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SCHEDULE "A" SECURITY LIST ; Branch Address Stamp
Describe furniture by color and styte: ~
Abbreviations -.Mod., Trad., Col., Medi., Fr.P. ~
Describe appliance by size and brand. Ve 1 List?
~ es No ~
' Sofas # Style TV -~j
! ~ Color • Size ~ ~ Brand ~Y •
j ~ Lounge Style N
0 Chairs i Color Size Brand
~ 0 Occ. TV
~ ~ Chairs # ~ Color ~ ~ Size Brand -
End Stereo
U Tables # Z' S le ~n T Brand
Z Coffee , j ~ W Room Air
- Tables # St le t c) Conditioners # Size Brand
~ Rugs ' . z Range
~ Size ~ t ~ Color ' ~ hi ~ Brand. -
, Carpet - Refrigerator
Size Color Brand
Lamps # a Dishwasher
~ a Brand
Dinette Set ~ a Freezer
~ Z ~ Pieces S le Brand
p W End . Washer
~ ~ Tables # S le Brand
P~ o~ Chairs # Style Dryer
; W 1 Color Brand
i ~ o F- Sofa Style Sewing Machine
F- Color Brand
i w pesk Vacuum
j ~ z T • Brand -
~ A Q ~ Power Type
( ~ Lawn Mawer Brand
~ Suite ~ ~ Piano
, # Pieces 5 le /~-is.-~- W T Brand
~ Suite Organ .
# Pieces ~ St le ~ Z T Brand
~ Suite J Major
~ # Pieces S le ~ Povreh- Tools
~ ` Suite
t Pieces St le W
~4~ . f
° Rugs or Size N •IUCiE COUNTY
D~
. Car ts • Color _ ROCFk f
m Chairs # Color ~ RF~~R~ ~fFlF1E0 C~~11T
~ `.~~'S ; T ~U~ 18 ~
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~ When and Where was furniture purchased ? Cost $
Customer's estimate of value lG oa ~-s
~ With what company is the furniture insured: Name
~ Policy ~ Address:
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~ Schedule "A" of Sewrity Agreement dated the day of , 19
~ al Loan No.
~ Q
(Witness) (Date) (Seai)
3
~ (Witness) (Date) (Seal) [
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~ ss a e ea
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