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SCHEDULE "A" SECURITY LIST r Branch Address Stamp
Describe (urniture by ootor and style: !
Abbrevlations - Mod. , Trad., Col. , Medi Fr, P.
Describe appliance by size and brand. Verbal List? ~
~ L.j Yes r~ No i
; Sotas i Style TV
Color Si:e Brand
~ ~ Lounge Style '~y
o Chairs ~ Color Si2e Brand 7
i O Occ- TV
' ~ Chairs ~ Color Si:e Brand
' End Stereo
; v Tables S 1e ~n T Brand
z ~ffee ~ ui Room Ai r -
- Tabies ~ St le U Conditioners # Size rand
~ > Rugs z Range
J Si:e Color ~ Brand ~
~R~t - Refrigerator -
Size ~ ~ ~ Color Brand
~mPs # Dishwasher ~
T' ~ Brand ~
Dlnette Set , Q Freezer
~ Z # Pieces 5 le - Brand -
p W End Washer .
~ Tables ~ 'Z/ S le Brand
~ o Chairs # Style ~ Dryer
W Color Brand ^ ^
~ o f- Sofa Style Sewing Machine
E- Color 8 rand
~ W Desk Vacuum
2
Z T B rand ~
P - N Power . Type
~ Lawrt Mower and
4
~ Suite ~ piano
! i Pieces St le ~ T ~ Brand
; Suite W Organ
`A # Pleces St le Z T Brand ~
i
~ ~ Su+te j Major
~ # Pieces S le J Power Tools -
~ Suite ' •
~ ~ ~ Pieces S le W
j~ Rugs or Size V
Ca ts # ' L~ lor SL LUCiC GOUMTy FLA.
j m Chairs • g CIERK C:RCJIT COtlRT
Color - P.tC4Q~ VF~,:F!~Z
i l.amps A ~
T ~
When and Where was furniture purchased ? Cost S ~~p~
Customer's estimate of value ~ O c7 ~
~..Cl.czc- -
With what company is the furniture insured: Name ~/~~J~
Policy # Address:
Schedule "A" of Security Agreement dated day of , 19
Originai l.oan No.
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(Witness) ( te) ~ •
~ i~i~!Cf/
(Witness) (Date) (Seal)
i ess a e ea
`-48 ° R 243 PACE1865
BOCK
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