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SCHEDULE °A" SECURITY LIST Bra~ch Address Stamp I
Describe furniture by color and style: ~ !
Abbreviations - Mod., Trad., Col., Medi.; Fr.P. i
Describe appliance by size and brand. Ve 1 List? ~ '
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1-~ es t 1 No ' ~
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1 Sofas ~ Style TV ~ ;
Color Size Brand ~
~ Lounge Style N
~ Chairs # Color Size Brand ~
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o Occ. 'ry ' ~
a Chairs ~ Color Size Brand
~ End Stereo ' ~
v i Tables ~ St le v~ T Brand
z Coffee w Room Air r/ ~ ~ u ~
- Tables I~ St le U Conditioners Size Brand .
~ Rugs h, z Range
~ Size Color ~ Q Brand
Carpet - Refrigerator ~
Size Color Brand
LamPs # Dishwasher ~
~ T a Brand ~
~ Dinette Set ~ ~ Q Freezer ~
~ Z` ~ Pieces ~ St le Brand ~
' ~ ol End Washer , ~
Tables 1! St le Brand
~ o, Chairs # Style Dryer fILEO AhU P.ECvRDEO
W~ Color Brand ST. IUCIC COUNTY FIA.
I o~- ? Sofa Style ~ Sewing Machine CLEFK C!'iCU1T COURT
' z ~ Color Brand . cc~; ,
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W + Desk Vacuum
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j _ Z T • Brand ' ~ ;
f ~ Power ~
{ . _ _ ~ ~ ~ Lawn Mower - Brand ;
I + Suite Piano ;
~ ; # Pieces St le J ~ T - Brand ~
E ~ : Suite Z Organ f
~ . ~ Pieces St le T ~ Brand ~
~ ~ Suite a Major s
~ ~ # Pieces Style ~ Power Tools
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" ~ ~i Pieces St le W .y,_ ~
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Rugs or Size ~
~ Car ts ~I Color N
0° ' Chairs ~ ~ ~
I Color
~ Lamps #
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~ When and Where was furniture purchased Cost $ ~
~ Customer's estimate of value 1~00 ° i
= With what company is the furniture insured: Name `
~ Policy # Address: _
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~ Schedule "A" of Security Agreement dated the _ Z-~ day of , 19 7~;
~ Original Loan No. `
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~ (Witness) (Date) (Seai) ±
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