HomeMy WebLinkAbout0677 --1
SGHEDULE "A" SECURITY LIST ~ Sranch Address Stamp ~
Uescribe furniture by wlor and style:
Abbreviations - Mod. , Trad. , Col Medi Fr. P. i
Describe appliance by size and brand. Verbal List? '
, [J Yes No ~
--T~Sofas f Style T1i ~
Color Size r ~ ~ Brand
~ Lounge Style TV
O Chairs # Color Si:e Brand
O Occ. Tv
~ Chairs ~ Color Size Brand
End , Stereo r , r ~ l,
V Tabies # r St le :/7 ~ ~n T f~~ ' ~ Brand ~ i1
z Coffee W Room Air , ~ 4-
- Tables t St le U Conditioners # Size Brand
~ Rugs z Range ,
J Size Color Q Brand ' ~ -
Carpet - Retrigerator ~j
Size Color ~ Brand ~
~~5 ; Dishwasher
' 7 a Brand
~ Z~Dlnette Set ~ ~(,~.;~~t~c a Freezer
# Pieces r.-~ S le Qt~ Brand
W End Yiasher
b ~ Tabtes t S le Brand G'~ ~'r~t~--
a o Chalrs # ~ Style Dryer ' -
; uu Color Brand
t- Sofa ~ ~ EStyte , Sewing Machine
~ ° , ~;Ct Color ' ~ ' i Brand X=~- = ~
F-
,z w pesk - , Vacuum
~ 2 T Brand
~ - , N Power Type . -
~ Lawn Mower Brand
` ~ Piano +
i Suite
j ~ Pieces S le W T Brand
Suite Z Organ
i ~ # Pieces S le ~ T Brand
~~.;.e Major
~ • Pieces St le ~ Povrer ~oots
~ Suite W ~ ~
a ~ Pieces St !e V :i _ }
~ a Rugs or Si~e ~ ~
,
W Car ts # Color _ ~ ,
' m Chairs # ~
Color
Lamps #
T
When ~d YYhere was furniture urchased ? Cost 5
Customer's estimate of value~~%r
f. G~~
With what company is the furniture insured: Name
Policy ~ Address:
Schedule "A" oi Security Agreement dated the day ot , 19 a
Origi~ai'Loan No. ~ °
3
~ ,/h~l a ~ - ~ -7~
~ (Witness) . , (Date) _ (Seal) ~ ' -
~1, ~ ~ ~-r~ 1-. . ~ fJ : ~ ~ . ~ '
~ ~(Yfitness) i1~Q1 - ~ (Sea(), . . .
A4G R 01 4~ `
Ct ERK C.tA6
~ ~ ss " : '~~R~~~EO °i .
~-ae Fce 10 ~3 3s PM'?8 ~o~R~~B~ ~ ~9
L~vJ
.~94~9Z