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SCHEDULE "A" SECURITY LIST Branch Address Siamp ~
Describe furniture by color and style: '
Abbreviations - Mod. , Trad. , Col Medi Fr. P. ~
Describe applia~ce by size and brand. Verbal List? '
Yes No
Sofas # Style TV ~
Color Size ~1, Brand
~ Lounge Style N
~ Chairs f Color Size ~ Bra~d
o Occ. TV
~ Chairs ~ Color Size Brand
End Stereo .
V Tables i S le ~n T CC ~Brand ^ ~
z Coffee w Room Ai r
- Tabies ~ S le U Conditioners # Size Brand
~ Rugs ~ 2 Range
J Size Color h~ Q Brand ~
Carpet - Refrigerator
Size Color ~ Brand
Lamps # a ' Dishwasher
T a Brand
Dinette Set Q Freezer
~ Z # Pieces St le ~ Brand
~ W End Washer
~ ~ Tables # 5 le Brand
a o Chairs ~ Style Dryer
W Cofo~ Brand
Z o~- Sofa Style Sewing Machine
F- Color B rand
~ ~ W Desk Vacuum ~
~ ~z z T • Brand ;
E p - N Power Type , ~
~ ~ ~ Lawn Mower Brand
; Suite ~ Piano f C l~ IUi C
~ ~ Pieces S le W T Brand KJ ~ ~
N Suite Z Organ ~'i~ N / ~p
! ~ # Pieces St ie ~ T ~ ~ e~6rand v~ - ~
Suite J Major `
~ • Pieces S le J Power Tools i
~ Suite fIIEG ~tir i;a • ~ ~
~ # Pieces St le W fT.LUCf[ f~'G RP~D
~ Rugs or Size V , ~^~•"~I*R~S '
~ ~n CLEq~ c.,:
u' Ca ts # Color Rp i Cp~lpT .
~ °o Chai rs * ~ . " `
~ Color
~ , Lamps #
~ T
~ When and Hfhere was furniture purchased ? Cost $ r
? Customer's estimate of value
~ With what company is the furniture insured: Name
~ Policy # Address:
~ Schedule "A" of Security Agreement dated the day of , 19
~ Original Loan No.
~ - ° ~ 3 ~'S .
(Witness) (Date) Seaq ~
~ ' ~
~ (Witness) (Date) (Seai) j
,
~ ness a e ea ~
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L-48 ;
~ 8ooK239 ~~E1577 ~
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