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SCHEDULE 'A" SECURITY LIST Branch Address Stamp =
,
Oescribe furniture by color and style: ~ ~
Abbreviations - Mod. , Trad. , Col Medi Fr. P. ~
Describe applia~ce by size aod brand. Verbai List? ; '
~ Yes No ~ `
Sotas ~ St le TV ' , ~
Y ~ ,
~ Color Size /~~xac4' Brand ' .'tc~
~ l.ounge Style N - ?
O Chairs # Cotor Size Brand '
i
O OcC. N :
~ Chairs ~ Color Size Brand s
t Ctl(7 Stereo ~
V ~ Tables 1~ ~ St le ~n T ~ Brand 3
z Cotfee Room Air ,(~Ti~ ?
" Tables ~ ~ St le V Canditioners t ~ Size :;+~Vl~ Brand !
~ Rugs . z Range -
~ Size Color h~ Q Brand b'~-K~~
~ ~~t ~ - Refrigerator
Size C~~< L`'' Color Brand 7~~L1.~.~
(.amps A ~ n' Dishwasher
T a Brand ~7,~t- <
Dinette Set Q Freezer `
~ Z ~ # Pieces ~ 5 le ~ Brand >>~C'c-~ < F
~ u' End Washer ~
'c ~ ~ Tables ~ St le - Brand ~firG~ ~
' ~ o Chairs ; Style Dryer =
~ W ~ Color Brand 'wiL~t-<-- ~
i o~- ! Sofa Style Sewing Machine .
~ Z F- Color B~and ~
~ ` i Desk Vacuum ~
` 7 z ` T ` Brand ~i~"E
~ ~ - F • / , Power Type
E p ~ ] Lawn Mower Brand "
~ ~ ~ Suite ~ ~ Piano ,
3 ~ Pieces ~ S le }L~G~~- W T Brand
~ Suite , , Z Organ
~ # Pieces 3 St le Q T Brand
~ Suite 2 J Major 1
~ ~ # Pieces J St le ~ Power Tools /L~Z~~-~ L-. .
~ + Suite W
~ ~l Pieces St le FI~EGtti.
~ r F ~
~ Rugs or Size N a^vi ~ . L~.
~ ~ t5 ~ COIOI' _ ?r ' -naS ~
: ~ ~ .
Chairs N ~ - . v :
~ Color
~ ~^~5 * T ai 1 1 os PH'7~ ;
~
~
~ When a~d 1Nhere was furniture purchased ? Cost $
w 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 n _ ~
~ 5/ > / ~U ~ ~
x_ -
(Witness) ( ate) (Seal) _
~ ' ~ ` _ ' ~ i
~ (Witness? (Date) ~ (Sea )
~ .
~ ~ ness a e ea
~
~ L 48
~ °aooK2'~ PacE242O s
~
~ - ~ ~
~ T . . . - Y ~