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SCHEDULE "A• SECURITY UST ~ Brand~ Address Stamp
Describe furniture by color and style: , !
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P.
Oescribe appliance by size a~d brand. Verbal Ust3 -
I [J Yes ? No
i Sofas #'.Z Style D w Q r Q T/ . .
~ ~ Gelor ~ i Slze 8r~r! ' -
I ~ Lounge Style - TV ;
o Chain # Color Size ' Brand
i O Occ. N
Chairs # ` Color 1 Q~ Q. Size Brand ~
; End ~ Stereo _
i c7 Tables # S~ le v~ T Q Brand
~ z Coffee W oom Ai r
Tables # S le U Conditi # Size ' rand
i ~ R~9s ~ Z 9e
J Size Color b~ ~ Brand .~J• ~ r
Carpet _ - Refrigerator
; Size Color J Brand Q
i Lamps. # ~ Dishwasher
~ T Brand
~ Dinette Set i~ -f'Y~ 0 1" Freezer
Z # Pieces S ie ~ Br~d
End W~her t
bI,,, ~ Tabtes i S le Brand
o Chairs i Style Dryer
~ W Color Brand
~ o F- Sofa ` Style . Sewing Machine
F- Color Brand /
; ~ W Desk Vacuum
z T ~ Brand Q
' _ Power , Type
P ~ N Lawn Mower ln,v, Brand e ~
~ I Sulte ~ Piano
E ~ # Pieces S le Q W T Brand
f Suite Organ
` ~ Pieces S le Q r Z T Brand
E ' ~ Suite ~ Major
i # Pieces 5 te J Pwver To~is
~ ~ ~ Suite f11,~ Q 4h:' ?~CORD~ + •
~ # Pietes St le V ST. LU~lc '~0lfNTY Fl~. '
i ° Rugs or Size ~ ( ;,~'r .i•UiT COURT `
~ i Car ts # / Color - -
i m Chairs # ~
~ Color ~
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Lamps #
€ ~ T -
~ O~
~ When and Where was furniture purchased ? . n r5 a U Q 0.t" S~~ l~ U D.
$ Customer's estimate of value 3 0 o a.~ ~
' With what company is the furniture insured: Name
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4 Poliry # Address:
$ Schedule "A" of Security Agreement dated the daq of , 19
~ Original Loan No.
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F ~ ~ ~
~ (Wi s) (Date) Seal)
~ 8-19- ~1,
~ (Witness) (Date) (Seal)
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