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SCHEDULE "A" SECURITY LIST Branch /?ddress Stamp
Describe furniture by color and style:
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P.
Describe appliance by size s~d brand. Verbal Llst?
I Yes No
i Sofas # Style - N
' Color Size Brand
~ ~ Loungc Style TV ~
i o Chairs ~ Co:or Sise Bra~d
~ O Occ. TV
;
i~ Chairs ~ Color Size Brand
j End 8lereo
i v Tables # S le v~ ' Brand
j z Co{~ ui Room Ai r
I- Table~ # S le U Conditianers # Size Brand
i > Rugs , z Range '
, ~ Size Cotor ~ Brand '
, Carpet - Refrigerator
~ Size Golor Brand
; Lamps # a Dlshwasher .
i T d Brand
~ Z Dinette Set ~ Freezer t
# Pieces S le Brand
p W End Washer
~ Tables ! S le Brand
~ o Chairs # Style ~ Dryer
ui Color B rand
~ c F- Sofa Style Sewing Machine
~ F- Color Brand
' W Desk Vacuum - (
z T Brand ~
~ p - N Power Type }
~ ~ ~ Lawn Movrer Brand t
Suite ~ Piano 't,
! ~ # Pieces S le T Brand
E i Suite , W Organ
~ # Pieces 5 le Z~ T Brand
~ ~ Suite ~ Major ,!~/ctt.~n,-aG~~.~~'v
• Pieces S le ~ Power Tools
i ~ ~ Suite W ~~~~=~tLrl.t
~ ~ # Pieces S le V •
~ ~ Rugs or Size ,
~ W Ca ts # Color N W~
~ 0° Chalrs # g
~ ~ Color
e i t.arnps ~ c~i Q Y
~ ~ -r . ..~jf"n r~ti '
~ . RF60FCt VF_~'~1ED
~ Whe~ and Wh~re was furniture pu~thased ? Cost S
~ Customer's estimate ot value 6~.~ 00 _ fi 3i i k~ AY t
With what company is the furniture insured: Name H`~
~
k Policy f Address:
~ Schedule "A" of Security Agreement dated the ~ 7 day of , 19
~ Ori inal Losn No. .
~ . ~
~ ~ ~ _ a s- ~ .
~ (Wltne (~ate) aq
~ ?
(Witness) (Date) . (Seal)
~
~ ness a e
L-48 ~
$oox24~ ~
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r"~,~ ~ .Ts K. ' . ' r,~-~+3
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