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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. Verbal List? ~ 'f
I Lj Yes ~ ? No 1
Sofas # ~ Style ~4' TV
Color ~ Size ~ / Brand h /9
~ Lounge Style TV
~ Chairs # Color Size Brand
O ~ Occ. TV
~ ' Chairs # Color ~ ~L Size Brand
End Stereo
U i Tables # ~ Style Wp ~ m T C O D ~ Brand C
Z Coffee ep/g~y Room Air
- Tables # St le r~ h u Conditioners # Size Brand
~ Rugs z Range
~ ~ Size L Color Q Brand
Carpet I - Refrigerator
Size Color Brand ~
lamps # a Dishwasher _
_ _ T a Brand _
_ Dinette Set Q Freezer -
't z ` # Pieces ~ St le Brand _
~ Wi End Washer
0 0;
Tables # St le Brand rte`-
~ o ; Chairs # Style ~ Dryer -
w ! Color Brand ~ e h ~ u R ~
j v o ti Sofa Style Sewing Machine
2 ~ i Color ~ Brand
I -
i Desk Vacuum
Z z ~ T ~ Brand
e o - m Power Type
~ Lawn Mower Brand _
- Suite V/P» it y O Piano
I # Pieces St le W T ~ Brand
e N a Suite ` z Organ
I # Pieces ~ St le t_ di T Brand
~ i Suite t: n C J Major ~ = ~Q~ ~
O # Pieces ( St le d s J Power Tools - ' ~
~ i Suite - _ - _
~ ~ # Pieces St le w -
( ~ Rugs or Size a ~
s W ' Car is # Color _
m Chairs # ~ ~ ~ .t ~
Color l
Lamps #
t~ T v. -R`` J J ~ - - -
t _
When and Where was furniture purchased? Cost S _
Customer's estimate of value 2 3 ~ C,
With what company is the furniture insured: Name _
Policy >r Address: _
Schedule "A" of Security Agreement dated the day of 19
Origi oan No.
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stn s' , g~e~, ~~'••j i '
-(Witness) (Date) (eall
_ _
x ~tness a e ea
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