HomeMy WebLinkAbout2653 . i
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Branch Address Sta t
SCHEDULE "A" SECURI7Y LIST ~ ^~P
Describe furniture by color and style: -
Abbreviations - Mod. , Trad. , Col Medi Fr. P. ~
Describe appiiance by size and brand. Ve 1 List?
I Yes No ~
Sofas # Style N
Color Size Brand
~ L,ounge Style ~
O Cfiairs • Color Size Brand
O Occ. TV
oc Chairs # Color Size Brand
End n _ Stereo ~ ~1
c) Tables # St le ~ T ~w ~(/Brand
z Coffee ~ W Room Ai r
- Tables # St le V Conditioners # Size Brand
~ ~ Rugs Q /Br d ~ ri ~ -
- Size y Color
~ t - efrigerator
~ -
Size Col~r ~ Brand ~ t~
~~5 ~ a Dishwasher
'r ~ a Brand
~ inette Set ~ Q Freezer
Z # p~~s . / St le Brand
W End Washer ` -
~ Tables * S le Brand /G )
o Chairs # Style Dryer
ui Color Brand
4 0 1- Sofa Style Sewing Machi~e
~ Color Brand A
W pesk Vacuum
z T ' B~and Ol~
_ N Power Ty
C ~ Lawn Mower Brand
Suite ~ ~ Piano .
# Pieces ~ 5 le ~ ~ T Brand
W
N Suite ~O z Organ Brand
~ # Pieces S le Q
Suite J Major
0 # p~~s 5 le Power Tools
NL .4~
~ Suite Q
~ # Pieces St le W $i.1.UCll i0i! ~y p
p V LERK'~; - ;
Rugs or Size v~ R.F~^~~,, t)tT CO(~RT
W Ca ts # Color _ • t' r n
°D Chairs # ~ Y
Color
~~S . y r
T
When and Where was furniture purch~ ed~ ~ S
Customer's estimate of value
With what company is tfie furniture insured: Name
Policy # Address:
Sch e " of Security Agreement dated the ~-day of ~g~, 19
rigi I l.oan No.
.S X f.f~. ~c~ ~ o~~~
(Witness) (D e) (Seai)
(Witness) (Date) (Seai)
~tness a e ea
L-48
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