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SCHEDULE "A" SECURITY 115T Branch Address Stamp
Describe turniture by color and style: I '
Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. P. ~ ,
Describe appliance by size and brand. I Verbal List.' ~
( L~ Yes ! { No
Sofas i Style T~ ' -
~ Color Size ~ Brand
~ Lounc~ St~ !e T~ ~
O Chairs M Color Size Brand
O Occ. TV
~ ! Chairs ~ Color Size Brand
~ End Stereo
U Tables # St le v~ T 5~ Brand
z Coffee u+ Room Air
- Tables It St le U Conditioners # Size Brand
~ ~ Rugs z Range
~ Size ~ Color Q Brand
Carpet ~ ^ - Refrigerator,~ ~ . /
Size Color Brand ~F'~~~~-~•
~~S ; a Dishwasher
T a Brand
Dinette Set Q Freezer fIlEO AN! t:tCUR~EO
~ Z~ # Pieces ~ St le Brand ST. tUCl~ ~?UNTY FU.
~ W( End Washer ~Lrs;,~ r^~IT COURt
0 0 T~~,~~ a Gt..1.+ Brand orr~; r~
~ o ; Chairs # Style Dryer ~
ui ! Color Brand ~ ~
I v o F- t Sofa Style Sewing Machine
! 2 F- ~ Color Brand
W Desk Vacuum 2~
' ~ z ~ Tvce ~ Branct
€ - Power _ _ TYPe
~ ~ ~ + ~ ~ Lawn Mower Brand
i ~
~ t Suite ~c ( ~ Piano
~ ' ~ # Pieces ? Style ~ W Type Brand
~ N ; Suite Z r Organ
~ ~ ~t Pieces ~ Style Q T Brand
~ r Suite J Major
~ ~ ~ Pieces Style ~ J Power Tools
~ 1 Suite w - '
~ ~ A Pieces St le ~ ~ ~--L '~'O~
~ Rugs or Si ze ~ N
W Car ts ~F Color _
00 Chairs Ik ~
Color
~ , Lamps A
~ ~ T
' When and Where was furniture purchased ? Cosf S
oc
~ Customer's estimate of value Z O O~ -
~ With what company is the furniture insured: Name
~ poticy ~ ~ Address:
~ Schedule "A" of Security Agreement dated the ~ day of .~vt.¢Y . 19'~~"_:
~ , iginat Loan
~ 1' ~
~ \ if ~
~ (Witness) [ te) Se 1
~ (Witness) (Date) (Seal)
~
~ ~tness a e ea
~
L- ~Y8
800K ~~ch'7 PAGE 241~
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