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SCHEDULE "A" SECURI7Y LIST Branch Address Stamp -
Describe furnit~re by color and style: j ' ;
Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. P. ' - ~ ~
Describe appliance by size and brand_ ; Verbal List? ~ I ~
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i i= ~ Yes i- I No 1 ' ~
Sofas # Style TV ~ ~
j Color Size Brand ~ f
~ ~ Lounge Styte TV
0 Chairs • Color Size Brand Zi-t~r-"'Q'
O Occ. TV .
~ Chairs ~ Cotor Size . 6rand ~ ~
End Stereo ~
V ' Tables ~ St le v~ T Brand ~
Z Cotfee . W Room Air !
- I Tables St le U Conditioners # Size Brand
~ ~ Rugs , , _ , , / z Range - 3
~ Size Coior Q Brand ~l~C-e4s.-~C,...~. ~
Carpet ~ .L x ~ S - Re(rigerator
Size Color Brand ~
l.amps # " ~ a Dishwasher
i T (•LL v~, a Brand
~ Dinette Set • a Freezer , ~
~ Z` ~ Pieces St le ~ ~ Brand '
~ W ~ End Washer s
~ ~ } Tables # St te Brand -
a o' Chairs t Styte ~ Oryer p ~
W Color Brand ~ •G
U o~ I Sofa Style Sewing Machi
~ ~ 1- ~ Color Brand
i ~ ~ Desk ~ Vacuum
f Z Z~ I~i~~-,~ Type ~ Brand
i ~ Power ~ Type
Lawn Mower , Brand
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I i N ~
Suite ~ , 0 Piano '
~ , i Pieces ~ Style Gt^-~ ! W T Brand
~ , Suite Organ
4 ~ ~ ; Pieces `f Style ~ ~ Z T Brand
~ ~ Suite ~ Ma'or
~ a 1
~ o i ~ Pieces ~ S~le ~ ~ J Power Tools ~ .,c
~ Suite
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~ ~ ~ # Pieces Style
~ ~ R s or Size ~ V ~D REC R
~ 'i' ~ Carpets # Color ~ ~ ~ ~7 lUCIE COUN~ ~A
00 ~ Chairs #1 ~ ~ C~ERK CI,~CU17 Cp~Rj ;
Color RECOAD Y
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j Lamps i y L~,
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~ ; ~ TYPe ~u " ' i ~N ~ ~
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£ When and YYhere was furniture purchased ? Cost S
- Customer's estimate of value 9~~ _
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; With what company is the furniture insured: ame
; olicy ! Address: ~~vr~ •
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f Sch ule " of Security Agre ment da the day o _ , 19
i I Loan No.
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~tn s) (Date) (Seal) ;
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(Witness) (Date) (Seal)
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~ - itness a e ea ~
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