HomeMy WebLinkAbout0457 ~ - -------1
i ~
SCHEDUiE "A" SECURITY UST ' Branch Address Stamp
Describe furniture by color and style: ' ~
r
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P. '
~
Describe appliance by size and brand. i Verbal List? `
~ !
f i j Yes I-1 No ~
Sofas # Style TV
Color ~T~"'~K~ Size Brand
~ Lounge Style TV
O Chairs ~ Color ;J Size Brand ~
O Occ. T~ ;
~ Chairs # Cotor ~ Size• Brand }
End Stereo ~
~
U ~ Tables if St le v~ T Brand
z ~ Coffee - Room Air
Tables # Style V Gonditio~ers # Size Brand
~ Rugs z Range
J $ize Color Q Brand _
Carpet - Refrigerator
Size Color Brand
Lamps ~k a Dishwasher =
j T e Brand ;
Dinette Set Q Freezer 1
~ Z~ i Pieces ~ ~ St le Brand
C o j End Washer i~~f1-7~
Tables N St le Brand ~y~~
~ o; Chairs i~ Style ~ Dryer
; w ! Color Brand
~ U o f- ~ Sofa - Style Sewi~g Machine
` 2 I- ' Color Brand ~
i
E Z W; Desk i Vacuum
~ z ~ Type ~ Brand
~ ~ Q' i ~ Power TYPe
~ ` ~ f ~ Lawn Mower Brand
! Suite ~ Piano
~ ; Pieces ~/'~~Style ~ T Brand
r W
~ • ~ Suite , Organ
`n ~ Pieces Style ' Z T Brand
~ ~ Q
o , Suite ~ J Major
~ Pieces Style ~ J Power Tools
~ C Suite
N Pieces St le V
~ Rugs or Size 1UCt~ K~~'y K~~ s
~ ~ ~ f W .
w 1 Car ts # Color _ ~ - pG~r; {
vMTi' FL,~. ~
n I Chairs !k k g r CLE'n'K ~i;::~~~r~v
RFr4F~ ys~~F:
Color
~ Lamps 1k ~ ~
T
F
When and Where was furniture purchased ? Cost $ ~ s
Customer's estimate of value '
~ With what company is the furniture insured: Name ~
a r
~ po~~~y # Address: ~ _
~ Schedule "A" of Security Agreement dated the day of . 19 `
~ Original Loan No. ~
~ ~
~ (Witness~ (Date) (Seal) ~
~ .
(Witness) (Date) (Seal) - ~
~
itness a e ea ?
~ u8
~ . ~ r,i 2~~ FAGE ~
- ` i ~ y{~
~
~ _