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SCHEDULE "A" SECURITY LIST Brancfi Addross Stamp
Describe furnituro by color ~d style: • '
/lbbroviations - Mod.. Trad:. Col., Medi., Fr.P.
Describe appliance by size and brand. Verbsl List3
Yes ~ No -
Sofas # Style TV °t
~ Color Size Brand /e~
~ L,o~u~ye . Style a N p i• p~r
O Chain # Color Size / Brand C
O Occ. TV .
oC Chairs # Color • Size 8rand
End Stereo
t7 Tables S le v~ T a d Q
~ I z Cotfee W Room Air
( Tableaf # 5 le v Condltioners ~ Size Brand
~ ~ Rugs , Z 9e
4 J Size Color < Brand ~
~ Carpet Refrigerator
I Size Color B~~d
~ ~amps # a Dishwasher .
T Bra~d
~ Dinette Set , ~ Freezer
Z # Pieces S le M s-_.- Brand °
W End ' - Washer •
~ Tables i 5 le Bran t~1
o Chairs i Style ~ Dryer
Color Brand '
o f- Sofa Style _ Sewing Machine -
F- Color Brand
W Desk _ Vacuum ~ •
z T Brand
- ~ Power ' TYPe
~ • Lawn Mower Brand
f Suite ~ Piano •
! ~ # Pieoas e ~ T Brand
! ' Suite Z Or9an
~ `n # Pieces S le T Brand
° ~ Suite ; Major
~ a # Pieces 5 le ' J Pawer Taols
~ Suite ,
• ~ _ W. .
I i Pieces S le V
I~ Rugs or Size N p~NG AfC itDED ~
f C,a ts ~ Cotor _
m Chairs ~ ~ IlOC~.~ POfTR~S - '
~ Color ~ , fRK C:.".~UIT COURT'
Lamps / ~
~ , T .
i When and Where was furniture purchased i Cust S
~ Custaner's estimate of value . ~
~ ~ ~n~ ~ ~
~ With what company is the furniture insured: Name ~ 7~ C~"lA C
~ Pnlicy # Address: _
~ Schedu "A of Sewrity A reement dated the day of , 19 :
t O gi na Loan .
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(Dat ( •
~ (MVitnes, '
@ (Witness) (Date) (Sea~)
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~ L-48 -
~ . - aoac 24~ ~ 5$7
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