HomeMy WebLinkAbout0303 ~ '
~
_ ,
.
_ - ~
' i
. ~ . i
SCHEDULE `A• SECURITY LIS7 ~ 6ranch Address Stamp
Describe furniture by color and style:
Abbreviations - Mod, , Trad. , Col Medi Fr. P.
Describe applia~ce by size and brand. I Verbal List? i
Yes No ~
~
I Sofas Style Con{cA?F;ro'~ ~y ~ n
~ Color C,.e Size grand •q
j~ Lounge Style On~~ y~ TV
~ ~ Chairs # Color Size Brand
; 0 Occ. N
~ Chairs # Color Size Brand
End Stereo •
v Tables # 5 le ~`o~,lp v? T Brand ~
~ Z Coffee s s w Room Air
- Ta61e5 ~ S ie C~ V CondFtioners # Size Brand
' > R~95 ~ z Range
~ Size Color ~ Brand G~- '
i ~r'Pet , - Refrigerator _
Size Color -i Brand / ~
~mPs # - T +G a Dishwasher ~
a Brand i
Oinette Set ~J Q Freezer
~ Z ; Pieces / S le
p W ,r~ Brand
o End Washer
Tabies # S le Brand
~ o Chairs # Style ~ Dryer
l_ W Cotor Brand
F' c~ Sofa Style Sewing Machine ~
~ E- Color Brand ~
~ W ~Sk Vacuum
~ Z T B rand l
p o ` N Power TYPe
~ Lawn Mower Brand
j Suite p~a~
# Pieces 5 le ~ W T Brand
i Suite Organ
~
; ~ Pieces St le e Z T Brand
~ ~ Suite d Major
# Pieces S!e ~ Power Taots f~IEDAhL~ ~ELph3FD
~ ~ Su+te ~ _
~ # Pieces St le W ~eii~F: - .''R4S
' C~ %.i~ ~
i~ Rugs or ~ Size a~~/ ~ Fr+'=+! vr.~ c ~
`L Ca ts # Color Q: _
; m Chairs ~ ~ 4b u 37~
Color - t
i l.amps # / /
T TGb~
When and Where was furniture pur~ased ? ~ LL ~ , . ,1 ~ ('t , Cost S ~ ~y~ ~G~
Customer's estimate of value '~~~i.ti , ~ideo~° C
Weth what campany is the furniture insured: Name .("„r~/ ~t ,a `G -
Po11cy 3 Address:
Schedule "A" of Securlty Agreement dated the day of , 19 ~
Origina Loan No. i
~ /o - J 7 _~.5~ ` ~
(Witne s) (Date) (S ) ~
/D /7 - 7 S'~
(Witness) (Datej (Seal
~iness a e , ~
i..-46
~~245 P~ 3t~2
~
r :
~ _ ~.~~~~~w=-~:~•_
~ ~ ~ ~
. ~ e