HomeMy WebLinkAbout0477 SCHEDULE "A" SECURITY LIST Branch Address Stamp ~
Describe furniture by color and style: f
Abbreviations - Mod. , Trad. , Col A1edi Fr. P. ~
Describe appliance by size and brand. Verbal List~ '
~ [j Yes No ~
Sofas i Style '~M • TV ~
Color Size ~p~it, Brand ' :
~ Lounge Style N
.
o Chairs Jk Color Size Brand ~
rJ Occ. TV
~ Chairs ~ Cofor Size Brand
End Stereo ~ f
v Tables ~t ~ St le v? T Brand ~
z Coffee W Room Air e o0 t
- Tables # St le U Conditioners # ize Brand - ~
~ ~ Rugs . z Range ~ ~
, Size Color Q Brand
Carpet ~ - Refrigerator
Size Color Brand ~
Lamps ~ ~ a Dishwasher
T e a Brand ~
; Dinette Set a Freezer ~
Z~ # Pieces St le Brand {
~ End Washer i.
~ ~ Tables # 5 le Brand ~ (r(f ~
~ o Chairs # Style Dryer
W ~ Color Brand ~
o F- ~ Sofa Style Sewing Machine
' z H ~ Color Brand
Z W i Desk Vacuum .
! z I T e • Brand
! ~ Q f Ponrer Type
, ~ Lawn Mower Brand ~
~ ~ Suite 0 Piano
~ ~ / Pieces ~St le W T Brand
Suite r'R p Z organ
! n ~ # Pieces St le T Brand
~ ~ 1 Suite ~ Major . ~
~ 1 ~ Pieces ~ St le I~• ~ ~ Power Tools ~O•~
~ i Suite t W ftLEp A
; ! Pieces St te v ST. «~j y~ 4ECORpE ~
° Rugs or SizeA N CLE:,• ~~~'TR4S ~
~ w ~ Car ts ' / / Color _ Rc~~ , , '=Jit ~
~ d Cha i rs # ~ ' ~ `
Color
~ ~^,~5 ~ 38 N '7 ~
~ ~ T
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~ When and Where was furniture purchased ? Cost S
~ Customer's estimate of value ~~ODO .t9 ~
~ With what company is the furniture insured: Name
~ Policy ~ Address:
' Schedule "A" of Security Agreement dated the ~ day oi , 19 i
~ Original Loa '
~ 3~~ ~ 5-
~
~ (Witness) (Date) e )
~
~ (Witness) (Date) Seal)
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~ ~tness a e ea
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