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SCHEDULE "A" SECURIIY LIST ' Branch Address Stamp ?
Describe furniture by color and style: f
Abbreviations - Mod. , Trad. , Col Medi Fr. P. ~ f
Desc~ibe appliance by size and brand. Ve ! List? ~
~ Yes 1=1 No ~
, ~ ;
, Sofas # ~ Style TV A 1 ~ /f~
~ `
~ Color ~ Size ~c 3 G~+-~ Brand ~*p
; ~ Lounge Style TV e
! o Chairs / Color Size ~ /sc. Brand
O Occ. ~
~ Chairs # ~ ~ Color ~ ~ Sixe Brand
End ~ ~ Stereo
v Tables St le ~n T Brand
~ Z Coffee W Raom Air -
- TableS ~ St le U Conditio~ers ~ Size Brand
> R~gs z Range `
J Size Cotor Q Brand
Carpet - Refrigerator
Size Color ~ Brand '
; Lamps # a Dishwasher
T n' Brand
Dinette Set Q Freezer
~ Z # Pieces ~ St le ~ Brand '
I~ W E~d Washer ~ /
~ Tables # 5 le Brand ~i~
a o Chairs ~ Style ~ Dryer ~
w ~ Color Brand ~ ~
f ~ o t- Sofa Style Sewing Machine ~
i 2 I- Color Brand .
~ W Desk Vacuum
~ ~ z ~ T Brand ~~t~~• .
~ - Power Type
p o ~n
= Lawn Mower Brand
I Suite P~a~
; # Pieces S le W T Brand `
E ~ Suite . Z Organ 314404 ~
~ `n # Pieces~«~ 5 le Q T Brand
~ ~ Suite ~ Major
~ ~ # pieces 3 5 le /Ll ~ Power Tools
~ Suite w ~il G ~ :
~ # Pieces St le ~ ~
; o v ' d ~ }
; Rugs or Size ~ L~i~ ~;r~~~~= j
; w Car ts ~ Color _ QF~I
~ ' : - s . ~t~URT . ~
' Chairs t ~ _ f
Color
Lamps # -
~ T
a -
~ When and Where was furniture purchased' Cost $
~ i
~ Customer's estimate of vaiue .'S ~ D
~ With what company is the furniture insured: Name .
~ Policy ~ Address:
~ Schedule "A" of Security Ag~eement dated the Gv day of , 19 7 Y
Ori inal Loan No
- ~ - _ A '
~ s_ ~ ~ C' ./~.~f~---
~ [Witness) (D e) (Seai)
(Witness) (Date) (Seal)
itness a e ea ~
•
~
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L-48
~ doox242 P~~1708
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