HomeMy WebLinkAbout0682 i
~ • ,
- i
i ~
SCHEDULE "A• SECURITY LIST ' Branch Address Stamp i
Describe turniture by color and style: '
Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. P. ~ '
Describe appliance by size and brand. ; Verbal List' ~ ~
t I~i Yes I`i No l I ~
Sofas t Style TV
Color ~ Size Brand -
~ Lounge Style N ~
O Chairs ~ Color Size Brand
O Occ. ~ N
oC ~ Chairs ~ Color Size Brand
i End Stereo
U ~ Tables ~ ~ St le ~ T Brand ~
z Coffee W Ro~m Ai r i
- Tables St le ~ y~- V Conditioners N Size Brand ~
~ Rugs z Range - ~
~ Size Color Q Brand ~
~ Carpet - Refrigerator '
Size Color J Brand ~ f
~~5 ~ a Dishwasher F
i T - a Brand
Dinette Set Q Freezer `
~ Z' ~ Pieces St le Brand ~
o Q~ End . j Washer '
~ Tables # St le Brand ~
~ o ; Chairs # Style ~ Dryer ~ '
w ! Cotor Brand ~
~ o F-' f
Sofa Style Sewing Machine
~ 1- F Color ~ Brand
u+i Desk ~ Vacuum
j z Z 1 T ~ ~ Brand ~
! ` Power TYPe
,
~ ~ G ? ' Lawn Mower Brand
~ - Suite ~ 0 Piano ~
4 # Pieces ~ Style W T Brand
i ~ , Suite Z Organ
~ ; # Pieces Style Q T e Brand ,
~ Suite ~ J Major f
~ ~ ; ~ Pieces Style ~ J Power Tools 9
~ ~ Suite w S.<UCtE COUN Y flA. ~
~ ~ # Pieces St le ~ #
~ Ru s or Size v CIERK C~`:GtliT COURT ~
~ ~ Ca9 ts ~k Colo~ N RECORO YER~FIEO~......~.~ ;
~ m Chairs !k ~ ~
~ Color ~
~ Lamps t ` . ~
T ~ ~
When and Where was furniture purchased ? C~~ 5 ~
Customer's estimate of value ~
= With what company is lhe furniture insured: Name ~
~ Policy # Address:
~ Schedule "A" of Security Agreement dated the day of . 19
~ .
' Origi I Loan No.
~
M ~/~'?~5~ -
~ Witness) (Date) (Seal) 1
~ r Lo ~
: _
(Witness) (Date) (Seal)
~
itness a e ea ~
~ ~
~ L ~18 ~ ' ~ '1 ~
~ - ,i ~~.3 FAGE ~
~ ~
~
~ -
~ ~ ~
~`Y`~~~.~~~
as~._.~~~~