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SCHEDULE "A" SECURITY LIST Branch Address Stamp I ~
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Describe furniture by color and style: ,
Abbreviations - Mod. , Trad. , Col Medi Fr. P. ~
Describe appliance by size and brand. Ve List? ~ '
~ - es (=1 No 1 ` ,
;
Sofas ~ Style N . ~ `
Color Size ~ Brand ~
~ Lounge Style '~'V « ~
O Chairs ~ Color Size Brand :
O Occ. TV ~
~ Chairs t ~ Color Size Brand ,
_
End Stereo f
r
Tables ~ S le v? T Brand f
w Room Ai r ~ ~
z Coffee Brand
- Tables ~ ~ St le U Conditioners ~ Z Size
~ Rugs h, z Range ~ ;
Size Color ~ Q Brand , z
J
Carpet - Refrigerator . ~
Size Color J Brand
~~5 ~ ~ a Dishwasher
T Brand ~
Dinette Set Q Freeze~`~ ~
~ Z` # Pieces ~ St le Brand l~
W End - Washer ~ ~Q '
~ Tables # St le Brand ~
~
a o~ Chairs ~I Style Dryer ~
' ui ~ Color Brand t
i o f- Sofa Styte Sewing Machine `
~ z F Color Brand -1'-
W Desk Vacuum
~ L Z T' ' Brand
' Power Type
~ ~ o! N Lawn Mower Brand _
; ' ~ Piano
Suite
~ Pieces ~ St le W T Brand
~ i Suite Z Organ
# Pieces St le d T Brand
~ ~ Suite ~ ~ Major -
~ # Pieces 3 Style Power Tools •
J
C Suite • ~
~ W
# Pieces St le '4-~
Q V ~
Rugs or Size ~ • d' ~
~ Car ts ~ Color
~ m Chairs ~1 ~ . L CI~ ;;a(j ~
~ Color RQ~EF ?~i~ ~v .
l.amps # PrrCRL• Y~~,.~`~~ 4PURf ~`j' ;
~ ` T i
~R ~ k~ ~H
~ When and Where was furniture purchased ? Cost $
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~ Customer's estimate of value dfG~~
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With what company is the furniture insured: Name
'z~ po~~~y $ Address:
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~ Schedule "A" of Security Agreement dated the Z S/day of ~i¢r`
Original Loan No. ~
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~ 3 ~ ~ '
r ~ iy ~ ~
~ (Witness) (D e) (Seal)
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(Witness) (Date) (Seal)
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~ ~tness a e
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