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• SCHEDULE •A" SECURITY LIST - Branch Address Stamp
Describe furniture by oolor and style:
Abbrevistions - Mod.. Trad., Col., Medi., Fr.P. .
Describe appliance by size and brand. e List?
I es No
; Sofas i Style ~
' Color Size iil.~ ~ Brand
~ ~ Lounge f Style N
i ~ Chairs i / Color v Size Brand
~ O Occ. ~ ~
~ Chairs i ~ Color /1~ Size Brand
' End Stereo €
v Tables # ~ S le ~Q~ ~ T Brand
' z Coffee W Room Ai r
~
Tables # S le V Canditioners # Size Brand
~ > R~ys z Range ~ ~
~ Size Color ~ B~and
i ~~t - Refrigerator C~~~~-[~ '
; Size Color Brand j
~ Lamps # a Dishwasher ~
; T Brand
Dinette Set ~ Freezer
~ Z • Pieces ~ S le Brand
~
p W End Washer
~ Tables # S le Brand
~ o Chairs ~ Style ~ Dryer
w Color Brand
~ o Sofa Style Sewing Machine
F- Color Brand
I; ~ Desk Vacuum }
z z T Brand ~
I ~ - N Power Type
~ p ~ ~ lawn Mower 3 Brand
~ ' Suite Piano
€ ~ # Pieces ~ S le W T Brand
~ ~ Suite Organ
~ `n ~ Pieces ~ ~ S le Q T Brand
~ ~ Suite ~ Major
j o # pieces St le • ~ Powe~ Tools
' Suite W FILEU A~it• aE ~ ~ R D E
~ °C f Pieces St le ~ •
; ~ ~ -
Rugs or Size N ~ %~TRA$
C ar t
s t C o l o r _ CLEkA C:
_ "..r~
' m Chairs # ~ ' ~~~~Fa
~ Color
~~S ~ 24 PM ~r5
~ T
6 When and Where was fur~iture purchased ? Cost S
* O.
Customer's estimate of value ~ A~
~
~ With what company is the furniture insured: Name
s
~ po~~~y ; Address:
~ Schedule 'A" of Security Agreement dated the ~ day of , 19 ~s;
~ Original Loan No. .
~ S
~ (Witnes (Date) (Seal)
~
(Witness) (Date) (Seal)
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~ i ess a e ea
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~-us - 6GOK FAGE 1457
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