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SCHEDULE "A• SECURITY UST ~ Brand~ Address Stamp • ;
Describe furnitur~ by color and styte: -
Abbreviations - Mod. , T~ad. , Col Medi Fr. P. '
Describe appliance by size and brand. V 1 List2 ~ '
' • ' Ye ~ No
~ Sofas A Styl ~ TN '
Colo Size Brand
~ ~ S~le N
I 0 Chairs ~ Color - Size _ Brand
i O Occ. TV
f a Chairs ~ Color _ Size Brand -
~ E~d Stereo
4 v Tables # 5 1 v~ T Bra~d _ - _
~ z Coffee itoom Air
; Tables # S le t) Conditioners # Size Brand
~ ~ Rugs z Range ` •
~ ~ Size Color ~ Brand _ ~
; Carpet „ - Refrigeretor ~ . -
~ Size ' ~ Color Brand
Lamps # a Dishwasher
~ T i~G~ n' Bra~d
Dinette Set . ~ Freezer -
Z # Pieces St le Brancl
~ W End Washer .
~ Tables # S le Brand
o Chairs • Style ~ Dryer
W Color ' Brand '
j c}- Sofa Style Sewing Machine
R F- Color Br~d ~
li L w pesk Vacuum #
i R z T Brand ~
{ Power Type F
' ~ ~ ~ Lawn Mower Brand - ~
~ Suite • . ~ Piano
~ ~ # Pi S le ~ T Brand .
Suite W Organ
~ ~ # Pieces S ie Q T Brand
Suite J Major
~ # Pieces S le ~ Power Tools
~ ~ Suite ~ ~ ~
# Pi s St le - W ST. LtfC1E GailNTY flA.
I~ Rugs or Size N
CIERK Cif CUiT C01lRT
Ca ts # Color _ PfCORD YEF,~FIED ~
~ ~ Chairs # ~ -L (n
j ~ Color Fi0-~,~1--W-Y~i ~
i Lamps # ~
T -
~ When and 1Nhere was furnitur urchased ? Cost S~~-~~ '
Customer's estimate of value~
~ With what company is the furnit e inss~red: Name
Policy ~ Address:
Schedule "A" of Security Agreement dated the day of , 19
Qri ' 1 Loan No. ~
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( ~tness) (D e) (Seaq
~ ' (Witness) • (Date) (Seal)
~ ss a e ea
~-48
~ . ~ F ~ M ~~e7 PACf ~
~ ~~1 ~~k ~ ` ~`~~~y
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