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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 appliance by size and brand. Verbal List? ' ~
I Yes No
; Sofas # Style N
~ Color Size ~ s~~.+ Brand e it1 ~ f O N~d~~.
; ~ Lounge 5 le. ~y,~,~y.~ TV
; o Chairs i~.~- Color Size Brand
' O Occ. TV
~ Chairs Color Size Brand
End Stereo
v Tables i S 1e N T w~: . Brand 6
z Coffee W Room Air
- Tabies ~ St le c) Conditioners # Size Brend
, ~ Rugs ~ z Range I
~ Size Color ~ h~ < Brand 4/` d ~
Carpet~ (a' - Refrlgerator ~
Size 0 / 2- Color w -i Brand
Lamps # ~ n' Dlshwasher
T a Brand
Dinette Set • , Q Freezer
~ Z ~ Pieces S le Brand
p W End Washer
~ Tabies # S le Brand ~4
I~ o Chairs ~ Style Dryer
W Color Brand - `
o F- Sofa Style Sewing Machine o Q y-t b
~ F- Color Brand „
~ ` ~ Desk Vacuum
~ ~ z T ' B rand (2 4 S n'7 4
r-
~ p Q ~ Power TYPe
~ ~ Lawrt IQlower Brand
f Suite 0 Piano
i # Pieces S le W T Brand
i ~ Suite ~ Organ
~ !`n ; Pieces ~ St le ~ T Brand
~ Suite ~ Major
~ a # Pieces St le J Power Tools
~ v Suite
~ W i~ttU -.:~CKQE~
# Pieces St le V
~ ~ Rugs or ~ Size /o k ~ ~ ~ ~ = . 'n;S
f' W Ca ts f Color N C~6~lG~t41T~~~!RT
~ ' m Chairs # ~
~ Color
l.amps # 31
~ ~ T
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~ When and Where was furniture purchasedQ Cost S
` Customer's estimate of value
~ With what company is the furniture insured: Name
r---
~ Policy ~ Address:
Schedule "A" of Security Agreement dated the ~ S
day of , 19
~ Original Loa~ -
t ~
~ \ s~.~ y ~ 7 S _
~Q ~tness ~ _ ate ~
~ i ss (Date) (Seal)
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~ ~ ss a e
~.-us BO~K PAGf 29~
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