HomeMy WebLinkAbout2168 .
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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp
Describe furniture by color and style: '
Abbreviations - Mod., Trad., Col., Medi., Fr.P.
Describe appiiance by size and brand. ~ V 1 List? •
Yes ? No
~ Sofas # Style~ TV ~
; Color °Size ` Brand '
; ~ Lou~ge Style . Tl/ n
0 Chairs # Color Si:e ~ Brand Cs ~
~ O Occ. TV
a Chairs i Color Size Brand
End Stereo
V Tables # S le 5' vi T Brand ~
z Cpffee ~ tu Room Air ~
- Tables # St le t~ Conditioners # Size Brand
> Rugs ~ 2 Range .
J Size Color • ~ Brand ~ -
Carpet / - Refrigerator
Size • Color J Brand -
~ Lamps # Dishwasher
T Brand
^ Dinette Set ~ ~ Freezer
r~ Z • Pieces St le Brand -
p End Washer
~ ~ Tables # S le Brand
~ o Chairs # Style Dryer
~ W Color Brand
~ ~ o t- Sofa Style Sewing Machine f
I. F- - Color Brand
i i
Desk Yacuum i }
~ Z T ~ Brand - ~ ;
Power~ Type ~y'~ut~t~ i
' ~ ~ - ~ t~wn Mower B~and - ~
! i Suite 1 Q~~,~,s- p Piano ~
j # Pieces S le W T Brand
' Suite ~f~,d , Z Organ
~ Pieces 5 le a T Brand
~ ~ ~ Suite Major
# Pieces S le ~ Power Tools
i Q
Suite
i ~
~ Pieces St le W
U
~ Rugs or Size N fj4~0 ~lhJ ~~pppEp
Ca ts ~ Co1or _ i1• UCI[ 4~UNTY IL~,
~ ' °0 Chairs ~ ~ C~ERK G::'•~+:IT COYRt +
Color =
~ ~~s # -
~ ` T
~ When and Where was furniture purchased ? Cost s -
~ Customer's estimate of vatue $ ~~B -
~ With what compa~y is the furniture insured: Name G~ 1 C d
~ Policy # Adciress: ~Q a~ i~,no"t7ir~ T~. ~ j
~ Schedule "A" of Security Agreement dated the day of , 19
~ Original l.oan No.
~ ~ 7y ~
~ (Witness) Da e) (Seal ~
~ ~ z~~ ~ ~;~~G~-- ;
& (Witness) (Date) (Seal)
~ itness a e ea
~
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~ L- 48 BOQK ~9~ P~E 2169
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