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SCHEDULE "A" SECURITY LIST Branch Address Stamp
Describe furniture by color and style:
Abbreviations - Mod:. Trad. , Coi. , Medi Fr. P. ~
Describe appliance by size and bra~d. Ve 1 List? '
~ Yes 1'~I No i
~ Sofas ~ Style TV /J~
i Color Size Brand
` ~ Lounge Style TV
~ 0 Chairs # Color Size Brand
~ O Occ. ' TV
~
~ Chairs t Color Size Brand
End Stereo
V Tables i St le u~ T Brand
Z Cotfee W Room Ai r '
- Tables St le U Conditioners / Size Brand
~ Rugs z Range ~ '
J Size Color Q Brand
, Carpet - Refrigerato
Size Color -i Brand
Lamps # a Dishwasher
T a Brand
Dinette Set a Freezer
~ Z # Pieces St le Brand
W End Washer
~ Tables # S le Brand ~
a o Chairs # Style ~ Dryer
~ W Color Brand
~ o f- Sofa Style Sewing Machine
i ~ F- Color Brand
~ ~ W Desk Vacuum
~ ~ Z T Brand
kj Q N Power Type
lawn Mower Brand
~ ~
~ Suite Piano
~ Pieces ~ St le ~ T Brand
~ ~ Suite Z Organ ,
~ ~ Pieces St le T B i
i o Suite a Major ~U~~TY f~~
# Pieces St le J Power Tools
~ Suite ~ W , oc~•.~_ ~;;S;i CObRT
# Pieces St le V r~
Rugs o Si ze ~ T~~
N
~ u' Car ts Color _ ~
m Chairs #
~ 3~893
~ co~or
Lamps ! '
~ T
~
~
When and Where was furniture purchased ? Cost S A~
~ ~
Customer's estimate of value ~~(N~
With what company is the furnitu/~e insured: Name
Policy ~1 Address:
~ Schedule "A" of Security Agreement dated ;he day of , 19
Original Loan No.
~ ' .
° /n 7 _
(Wit~ ss) ate) (Seal)
$ (Witness) (Date) (Seal)
itness a e ea
L-48
eoo~ 244 Pacf23O1
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