , Col. , Medi Fr. P.
Describe appliance by size and brand. Ve 1 List? ;
~ L es ~~`I No ~
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Sofas ~I Style l'V ~
Color Size ~..c~~ Brand
~ Lounge Style N
~ Chairs # 2- Color Size Brand
O Occ. , TV
~ Chairs f Color Size Brand
End Stereo
v Tables i St le ~n T ~ Brand
Z Coffee ~ W Room Air ~po a 1 V
- Tables # St le v Conditioners Size 3zi Brand
~ Rugs - z Range
J Size Color d Brand
Carpet - Refrigerators~
Size W~' ~ Color Brand ! ~
l.amps 11 Dishwasher
T a Brand •
^ Dinette Set ' a Freezer
~ Z # Pieces ~ St le Brand
~ W End Washer
' ~ ~ Tables i1 S le Brand
' ~ o ; Chairs # Style Dry
' W ~ Color Brand .
j ~ o f- Sofa Style Sewing Machine ' -
Z H Color Brand
' Desk Vacuum
j z z T ~ Brand
t ~ ~ Power `Type
~ ~ ~ Lawn Mower Brand
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= Suite - Z Piano
~ # Pieces J St le W T Brand
~ ,N Suite Z Organ
3 # Pieces ~ St le T Brand
~ ~ Suite J Major , / n
~ f Pieces Z St le ~ Power Tools~ .
~ ~ Suite W ~ oC
~ ~ ~ Pieces St le V /~O O
~ Rugs or Size
Car ts ~ Color ~
~ m Chairs N ~ F~0 A~p {iE~
~ Color L~lClf
Lamps 11 = ilAS
~ T tiERK Ct;:CUIT~p~~
~ When and Where was furniture purchased ? Cost $
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Customer's estimate of value SO Gj a~-'
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With what company is the furniture insured: Name
~ Policy # Address:
~ Schedule "A" of Security Agreement dated the l~ day of , 197 T; ~ w
~ .Or\ Laa[~No. / , /l ;
~ L.~~ ~ z-~ 7 ~ t : f ` / r-, ~ ~ 7 i
~ (Witness) (Date) 5
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~ (Witness) (Date) (Seal) ~
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~ itness a e ~ ea ~
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~ ~-4$ ao~r~ ~f~8~7 r
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