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SCHEDULE "A" SECURITY LIST Brancli Address Stamp ~
Describe furniture by color and style: ' ~
Abbreviations - Mod. , Trad. , Col Medi Fr. P. ~ f
Oescribe appliance by size and brand. ~ V al Lis?? •
~ - Yes I 1 No ~
Sofas i Style TV / _
Colo~ Size ~ -Go-!.~-z~ Bran
~ Lounge Style TV
~ Chairs # Color Size Brand
o Occ. T~
~ Chairs ~ Color Size Brand
fnd Stereo
J Tables # St le ~n T ~ Brand .1~,~~t
z Coffee W Room Air
Tables # St le V Conditioners ~ Size Brand ~
~ ~ Rugs z Range ` ,
~ Size Color Q 8rand ~s ~ ~
Carpet - Refrigerator {
Size ,1~ Colo Brand • ~-f/>"
~~S # ' ~ a Dishwasher `
~ ~ T ~ . n' Brand ;
Dinette Set Q Freezer ~
~ :
z Z' # Pieces St le ' Brand
' c End Washer ~
i O ~ i Tables # St le Brand • ;
a o; Chairs A Style ~ Dryer
w ' Color Brand
! o F"' i Sofa Style Sewing Machine
z F- • Cotor Brand
i ` w ~ Desk Vacuum
~ Z z ~ Type Brand
~ - ~ Power Type
~ ~ o I ~ Lawn Mower Brand
~ Piano
~ ' Suite ,
~ ' # Pieces St le W T Brand
( , Suite , Z Organ
° ' ~ Piece St le ~ d._~ T Brand
~ ~ Suite J Major
~ } ~ Pieces Style ~ J Power Tools f~~E~ ~b~,
f -
~ Suite Fi;= ` '''UJyr' Jt0
~ ~ W ~C[_.~ ~ - rf(A.
# Pieces St le V r
~ Rugs or Size ~ • `~L'RT
w i Car ts ik Color _
m Chairs ~ ~ 32~24 /1 ~ -
~ color
~ Lamps ii ~
~ i T
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When and Where was furniture purchased ? ost 5~~~
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K Customer's estimate of value
~ With what company is the furnitur insured: Name
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~ Policy ~F Address:
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~ Schedule "A" of Security Agreement dated the day of , 19 ~
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° Original Loan No.
_ ~~.~-a~- _ ' ~ ~
~ ` (Witness) atel ~ (Seal) ~ ~
(Witness) (Date) eal)
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~ - itness a e ea
~ L-48 _
~ U£
g ~~~j fAGE
~ BOGK
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