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SCHEDULE "A" SECURITY LIST Branch Address Stamp
Describe (urniture by color and style: i ~
Abbreviations - Mod. , Trad. , Col Medi Fr. P. j
Describe appliance by size and brand. } Verbal List'
~ Lj Yes ~-1 No
, Sofas Style TV y Y" ~ ~
Color Size ~ C: r Brand l
~ l.ou~ge Style N
O Chairs ~ Color Size Brand
O Occ. N
~ 1 Chairs # Color Size Brand
End Stereo
V ! Tables ! St le u? T Brand
Z Coffee W Room Air
- Tables • St le - U Conditioners t Size Brand
> ' ~
_ I Rugs z ~ Range 1~ ~ . . ~ l. ~1. ~
~ ~ 5ize t.oior . Q oranti v v~. ~ r
~ Carpet - Refrigerator
Size Color Brand
l.amps ; ( Dishwasher
' T a Brand
' Dinette Set ~ Freezer
~ Z ; ~ Pieces ~7 Style ` . ! ~ Brand
~ Wf End Washer FILEQ AN1 t?ECOe~DE~
~ Tables f St le Brand
' a o Chairs i Style Dryer ROCER POITRAS
~j w` Color Brand CLERK CiRCU1T COU T
~ U o F- Sofa . Style Sewing Machine
z F-' Color Brand
" w j pesk Vacuum 4'j
~ Z z T ' Brand
~ Qi N Power Type
~ ~ Lawn Mower Brand
! Suite ~ Piano r`j~
, ~ t Pietes ~ Style ~r'~1~':~'~; W T Brand v'~`~~~
~ Suite Z Organ
t Pieces ~ St le ~ a P Q T Brand
L Suite ~ Major
' • Pieces St le ~ Power Tools ~
~ Suite
~ ~ W
Pi~eces St le V
~ ~ (tl ugs or Si ze
' W ~ ~
, Car ts i~ Color _
00 ( Chairs ! g
~ Color
' ' L.amps i .
T YI'E-'E'~
~ When and VYhere was furniture urchased Il0 '
~`T , v e S ~,~r U- d
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Customer's estimate of value _SD l~
With what company is the furniture insured: Name `vG+~j
~y ~ Address: _
Sched le " of Security Agr nt ed the• day of , 19
O gi 1 Loan No.
~ (~~~~(.~t~l~(it
'tness) lDate) ~ 4 (Seal)
(Witness) (Date) (Seal
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