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SCHEDULE "A" SECURITY LIST i Branch Address S/amp
Describe furnit~re by color and style: ~
Abbreviatio~s - Mod., Trad., Col., Medi., Fr.P.
Oescribe appliance by size and brand. I Verbal List? ~ ~
~ j Yes j ~ No '
:
Sofas ~ Style TV
Color ~uG Size ~ Brand
~ Lounge Style ~y TV
~ Chairs ~ Color dJ~ ` Size ~ Brand
O Occ. ~
~ Chairs ~ Color Size l Bra~d
End Stereo
v Tables #F N/C~ St le v~ T ~ Brand
Z Coffee W Room Air
- Tables ~ St le V Conditioners ~ l Size Brand
~ Rugs z Range
Size ~ Color I Q Brand
Carpet ~ - Refrigeretor
Size ~ Color -i Brand
Lamps t n' Dishwasher -o
Z T a Brand = ~ en
~ Dinette Set ~ Q Freezer ~ =vmp~~
~ Z ~ Pieces 6~'S St le Brand ~D a c a
~ ~ W End Washer / .~c
i ~ p _
Teblec !t S~vIP ~ Brand ' ~ :
; ~ o Chairs # Style Dryer 0 0~°=~
i W~ Color Brand ~ Q ~-+o
~ v o F" . Sofa Style Sewing Machine / 9~ ~v~„o
= z F- ~ Color Brand ! 3 ~>o
? ~ W Desk Vacuum ~.t
4 Z z 1 T Brand ~
" Power Type
a C ~ ~ N Lawn Mower Brand
~
~ Suite i Piano
$ A Pieces St le W T ~ Brand
~ ; Suite Organ
£ ~ Pieces ~ St le Z T Brand
~ ~ Suite ~ J Major . ~ J :
~ ~ Pieces ~ St le ~ Power Tools p0 v. !
~ ~ i Suite ~ ~
> ~ ~ W
# Pieces St le V
~ ~ Rugs or Size ~
~ W Car ts # ~ Color
~ -
k~ °D ~ Chairs # 3 g
Color
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~ Lamps # ^ _
~ ~ y T
~ '
R When and IYhere was furniture purchased ? Cost S
Customer's estimate of value OOU . C"
~ With what company is the furniture insured: Name
_ Policy ~k Address: ~ ~~q-,~qf ~ y~/~
Schedule "A" of Security Agreement dated the day of , 19
' Original Loan No.
C J('-~
(Witness) (Date) (Seal)
3
(Witness) (Date) (Seal)
°:3 - itness a e ea
~ ~
L-48 •
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x~ Boox237 ~ 204
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