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HomeMy WebLinkAbout0561 ~ _r~s ~~i:. , , . ~ ' ~ • t - ----_""1 . SCHEDULE "A" SECURITY LIST ' Bran~ Address Stamp • ~ Describe furniture by wlor s~d style: ~ _ ~ Abbreviations - ~1Aod. , Trad. , Col . , Medi . , Fr.P. ! Describe appliance by size and brs~d. ~ Verbal List? ~ ? Yes [I No ' i Sofas # Style TV i Color~ ' - Size .'-J Brand ` f ~ Lounge Style N ~ _ a Chsin # ~ Color - Sise G Brand ' O Occ. ~ ~~f'lGCt['~~? ~ oC Chairs • ~ Color ~ Size Bra~d - ' End Stereo , ` , c~ Tsbles • ~ St le ' ~n T ' ~ Brand z Coffee ~'m•~ W Room Air , - Tables • ~ St le ~'St~~a-~.--' v Candltioners ! ' ' Size Brand , > R~ys _ h~ z Rsnge Size Color - ~ ~ Brand ~ ~ J - Refrigerator f Si:e ( ~ Cotor - Brand . ' ~„emps ; ~ Dishwasher ^ / T ~ Brand ~ . _ _ ~ Dinette Set _ , ~ Freezer Z ; Pieces C~ St le Brend t~~ W End Washer i b ~ Tables • G-? St le Bra~d ~ ~ ~ o Chain • Style Dryer { W C ~ Color - Brand ~ o ~ ! So(a Style _ _ Sewing Machine ~ ~ _ F- ~ Color Brand . •~.c.•. ui pesk Vacuum ~ ~ ~ Z = ~ T • Brand ; ^ - ' ~ - Power Type P ~ ' ~ Lawn Mower Brand - Suite P~a~ • Pieces S le W T Bran Suite ~~9~ WCIE COUNTII fU1. i t Pieces C' St le Z ' T B~and Suite _ ~ Major L K C1i:;1llf CQUR ; ~ ~ Weces J ` RECAFn tlE41Fif~ / _ St le Power Tools ' ~ Suite t Pieces ~ St le W f i ~ Rugs or Siu ~ W Ca ts • Coto~ ~ O0 Chairs • • ~ ~ Color ~ ~ I ~ ~ TYPe ~ ( . . , When and Where was furniture purchased? 3~~~l_.' 1" Cost S~~~~ t~`C1 .~-ti Custwner`s estimate of value ~ With what company ts the furniture insured: Name 1J IU - Poliry i Address: ' ' Schedule "A" of Security Agreement dated the C( day of 1.~J.~CLJ , 19 ~ : Original Loan No. . ~ ~ ~ - ~ ~ ~ Y ` ~ ~ ~ ~ cw~t~ss~ coae~~ cse ~ _ (Witness) (Date) (Se i ss a e " ea L-46