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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 a~d brand. Verbal List? `
~ ~Yes No ~
; Sofas * n Style , TV ~
~ ~V/ Color Size N~ ~d
i ~
Lou Style N ~ ~
O Chairs t Color Size Brand
~ O Occ. 'N
~ Chairs # Coior Size Brand
End Stereo . • ~ ~ l
~ V Tables # 5 le ~n T Brand 1~
z w Room Ai r
- Tables St le , v Canditioners # Size Brand
, ~ Rugs ~ z Range
~ Size Color' Q Brand
Carpet • - Refrigerator
~ Size Color Brand
, Lamps / , a Dishwasher
' T Brand
Dinette Set Q Freezer
~ Z # Pieces S le Brand
p W End " Washer
~ ~ Tables ~ S le Brand "
I~ o Chairs # Style Dryer ~~~A
i u+ Color Brand
~ o F- Sofa Style Sewing Machine ~
; 'z F- Color ~ Brand -
' ~ W Desk - / Vacuum /
~ ? z ~ T ~¢~f ~ Brand . !3
j p Q ~ Power Type
lawn Mower Brand
~ Suite O Piano 0
' • Pieces S le / W T Brand
I Suite Organ
~ ' A Pieces St le Q T Brand
` ~ Suite -~~-~~~f Major f~`c .
~ # Pieces 5 le /r"'rA ' ~ Povrer Tools ST. ~ t k- ~`;;Q~~Fa
' ~ Suite ! c.' : 'r.~S
, ~ °1 Clf?R Ct~CUIT CO
# Pieces St le V
j ~ Rugs or Si ze ~ r~~
Car ts t Color _ -
°D Chairs ~ - - - - - - r _ 36
Color
~ Lamps #
~ T
When and Where was furniture purchased ? Cost S
Custort~er's estimate of value ~T-QQ~ ~ ~
With what company" is the furniture insured: Name
po~~~y ~ Address:
Schedule "A° of Security Agreement dated the day of . 19~~ :
Original Loan No.
~ 3 7~
(Witness) (Date) a • •
(Witness) (Date) (Seal) ~
i ess a e ea -
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6o~K 243 PACf1871
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