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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp ~
Describe furniture by color and style: ~
Abbreviations - Mod. , Trad. , Col Medi Fr. P.
Describe appliance by size and brand. V I Ust? ~
( Yes No ,
' Sofas ~ ? Style TV
~ - Cotor ~ X Size ~ Brand L'~ , i. ~
~
~ ~ L.punge Stjrle TV
; o Chairs Color %.~'-l S1ze . Brand
! O Occ. TV
~ Chairs ~ Cotor Size Brand ~
I
~ v Tables i 5 te y~'-%.'y t~ ~n T
e~ .8rand ^ ~
z Coffee , Room Air :L i
- Tables # St le t~ Canditioners t Size Brand ~
~ Rugs z Range
~ Size Color ~ Brand ~ ~
Carpet , ~ ' - Refrigerator t
~ Size r ~c~l~/ Color s- : G :~y -i Brand ~
. Lamps # Q' Dishwasher
T ~ J Brar~d
~ Dinette Set _ ~ ~ Freezer
~ ~ Pieces f~ S le irk<<IC~=~% ! Brand ~ ~~R
W End ' ' Wash~r r' ~°K ~tRCU1T A,,
~ Q Tables. ~ S le 8rand ~ _ ~4~ ~
i o Chairs Style ~ Dryer
' W t? Colo~ ~+~?;~~k'!~^ Brand F7GQ
~ o E- Sofa Style , Sewing Machine ~
~ 1- Color 8rand
Desk Vacuum ~
~ z T Brand '
Power Type
P a ~ Lawn Mower / Braod F
Sutte Piano
+ i Pieces 5 le W T Brand
~ N Suite f 2 Organ
; ~ ~ Pieces d• S le ~ T Brand
Suite ~ J Major
# Pieces ~~K/ 5 le ~ Power Tools ~
~ ~ Suite
' ~ # Pieces St te W .
i V
~ a Rugs or ~ ~ , ze ~
i W !.J. ~,l L ~
Ca ts # L _ " ~ lor
i m Chai rs # ~ ' . =
~ Color i
j l.amps !
~ T
Whe~ and Where was turniture purchased ? ' ~C~ Cost S ~ ~
~ ~ J
Custaner's estirteate of value -J % ~'%~i
With what company is the furniture insured: V Name ~ ~ ~t,
Policy # Address:
Schedule "A" of Securiq Agreement dated the c~ day of ~ , 19 `
'1, ~
Original Loan No. ~ / j
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_ ~ (Witn~ss) ~l 1 ~ (Date1 ISeal) - ~ j
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,-'(Witness) (Date) ; (Seal)
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