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SCHEDULE "A" SECURITY UST Bra~ch Address Stamp , ~
Describe furniture by color and style: ' '
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Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. P. ~ ~
Describe appliance by size and brand. j Verbal List? 1 ~
j Yes I I No ~
Sofas # Style ~ TV
Color ~ Size rand
~ Lou~yye ~ Style " ~ N •
Chairs tl Color Size Br`and
o i Occ. 7V
~ Chairs ~ Color Size Brand
~ ~ ,
' End Stereo , ~~s- ~
:J ; Tabies ~i Style v? TYI~e-~( 1.~ a„ Brand ~4'r~~r ~'J~-~G
w Room Ai r
z• Cof~ee ~ f.~"lCr.~.~G
- Tables ~ St le U Conditioners A Size Brand
~ i Rugs ~ z Range
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~ Size Color Q Brand
~ ~~t - Refrigerator
Size Color -r Brand
~~S # / Dishwasher
a j
T ~ l ' Brand _
- - Dinette Set ' ~ _ Q Freezer
i Z' # Pieces St le i Brand
C W s End Washer ~
c ~ ~ Tables # St le Brand 'F" _ ~
a o~ Chairs # Style ~ Dryer
w ' Color Brand
o~'- i Sofa Style Sewing Machine
i ~ ~ Coior ~ Brand F
i - W , pesk Vacuum ; ~
` Z Z ' TYPe ~ Brand ' ~ ~ .
~ ~ Power TYPe
e G G i ~ Lawn Mower Brand
F . ~ ~ Piano
€ , Suite Brand - ~
~ ± ; Pieces St le W T
; Suite ~ . Z O~gan
~ • Pieces St le % T Brand
! ~ ~ Suite J Major ~
~ ~ j ; Pieces Style ~ Power Tools
_ ~ y Suite i
~ W
~ ~ ; Pieces St le V
~ ~ ~ Rugs or ~ Size ~
~ Car ts ~ ` Colo - - _
; m Chairs ~ ~ _
; i Color
Lamps ~ ~
- T
r `
; When and Where was furniture purchased ? Cost S
Customer's estimate ot value
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With what company is the furniture i~sured: Name
~ po~~~y # Address:
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Schedule "A" of Security Agreement dated the ~ day of , 19
Origir~l- n No. -
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' ~ ' - 7, ~ - ~ ~ /G' /j .a~ 'l'.
= . ( ~tness) ~ (Date) ~ ~ - (5 aq , ~
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~ (Witness) .~~yiC ~UUNfY LA. (Date) (~a~1
~ aOtE~ ' `'~1 ~O~JRT
; ~tness p~C~c;• ~i~~~'.ED ea
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~-as ~CT ~I 1`l SS PN'~6 •
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~ 346`743 eo~5$ PAGE 87$