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SCHEDULE "A" SECURITY LIST Brand~ Address Stamp
Describe turniture by color and style: { ;
Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. P. ~ ~
Describe appliance by si:e and bra~d. ( Verbal List? 1 -
I Yes ~-1 No ~
Sofas # Style ~ ~ ?e-• 'N
/ Color G I'Z° r~ Size • Brand
~ Lounge Style 'N
O Chairs N Color Size Brand
O Occ. Tv /f
~ Chairs N ~ Cotor ~ rG ~ Size d~ ~ Brand G~
End Stereo ~ ~
~7 ~ Tables 1~ ~ St le v~ T Brand
z Coffee W Room Air lV.; S~-
- Tables ~1 ~ St le U Conditioners # ~ Size ~ Brand -~nC~ ~c'p0'~"
~ ~ Rugs 0 h, Z Range
~ ~ Size ~ Color ~ Q Brand
Carpet - Refrigerator
Si:e Color ~ Brand ~ V r1~ ~
~~S ~ n' Dishwasher
~ 'r o j n' Brand
. Di~ette Set Q Freezer
~ Z~ # Pieces ~ St le Y~~ ~ Brand
Q W End Washer V
o Tabtes ~ St le Brand I~-G~h ~b? v?t'J
a o; Chairs # Style / Dryer
w! 1~ Color c~N Brand -
~ o~~ Sofa Style ' Sewing Machine ~I_. ~I-'
i Z 1- • Color Brand ~1! ~'1 ~ T'CJ Y1'R ~
~ z w; Desk , Vacuum ~ r~ q
~ _ Z i T ~ Brand 1 d"rr2,.a..~
Power Type
~ C 0' = Lawn Mower Brand
Suite w, ~ Piano
! i~ Pieces ~ Style ~ W T Brand
r Suile Z Organ
~ ii Pieces Style ~ Q T e Brand
~ Suite J Major
~ ~ * Pieces Style , J Power Tools FILEO ANO RECOROEO
~ Suite j W ~ RdCER POITRAS
1 ~ Pieces St le t '
U ~~r~
~ ~ Rugs or Size ~ ' • ' •~C -
i Car ts ~ Color _
~ ! Chairs k / y_ ~ •n~ lC
j Color
~~S ~ _ 3ss~s9
T
~ ` When and Where was turniture purchased ? G~ l~~ ~ Cost 5 ~ oZ-~ D/'C
~
~ Customer's estimate of value C) c) U~
~ T
With what company is the furniture insured: Name
~ Policy ~k Address:
~ Schedule "A" of Security Agreement dated the day of , j9
Original Loan No.
~
~ /~'t~if.-s,- ~~iy~".-.~
- (Witness) (Date) ~ ~ eal) ~
• (Witness) (Date) ~ ' (Seal)
i ness a e ea
L-48 • ~
E001c GllO PA6f 'fJ
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