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SCHEDULE "A" SECURITY LIST Branch Address StBmp"'• V[rIf1E
Describe furniture by color and style:
Abbreviations - Mod. , Trad. , Col Medi Fr. P. J~N ' ~ ~ 6 aN ~~1
Describe appliance by size and brand. ~ Verbal List?
~ [j Yes ~_I No
; Sofas ; Style Mr~. ~ n
Color Size ~ Brand t~. ~ • '
~ ~ Lounge Style ~
~ O Chairs ~ Color Size ~ Brand
' O Occ. TV
oc Chafrs i Color~l Size Brand
End Stereo
u Tables / St le M ~ T Brand _
Z w Room Ai r
- Tables ~ St le (ht V Conditioners # Size Brand
~ Rugs . Z ~9e S .
J Size Color ~ Brand G C
Carpet - Refrigerator
Size Color 'i B~-and C~
~~S # d Dishwasher r
T n' Brand d- `
~ Dinette Set ~ Freeter
~ Z 7# Pieces S le CsN ~ Brand
p End Washer r ~
~ ~ Tables ~ 5 le ' Brand
'I~ ~ o Chairs # Style Dryer ~
; w Color Brand
~ o F' Sofa Style Sewing Machine
4 F- Color Brand ~0 E
w pesk Vacuum S
~ z z T ` B rand C
o Q N Power TYPe .
` ~ Lawn Mower Brand
Suite Piano
s# Pieces 5 le W T Brand
~ Suite . Z Organ
~ ~ Pieces St le ~JS ~~tJ Q T Brand
~ Suite J Major
' ~ 3# Pieces St le M[ J Power Tools
~ 1 Suite
~ I W
i Pieces St le V
~ Rugs or Size ~
i" Car ts # Color _
m Chain ~ ~
Color
, ~~5 #
T i
s
When and Where was furniture urchased ? 1 WY~ ~S ~rn: ~tt' Cost S ~ ~ v 0 ;
~ ~ :
Customer's estimate of value Q 0 0• <
~ +
~ With what company is the furniture insured: Name i
~ Policy • Address:
Schedule "A" of Security Agreement dated the day of , 19
~ Or i 1 Loan No. . f
~ ~
(Witness) ~
~ 7~ ~S
itness) (Dat ) (Seai)
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L-48 ~ Q R ~
! 60r,K~ ~E • ~
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