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SCHEDULE "A" SECURITY 1,i57 • ~ Branch Address Stamp
Desc~ibe furniture by cQlor and style:
Abbreviatio~s - Mod'. , Trad. , Col. . Medi Fr. P,
Oescribe appliance by size and hrand. Verbal List? ~ ~
~ [J Yes (=J No ~ ~
~ Sofas i Style T~.d . TV ~i
r ~ Size ~ ~ Brand - ~
' ~ I:ou~ge tyte 71/ - .
o Chairs # Color Size ~ Bra~d - ~
~ O Occ. . TV
~ Chairs i Color Size Brand
End Stereo
~ ,
v Tables # S le a T Brand
2 Coffee u+ Room Air s
- Tabies # St le , v Conditioners # Siz ~
, ~ o c B+~aad L~ ~
Rugs z Range
~ -Size Color ~ Brand
Carpet - Retrigerator
Size Color -r Brand ~ '
. Lamps # ~ Dishwasher ~
T ~ Brand ~
Dinette Set • ~ Freezer ~
~ Z # Pieces ~ S le ~ Brand ~
W End Washer '
p ~ Tables ~ S le Brand ~
!Y o Chairs # Styte Dryer , , ~
i u+ Color Brand • k
~ o E- Sofa Style Sewing Machine
F- Color Brand
z W Desk Vacuum .
~ z T Brand
A - ~ Power Type
~ Lawn Mower Brand
; Suite , ~ Piana
f # Weces 5 le W T Brand
! Suite Z Organ
~`n # Pieces ° 5 le ` T Brand ;
~ ~ Suite . J Major ~
~ ~ # Pieces S le ~ Pawer Tools -
fl Suite ~
a # Pieces S le V , ~0 REC01~tDE0
j~ Rugs or Size ~ . F~E~t POtTqAS
i u' Ca ts t Color _ RK C'RCU??
; m Chalrs t g . . ~
~ Cotor -
~ ~"'PS ~ -~--6- 04 H'~~
! _ '
When and Where was furniture purd~ased ? Cost S ~
~
Customer's estimate of value 6 0~ '
~
With what company is the furnitu~e insured: Name ~
3
Potiq i Address: '
Schedule "A° of Security Agreement dated the day of , 19
Original l~oan No.
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~.s~.i,s~~~~~:~d„;, ~ .2 ~ ~I ) ,
~ (Witness) (Date) (S •
i ss a e a .
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