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SCHEDULE •A• SECURITY LIST ~ Branch Address Stamp
Describe furniture by color and style:
Abbreviations - Mod. , Trad. , Col Medi Fr. P.
Describe appliance by size and brand. Verbal List?
~ [J Yes r1 No
Sofas # Style / 1'V L~, /j .
Color =C~t~ Size ~~~i Brand
~ t~ounge St~rle TV
! O Chairs # ~ Color Size Brand
O Occ. N
, a Chairs ! Color Size Brand
~ End Stereo
,
~ v Tables # S le ~n T Brand
~ z Coftee Room Air
Tables St le v CQnditioners # Size Brand
~ > R~gs z Range
~ ~ Size Color ~ B~and
~ Carpet - Refrigerator
I Size Color 'i B~and
Lamps # a Dishwasher
i T a Brand
' Di~ette Set ~ Freezer
~ Z i Pieces ~~i S le Brand
W End Washer
~ Tabies # 5 le Brand
o Chairs # Style Dryer
u+ Color Brand
~ o f- Sofa Style Sewing Machine
E- Color Brand
~ w pesk Vacuum
i z T B rand
! ~ - N Power Type .
~ ~ ~ Lawn Mower Brand
Suite ~ Piano
~ i # Pieces p~` '3 ~ S le W T Brand
"E , Suite Z Organ '
l I~ ~ pieces 5 le Q T Brand
Suite ~ Major .
I ~ ~ Pieces S le ~ Power Tools
~ Suite W fT. LU~i{ ~;~UMTY ilA
# Pieces St le V R
~ j~ Rugs or Size ~ [fqK C~: .:j1lf COURt
R~!'[;F(` Vr
~ W Ca ta ~ Color _ ~ ' `f
I Chairs # ~
~ ~ Color ~
~ ; Lamps # - ~ .
~ T
~ When and Where was furniture urchased ? Cost S
P
~ Customer's estimate of value
~ With what company is the furniture insured: Name
s Policy # Address:
~ Schedule "A" of Security Agreement dated the day of , 19
~ Origi 1 n No.
~ ,s// ~ h /
~ ss) (Date (Sea~)
~ (~tness) (Date) (Seai)
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