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SCHEDULE "/1" SECURITY IIST Branch Address Stamp ~
Describe fumiture by color and style:
Abbreviations - Mod. , Trad. , Col Medi Fr. P.
Describe appiiance by size and brand. ~ e I List?
Yes (=1 No
, Sofas # Style N „ n j
~ Color Size o7li Brand ~h` ti E
~ Lounge Style TV
~ ~ Chain t Color ~ Size Brand
~ O Occ. TV
i ot Chairs # Color Size Brand !
~ End Stereo f
~ V Tables # S le ~n T Brand ~
; Z Coffee w Room Ai r
" TabieS # S le U Conditioners # ~ Size ~/%O~ Brand
~ ~ Rugs 2 Range
~ J Size Color d Brand ~ ~
; Carpet l~ - Refrigerator ~
; Size T~ Color Brand ~ #
, Lamps # Dishwasher
T %AQ1L ,~iOIi~S ~ Brand
~ Dinette Set • ' a Freezer
f
Z # Pieces S le 7 Brand
p W End Washer
' p ~ Tables # St le Brand ~~p~ -
o` Chairs # Style ~ Dryer 1
~ u+ Color Brand
~ o f- Sofa Style Sewing Machine
F- Color Brand '
~
' Desk Vacuum
i ~ z T grand NDOdS~v
~ N Power TYpe
i ~ ~ = Lawn Mower Srand
Suite Piano
~ ~ # Pieces ~ S I T Brand F
~ i Suite Organ E
~ ~ `n # Pieces ~ S 1 • Z T FlLE •.Ei.CRO£0 '
i ~ Suite ' a Major s
~ ~ ~ ~ Pieces ~ S I J Power Toois ka~`~' ":~~AS
i ~ Suite ' W PF.Cf~R, V'. :~cD
~ ~ ~ ~ Pieces St le -1
~ ~ ~ Rugs or Size / V
`i' Car ts # Coior N ~y 04
m Chairs # ~
~ 3 ~
~ Color
` i ~~IIPs # 2/ ~ ±
~ i o1 T s ,Gl~ci
~ When and Where was furniture purchased ? ~7~9 /`7~ -u/~ Cost $ /.Z, ~
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Customer's estimate of value Q-a--~p
~ With what company is the furniture insured: Name
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; Policy # Address:
~ Schedule °A" of Security Agreement dated the day of , 19 ~
, Original Loan No.
6
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~ (Witness) ~ ~ (Date)
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~ (Witness) (Date) (Seal)
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4 ~tness a e ea
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L-48
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