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SCHEDULE "A• SECURITY LIST ~ Branch Address Stamp ~
Describe furniture by oolor and style: ~
Abbreviations - Mod. , Trad.-, Cat ; Mecii~. , Fr P. ~ ~
Describe appliance by size and brand. I erbal List? j _
' Yes No ~
Sofas # Style N ~
Color Size '~"Y`~ Brand ~ G ~
~ Lounge Style - TV
0 Chairs i Color Size Brand
O Occ. • TV
I aC Chairs # ~ Color Size Brand
~ End Stereo
i v Tables ~ S le v~ T Brand
~ z Coffee ui Room Ai r
Tables # J St le t~ Conditioners # Size ~rand
~ ~ Rugs , z Range • •
,
~ ~ - Size Cotor S h~ ~ Brand j
j Carpet - Refrigerator ~ f
' 5ize Color ~ Brand }
Lamps ~ a Dishwasher ~
T a Brand
~ Dinette Set ~ Q Freezer
Z ~ Pieces S le Brand
W End Washer i~~~
~ Tabies # St le ~ Brand
o ~ Chairs # Style Dryer
W Color Brand I
o f- Sofa Style Sewing Machine . }
F- Color ~ Brand ~
W Desk Vacuum 1~~ ~ ;
z T • Brand /1''"~'o's`~'~'~'~ j
- ~ Power Type -
~ - Lawn Mower Brand ~
~
Suite Piano
# Pieces 5 le ~ T • Brand
Suite W Organ
~ # Pieces St le Z T Brand ~
~ ~ Suite ~ Major , }
# Pieces S le ~ Power Tools _ . ~
O
I~ Suite W ST. LUCi: L ~UN7r ~LA. ~
~ # Pieces St le V ~-:.f-
' ~ Rugs or Size . :•?~'4T .
W Car ts # Color N AECOItO VERIFIEO.~~
+ °D Chairs # ~ _
i Color ~
Lamps #
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When and Where was furniture purchased ? Cost ~
Customer's estimate of value p? Q~C~
With what company is the furniture insured: Name
Poiicy # Address:
Schedule "A" of Security Agreement dated the day of , 19
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(Witness) (Date) al)
tness) (Date) (Seal )
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