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SCHEDULE "A• SECURITY LIST ~ Branch /lddress Stamp
Describe turniture by color and style:
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P
Describe applia~ce by size and brand. ~ V I List?
Yes No
Sofas ~ Style TV C 1
~ • Color j Size r Brand~i E l r~1't~
~ ~ Lounge Style TV
~ o Chairs ~ Color Size Brand
~ o Occ. N
oc Chairs # Color ! Size Brand
~ End Stereo
j v Tables # S le ~n T Brand
' z Cotfee W Room Ai r
Tables # S le ~i . U Conditioners # Size Brand
{ ~ Rugs / Z Range
J Size ~.Z- Color fit T'i • Q Brand
' Carpet - Refrigerator
~ Size Color -1 Brand C p~
; Lamps # 1 a .Dishwasher
j ( T ~ t a Brand
~ Dinette Set_ a Freezer
Z # Pieces S le Brand
p W End Washer
p ~ Tables # S le Brand ~ ~1
I~ o Chalrs i Style Dryer _
~ w Color ~ Brand [ nrt, 8L R y^~_?~1 ~
o E'- Sofa Style Sewirtg Machine 4°~Ft~~
F- Color Br~d
W Desk • Vacuum p~
R z T Brand 0 ~
~ - / N Power~ TYPe
~ irli ~p ~ i- 7~N v,~ Lawn Mower Brand .
~ Suite 0 Piano 31
~ ~ # Pieces 5 ie j~ W T Brand `
~ ( Suite Z Organ
~ ~ Pieces S le T Brand
; I ~ Suite " ~ Major
; # Pieces S le _ ~ Power Tools
f i ~ Suite •
~ # Pieces St le V E'S
~ { o Rugs or Size ~
~ ~ ~ Ca ts # Color _
; 00 Chairs # ~
~ ~ Color
f ~^~Pg #
~ T
~ When and Where was furniture urchased ? ~ Cost S
~ Custaner's estimate of value
~ 3~Gv
With what company is the furniture insured: Name
~ Policy i Address:
" Schedule "A" of Security Agreement dated the day of ,5 , 19
~ Original Loan o.
: ~ ~ .
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~ (Witne - ( ate) (Seaq
~ (Witness) (Date) (Seal)
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~ itness a e a
~ ~-as
~ 800K243 PA~E2~~4
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`u $ , i
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