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SCHEDULE °A" SECURITY LIST Branch Address Stamp i
Describe furniture by color and style: • ~
• Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. P, i . (
Describe apptiance by size and brand. C Verbal List? ~ I '
~ L j Yes I No :
:
Sofas ~ Styte f TV • ,
~olor G Size Brand
, ~ lrounge Style TV
' 0 Chairs t / Color ' Size Brand
~ 0 Occ. TV
~ Chairs ~ Color ~ Size Brand
End Stereo '
V Tables # St le ~n T Brand
Z Coffee w Room Air
- Tables # St le U Conditioners # Size Brand
~ Rugs z Range ,
J Size / / Color Q Brand
Carpet • - Refrigerator ~
; Size Color Brand
. Lamps # a Dishwasher
T a Brand
~ Z Dinette Set Q Freezer
~ Pieces St le ~ Brand
p oi End Washer
p Tables # S le Brand
~ o ! Chairs • Style Dryer
W ' Color Brand
~ o F'- Sofa Style Sewing Machine
~ F ~ Color Brand
~ W Desk Vacuum
I ? Z T Brand
i ~
~ kj o ~ Power Type
~ tawn Mower Brand
i Suite ~
Piano
; • Pieces St le ~ T Brand
~ ~ Suite W Organ
I~^ z ahL xt_ ~ E
#k Pieces St le T , ,
~ ~ ~ Suite J Major G~= ~;IT e ' ~ '
~ ; ~ Pieces St le J Power Tools l~i~ hA G°~;t~1i i) i
~ 1 Suite W • . . . r ~ ~
~ ~ Pieces St le
~ ~ Rugs or Size V ~
, W Car ts ~ Color ~ '
°D Chairs t
~
' Color
Lamps # '
T i
When and Where was furniture purchased ? ' Cost 5 ~p~~"O
- Customer's estimate of value ~~~~J~
~ With what company is the furniture insured: Name
g~ Policy # Address: f
~ Schedule "A• of Security Agreement dated the day of , 19~
~ Original n No_
~ - ~ L ~r /.~/3 ? /
~ (Witness) _ _ ,(~at ) ~ (Seal)
~ X ~
(Witness) (Date) (Seal
i
~tness a e ea
~
~ L-48 ~ i
~ BooK ~42 ~~1.714
~
~
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c~~~ ~~,~~~~~~z ~ ~n
~ a-~°° ~ -
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