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SCHEDULE "A" SECURITY LIST Brench Address Stamp ~
Uescribe tu~niture by color and style:
Abbreviations - h1od. , Trad. , Col Medi Fr. P. ~
Describe appliance by size and brsnd. ~ Verbal List? ~
--1 :
Yes { No ~
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j Sofas i~ ( - Style ~ ~ TV ~ .
Color ~ I Size Brand ~ C~ ~'LJ
~ Lounge Style ~ ~ TV c
~ Chairs # ~ Color ~ `t ~ Size Brand
O f Occ. TV
~ i Chairs # Color Size Brand
~ End Stereo
v ? Tables # S~te i , ` u cn T Brand
Z { Co(fee W Room Air - -
~ Tabtes # St le 1 U, Conditioners fi Size Brand
~ ' Rugs z. ~ Range , -
J L Size Color Q Brand
~ Carpet - ~ Refrigerator
~ Size Cotor j ~ Brand 'L~-
Lamps # a ~ Dishwasher
T e a 1 Brand '
! Dinette Set a Freezer
~ Z; ii Pieces n~L`5t le Brand . f ~
W i End Washer
c ~ ; Tables # Style ! ~ ~ Brand
a o' Chairs ~ Style ~ Dryer
W ' Color ~ Brand
o~- ~ Sofa Style Sewing Machine
z F- ~ Color } Brand
i W ; Desk ~ Vacuum
~ Z Z ' TYPe ± Brand
' ~ Power Type
i ~ pi N
i t ] Lawn Mower Brand
~ ~ Suite ~~~v~ ~ ~ Piano
~ F ik Pieces ~ Style I W T Bran
~ ; Suite Organ ST.lUC1E EO~NTY FLA.
# Pieces Style 4 Z T e Bran ~OGE? iG~TRAS
o i Suite ~ J Major _ pF~nRp vEaic E~
i i~ Pieces Style , J Power Tools
~ i Suite ~ w I W!1 ~O V is aM ~'6
~ ~ # Pieces St le "
~ Rugs or Size V
~ W ~ Ca~ ts A Color ~
~
~ °D Chairs ~ g ~~2~
Color
~ Lamps # =
' i
~ T e 4 '
~ ~ 1
~ When and Where was furniture pur ased~ ~ ?v2 i Cost S f~[~ G. U C~ OQD• UU;
~ Customer's estimate of vaiue ~ `(i • U U ~
' With what company is the furniture ins red: Name l,C,- - C,
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$ Policy # Address: ~
~ Schedule ° of Security Agreement dated the day of , 19
p Or 1 Loan No.
~ Q~a- n
~ it s) (Date) (Seal)
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~ (Witn s) (Date) (Seal) ~
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~ itness a e ea #
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