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SCHEDULE "A• SECURITY LIST Branch Address Stamp 1
Describe furniture by color and style: ~
Abbreviations - Mod. , Trad. , Col Medi F~. P. i
Describe appliance by size and brand. I Verbal List?
I[j Yes 1-I No j
Sotas t r Sty le N l~ ~ C(9 ~n
Color Size ~ 3 Brand f
~ Lounge n Style ~ A / ' -
0 Chairs ~ h Color 1~ tl-~1~~ Size N° 10 $rand ~
O Occ. /1 TV
oc Chairs / ~ Color Size Brand
E~d / Stereo ~
v Ta61es ~ n*~ St te 'G/itd u? T Brand
z Coffee W Room Air
- Tables t St le ~`~'t-C U Conditioners ~ Size Brand
> y z Ran . / /
J S ie Color h~ < " Br d ~ ~.~i~ !C ~l!-el
Carpet - Refrigerator _
Size Color Brand `
~ ~~S # ~ T ~ ~ a Dishwasher
a Brand
~ Dinette Set ~ Q Freezer
~ Z # Pieces S fe Brand
W End Washer
~ Tables i St le Brand Q. `,f/ , ~"~<< S F-'
o i Chairs ~ Styie flry~r /J
w ~ Color Brand (r
~ U o E- Sofa . Style Sewing Machine
4 z E- • Color "Brand
W • pesk Vacuum
E z z T L~ ' B rand ~ l.c. zra ti(
~ ^ - Power ~y~ ~..~~~y~~ Ty~ l ~ ' ~
~ ~ o Sj~~ ~ ~ Lawn Mower Brand
~ ~ Suite / Piano `
Pieces .S 5 le W T Brand
Suite Z Organ . -
# Pieces • St le T Brand
~ a Ma'or
~ ~ Suite ~ 1
~ ~ # Pieces St le ~ Power Tools
~ ~ i Suite FILED Ah~; RECOROE~
W
z # pi~es St le v ST. ~UCtE
~ ~ Rugs or - Size X ~,t. / N c~ FOITRAS
~ Car ts ~ Color Y X~~- ;ry' _ CLEPK C"•;UIT COURT
m Chairs ~ ~
~ COIO~ r
Lamps N ~
T
When and Where was furniture purchased ? Cost S
~ • ryc
~ Customer's estimate of value 311pQ3
~
~ With what company is the furniture insured: Name
~ Policy 3 Address:
Sch e"A" of Security Agreement dated the ,v day of , i9
rigi al Loan No.
~ ~ g Y _
~ (Witne s) ( te)
~ . (Witness) (Date) (Se
i ness a e ea
~ ~-ys 800K~44 PAGE ~r 1 1 ~
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