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SCHEDULE "A" SECUR1~1f LIST . ' Branch Address Stamp
Describe furniture~by color and style:
Abbrevistions - ~d • . Trad. , Col . , Medi . , Fr. P. ~ :
Describe apptiance by size and brand. Verbal List? ~ ~
~ L,j Yes ri No ~
Sofas ~ Sb~e T~ ~ ~ i
i Color t/1 c k Size Brand C ~
' ~ L,ounge Style ~ T~ ~ i
' O Chafrs t Color ~ c • Size Brand ;
O Occ. N _ i
' oc Chairs # Color , r~ - Size Brand ~
~ End ~ Stereo
~ t) Tables t S le r f~ ck ~n T , Y / Brand ~.•~c, e w
z Cofice w Raom Air- _
- Tabies # St le A l~ ~ ~ V Conditio~ers # Size Brand R
> R~ . • Z Range - (
- Size ~ Color ~ Brand . W
_ ~ ~ t - Refrigerator ~ - i
~ ~ ~ Brand
Size Color
i ~~s # Dishwasher
T 7 a Brend /VO
. Dinette Set Freezer ~ '
,r"~ Z ; Pieces St le Brand !,J -iu~-~-' E
t
P W End _ . Washer ~ ~ }
p ~ Tabies # S le Brand
P~ o Chairs ~ Style ' Dryer
' W _ ~~or Brand o ~ ~ .
I ~ o F- Sofa Style Sewing Machine ~
I 6.. ~ d t l L o c..~ Coior 7. t Brand O/d
Vacuum
~ " w Desk Brand ~
Z T
E Power • TYPe
~ p ~ Lawn Mower 0 Brand
Suite Piano `
i 7 ~ T D Brand '
# Pieces 5 le Organ
~upi~ 3 S le t Z T ~ O Brand
~ ~ Suite J Major
~ O # pi~ ~ 5 le ~ Power Tools U u0
~ " " ~QCEA ~a~
R~ fU -
~ Suite ui
~ °C # Pieces St le V
i~ Rugs or Size F.r, ~~~Pt _
p a
Ca ts # t~ tc (.J Co1or G o ~ cti _ s
~ m Chai rs # ' ~ $ S f _
Color
~ ~~S # -
~ T ;
When and Where was furniture purchased ?~~r~7 Cost ;
Customer's estimate .of value '1 O O. oo ~
= With what company is the furniture insured: Name /YC/'~ `e- - ~
po~i~y # Address:
~ , 19
~ Schedule "A" of Security Agreement dated ihe day of
~ Ori inal Loan No.
~
~ ~ - ~ -.~rf~ ~ '
~ s ~ (D~e, (Seal) ~
,X '~`n~ -
(Witness) ~ (Date) (Sea11
ss a e ~ • t
:
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BGGK ~~9 ?AGE 38? ~
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