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SCHEDULE "A" SECURITY LI57 Branch Address Stamp ~
D~scribe furnitun by oolor and style: ! t
Abbnviations - Mod., Trad., Col., Medi., F~.P.
D~seribe sppliance by size and brand. Verbai List? ;
[j Yes No
Sof~s ~ r Style TV ~ n
~ o o Size / Brand l'
~ ~ Lo~mge St e TV
I O Chairs ~ ~ o Size Brand
O Occ. TV
~ oC Chairs • Color Size Brand ~
' End . Stereo
j v Tables • 5 le T / B~and ~
! z Coffee W Room Ai r
i - Tabtes ~ St .le V Canditioners i Size Brand
~ ~ Ruys z Range
! - S{ze Color Q Brand
J -
Carpet - Refrigerator
; Siz~ Color Brand _ _
' -Lamps i ~ Dishwasher
' T n' B?and
' Dinette Set ~ Freezer
t~ Z ~ Pieces le Brand _
p W End Washer
K~ ~ Tabfes i St le Brand _
' ~ o Chain # Style ~ Dryer
' ~ W Color Brand ~
; ~ o~ Sofa Style Sewing Machine ^
f ~ 1- Color Brand
~ ~ Desk Vacuum - `
Z T Brand
~ P - ~ Power TYi~
~ Lawn Mower Brand
~ Suite ~ Piano . --Ji-----
1 • Pieces ~ St le W T Brand ~
Suite Organ
~ ~ i Pieces St le < T Brand
Sufte ~ Major
~ O # Pieus Style ~ Power 7ools -
~ Su{te W
~ oC i Pieces St le V •-:7 - ~ ~ _ ~ _
j ~ Rugs or Si:e ~
{ W G ts i " Color - f~~ -
{ ~ Chai~s ~ ~ ~ g~,iJ:t~ GC31
; Cotor R(~G~.~R PORRAS _
~ Lamps ~ . . -
T • ~'z; :i 1~~.
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~ 45069 _fi
~ When and VYhero was furni pur ased 1 Cost S___
~ Customer's estirn~te of va ~
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~ With what company is the furniture nsured: Name .
3 Policy / • _ . . - - - - - ~
~ Schadule •A' of Securlty Agreeme dated the _ day of , 19 `
~ Orlgl No. _
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( It ss . Date ~ (Seal) - - - - -
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~I~ness) (~ate) ~ eal) i~~~
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