HomeMy WebLinkAbout1734 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? '
I ? Yes No ~
Sofas # Style TV J(yin~fz,,
Color Size Brand
~ Lounge Style TV
O Chairs # Color Size Brand
O Occ. TV
oC Chairs # Color i~~M'V Size Brand
End Stereo _
v Tables # St le m T Brand
z Coffee Room Ai r
- Tables # St le V Conditioners # Size Brand
~ Rugs z Range
~ Size Color a Brand
Carpet ~ _ - Refrigerator
Size Color Brand
Lamps # a Dishwasher
T a Brand
Dinette Set. a Freezer
z # Pieces S le Brand
p W End Washgr
p O Tabtes # St le Brand
!Y o ~ Chairs # Style Dryer
W Color Brand
~ o I- Sofa Style Sewing Ma ine
H ~ Color Brand
W Desk Vacuum ,
z z ~ T Brand
~ Power Type
p of
~ O O Lawn Mower Brand
j Suite O Piano
t Pieces St le W T Brand
Suite z Organ
F `n # Pieces ~ St le ~ T Brand
~ Suite J Major
r ~ O # Pieces ~ St le ~ Power Tools
O Suite W I9J9 t~ltY 29 r~ ~1=
~ # Pieces St to
~ U
Rugs or Size ~ FILEO ANh RECOdJEO
`j' Car is # Color _ CI COUHTY.fLA.
m
~ ~ Chairs # ~
Color CLERK CIRC IT C
Lamps # AECCRO VER~FtI:
i T
z
When and Where was furniture purchased ? f_ y( Cost S / 3 O C)
Customer's estimate of value ~/~~(Jd ~
With what company is the furniture insured: Name
Policy # Address:
Schedule "A" of Security Agreement dated the day of 19
Original Loan N1o~
(Witness) Dat (Seal Q / J'
t L ..~/7/f A.rJ~~ X~iS~rr_c~C~i.
(Witness) (Date) (Seal)
s
-~"~(W~ Hess a e ea
L-48
g~~~3t19 P~173~.
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