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SCHEDULE "A" SECURITY LIST / Branch Address Stamp ~
Describe furnilure by color and style: '
Abbreviations - Mod. , Trad. , Col 61edi Fr. P. ;
Describe appliance by size and brand. Verbal List?
~{~Cy Yes I I No ~ ~
~
~ ; Sofas ft Style TV
+ ' ColorGP«~ Size ~ _ _ Brand Q~,(~'SQ,r
~ ~ Lounge Style R~~h ~ ~ '
O Chairs 1~ Color ..}~h Size Brand _
O ! Occ. ~ TV .
a : Chairs # Color ~ Size Brand
I End M Stereo
u ; Tables .k ~ Style v? ~ Type Brand
z I Coffee ! Room Air ``.^w ~
- Tables # ~ Styte _ j U! Conditioners ~ Size Brand
~ ~ Rugs ~ z Range
~ Size Color I Q Brand ~~O(.A~ ~
J
~ Carpet - Reirigerator^ r!
; Size Color ~ Brand {D
~ ~~S # Dishwasher
' ~ TyPe I ~ Brand - _ -
Dinette Set / . Q ~ Freezer
' ~ Z # Pieces ~ Style yYX{,+pl~ ; Brand
p W j E~d Washer C
~ ~ Tables St le Brand ~•~QQ~ 01°~..~
~ o Chairs # Style Dryer
~ w ' Color 1 Brand
V o H! Sofa Style ~ -j Sewing Machine
~ F ~ Color _ ~ Brand
W Desk ' ~ Vacuum
~ z; Type ! Brand ~ _
` ~ Power TYPe s ~
~ ~ ~ ~ Lawn Mower Brand .sQQ~`
= Piano
I 1kuP eces 3 Style~l~/ ~?tJ"~OOI~h ~ T ' Brand _
~ ` ' W Organ
Suite ~ Z ~
~ ' # Pieces St le j
T~ Brand
~ ~ Suite J ! Major
I ~ ` 1~ Pieces Style l J ~ Power Tools
~ : Suite ; W C
~ ; ik Pieces Style ~ v r
~ Rugs or Size ~ ~ ~ `L--__
~ ~
W ~ Carpets * Color ~ _ 1 ~ J/~l~f~t. , . SVS _
00 j Chai~s ~ ` ~ r
i Color ~ ~
` Lamps it
~ ; Ty~ -
~ When and Where was furniture rchased ? St,a~s Of..~'~ Cost S~~Q
~ Customer's estimate of value QQ , O~
With what company is the furniture insured~ Name
y ,
~ - - - - - - - -
~ po~~~y ~ Address:
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~ Schedule "A" of Security Agreemenl dated lhe ~~y of . 19
Original Loan No. _ =
r ~
~ ,
te (Sea!) - -
~ ( itness). ~ (
?~a - - - -
~ (Witness) (D te) (Seal)
~ F LED ~ND RECORDEO
~ __~i~lllCJE-CDUNTY fl a e ---~ea~I---------
~ ~tness iiOCER PO~TRAS
~kM C~=+CUIT CO R
' '-;F~ED
~ L-48
`'t Mar 1 I I z7 AN ~~8 60GK~VV PAGE 3~
~ 4U19~.6 ~