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SCHEDULE "A" SECURITY LIST i Branch Address Stamp I ~
Describe furniture by color and style: i
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P.
Describe appliance by size and brand. ~ Verbal List? `
Lj Yes 1_~ No `
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Sofas # Style ~ TV ~
Color Size ~ Brand 1
~ lounge Style TV
O Chairs # Color Size Brand
O Occ. TV
~ Chairs # Color Size Brand
1 End Stereo `
V ~ Tables # S le ~ Type Brand
Z Coffee Room Air _
Tables # St le U Conditioners # Size Brand _
~ Rugs z Range
~ Size Color Q Brand
Carpet - Refrigerator
Size Color J Brand
Lamps # a Dishwasher
_ _ 1 T a Brand _
Dinette Set Q Freezer
~ z ~ # Pieces St le ~ Brand
O W; End Washer - -
~ ! _ Tables # St le Brand
a o ; Chairs # Style ~ Dryer
W ~ Color Brand -
u o f- ~ Sofa Style Sewing Machine
? H ~ Color 1 1 Brand
; Desk Vacuum
z z ; T Brand
- Power Type
Q O ~ ~ Lawn Mower Brand
~ Suite ~ Piano •
# Pieces Style _ _ _ W T Brand _
j Suite z Organ
i # Pieces St le Q T Brand. _ _
~ o ~ Suite J Major
# Pieces St le J Power Tools
~ O I Suite
~ # Pieces St le U - - ^ ~ ~ ~ - ~
w ~ ~
~ ~ Rugs or Size ~ ~ '
Car is # Color _
Chairs # ~
Color ~ _
Lamps # ~
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When and Where was furniture purchased ? Cost S = - ~ • . _ _
Customer's estimate of value ~ ~ ~ ~ ~ ~ ` ~-`t K
- With what company is the furniture insured: Name _
Policy # Address: ~ -
Sched 'A" o Secu ~ eme t dated the day of 19
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~ es Da ~ (Seal)
(Witness) (Date) (Seal)
~ - ~tness a e ea - _ -
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