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SCHEDULE "A" SECURIIY LIST ~ Branch Address Stamp
Describe furniture by cotor and style: j !
Abbreviatio~s - Mod. , Trad. , Col . , Medi . , Fr. P. ~ ,
Oescribe appliance by size and brand. i Verbal List? J~ ;
{ Yes j ? No '
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Sofas ~1 Style ~ . TV
Color ~ '
C 1 Size Brand t=a c'
~ Lounge Style n~OC~ TV
' O Chairs # ~ Color G~ a..;i..,~ Size Brand
O Occ. N
~ Chairs ~ Color Size Brar~d ~ ~
End Stereo
~ Tables Ik St le i'nCC ~ T Brand r ~ L^
Z Coffee W Room Ai r
- Tables A St le t~ Conditioners SG Size Brand
~ Rugs z Range
~ Size - Color Q Brand N
j Carpet - Refrigerator
Size Color Brand i~ C i
Lamps ~ . Dishwasher
1 T ~ Brand ~a ti
Dinette Set ~ Q Freezer -
~ Z i / Pieces ~ St le Brand
W End Washer
~ ~ Tables ~ St le Brand j~1 ~4
~ o ; Chairs # Style " Dryer
W{ Color Brand Z 5 G
v o f- ~ Sofa Style Sewirtg Machine
z 1- ~ Color Brand
' ~ ! Desk Vacuum , y
' z Z~ T Brand X} .
i ^ E
i t3 ' N Power Type !
E Lawn Mower Brand J~ ~ r ~
! Suite I ~ Piano
E ; i Pieces ~ St le . ~ T " B and ~
~ ~ Suite ~ ~ Z Organ at ~~CQqO
~ ~t Pieces St le T Br CpU ED
~ ~ #u
P eces S ty le • ( ~ Power Too ls Rrr ~
Q~F+ C U; T C OS
~ ~ ~ Suite t
~ W Au ~
~ Pieces St le V
~ Rugs or Size
~ Car ts ~ W- Color N ~
m Chairs ~k
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Color
Lamps #
T h~ ~ .
~ When and 1Nhere was turniture purchased ? Cost S~~`~~' ~t~
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Customer's estimate of value -~C~'C~~
E
~ With what co an is the furniture insured: Name
~ mP Y "'1 h(t f tr i l!: It, l~
~ Policy ~ Address:
~ Schedule "A" of Security Agreement dated the day of , 19 ~
~ Original loan No. , ~
~ ~ ~ 'l./ v • ~
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~ . (Witnessl (Date) n Se
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(Witness) (Date) (Seal) ~
itness a e ea ~
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~ us BOOK 24~ PACf ~Q~4 _ ' ~ #
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