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SCHEDULE "A" SECURITY LIST . Branch Address Stamp (
Describe furnit~re by color and style:
Abbreviations - Mod. , Trad. , Col 61edi Fr. P. ;
Describe appliance by size and brand. ~~erbal List?
i' Yes ; ~ No ~ -
Sofas k ~ ' Style ~t.~~~~•t.~ F~r rc~?.~ TV ~ ~i ~
:1't '
Color c11?r'~'r.5~('ti,] Size ' ~ /_c Brand ;~~AR°~ `~i,f!/(i~rGn~°
~ lounge ~ Styte IC~c ~~~'2 N 1~,
0 ~ Chairs N Color ~~i~ }2F~t"t1 Size i ~ l
" „Q~ Brand
O ~ Occ. 1 T!/
~ ; Chairs # Cola!- .1 ~ Size Brand
r End l Stereo ~v -7
U ! Tables it St le (=p~~;~-~ u~ T '~~,L=~~ Brand Fl~ ~
z ~ Coitee w .-Room Air -.Tl~
i, Tables M Style U Conditioners J l~,'~ize Brand C ~
~ ~ Rugs - z Range
~ i Size Color ~ Q Brand ,~F C-? ' - y t~ "
j Carpet 1 - Refrigerator ~ ~ t ~ l ~ _
j Size t~ Color -4'Y~E_C° Brand ~;i Z_'Z_ ^
r Lamps # Dishwasher
_ T Brand
Dinette Set a Freezer
Z' ~k Pieces Style Brand Q. ~ L~^~ Q E(1 ~
u' i End Washer ~ /
c Tables # St le ~ Brand P- L~%~/ / i~ /.-!~.~/l
~ o, Chairs i~ Style Dryer
W ~ Color ~ Brand H - ~ ' ~ - ' ~
! o~! Sofa Style Sewing Madiine
I z F- ~ , Color Brand t-1 P Z, > C f
~ Z y ~ Desk ~ Vacuum (
~ _ z~ Type ~ Brand i i c_ 1'`' : i~..v T
p ~ Power Type
( _ _ ~ j ~ ~ Lawn Mower Brand '
- c~
Suite i 0 Piano
~ ;
~ ~ 1k Pieces ~ Style n,i.~ {~Q C1 ~ w T Brand -
c ~ ~ Suite ~ Organ
~ i x Pieces ~ St le t~r ,F~ ~ T e Brand
; ~ Suite ~ ~ Major
~ ~ I ~ Pieces Style J Power Tools
~ ~ J
~ t SUI[@ ~
~ °1 FILED ~NU RECCROEO '
N Pieces St le ' COUNTY FLA. ~
~ Rugs or Size S v qOCER L ~ ~
I Carpets # Color r~' F=F=(}~ ~~ERK CIRCUIT COURT
00 j Chairs ; j ~
~ j ~olor f ( A iN ~7~f ;
~ ~ Lamps # TY~ I + +
~ - ,
~ When and Where was furniture purchased ? M• t-l ~ h. . Cost
3
,N Customer's estimate of value ~~'L~(~ ~ a _ 32.,;
f~~,`
~ With what company is the furniture insured: Name ~-1 ("1;~ F= z ' i~'; p=~
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. Policy te Address:
~
~ Schedule "A" ot Security Agreement dated the ciay of , 19
' Original Loan No. _
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~ . ~ ~ -~-I - ~ d~/y ~ . ~
~ tnes (Date) jSeal) ~ " ~ ~
~ _ ~ ~ ~ _ ~it,~ ~ i
~ (1Yitness) (Date) (Seal) ' ~ ~
~ ~
~ itness a e ea
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~ L 48
~
~ ~ ~0~
~ E~~1~. i~ f~A~.~ ~
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