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SCNEDULE •A" SECURITY LIST ~ Branch Address Stamp
Describe furniture by color. and style: ~
Abbreviations - Mod. , Trad. , Col Medi Fr. P. i
Describe appliance by size and bra~d. Verbai List?
~ [J Yes 1-I No
i Sofas • Style N 4 d
Color~~ Size I f
; ~ Lounge Style N .
o Chairs # Color Size Brand
~ O Occ. N
~ Chairs ~ Color Size Brand
' End Stereo
v Tables # St le ~n T Brand
; z Coffee w Room Afr
- Tables # St le ~1 Canditioners Size Brand
~ Rugs z Range
~ Size Color a Brand
~~t - Refrigerator
Size Color Brand - ~ ~~V~ v
' ~~ps # . a Dishwasher
T Brand
~ Dinette Set a Freezer
~ Z ~ Pieces ' St le Qt Brand
p W End . Washer
~ Tables # St le Brand
~ o Chairs Style ~ Dryer
W Color Brand
~ v o?- Sofa Style Sewing Machine
' ~ i-- ~ Color Brand
w pesk Vacuum
i z Z T Brand
i p Q N . Power Type
, Lawn Mower Brand
° ~ Suite ~ Piano
~ i pie~es e W 'f Brand
~ ; Suite Z Organ
s ~ ~ ~ Pieces S `j Q T - Brand
; Suite ~ 1 Major p
~ ~ Pieces J Power Tools OR~
~ Suite W ' ~''•-=v~ - L~T~T • .
~ ~ # Pieces St le ~ - ~
~ ; ~ Rugs or Si ze ~ ~ ~5
s j"' Car ts # Color _ ~ ~
~ j °D Chairs # ~ - 1 Pl~ 1~ •
~ ; Colo~ ~
i , Lamps # ~
€ T i- ;
~ ~ ~ • - .
~ When and Where was furniture purchased . ~R~~:_y
5 Custort~er's estimate of value ~
With. what company is the furniture insured: Name r
= Policy ~ Address: -
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~ Schedu of Se ur' gre t dated the day of , 19
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~ (Witness Dat (Seal)
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