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SCHEDULE •A• SECURITY LIST Brandh Address. Stamp
Describe furniture by Dolor and style:
Abbreviations - Abd., Tnd., Col.,. Meth., Fr. P.
Describe appliance by size snd brand. Verbal Lisa? ~
[j Yes No -
Sohs # Style" C.~~~ TV
Cobr Size brand
~ Larnye Style TV
E
~ Chafn # Cot Size Brand
c Occ. Ty
I ~ Chairs # Colo ~ Size Brand
End - ~,~Rb~.~ Stereo
v Tsbles # . S le in T Brand
Z u+ Room Air
Tables • S to w ~ SS V Conditioners # Size Brand
y Rugs z Range
J Sise Color t Brand
~ Grpet - Refrigerator
Size Color ~ Brand _
Lamps # . o_ Dishwasher
T n• Brand
Z Wnet<e Set 'Q)\R~,~~K ~ Freezer
W # Pieces S le Brand
~ End ~ Washer
L Tables # St le Brand
o Chairs # Style ~ Dryer
W Color Brand
N `o H Soh Style Sewing Machine
f' Color Brand
W tJeak
. Vawum
Z T Brand _
Power Type ~
~ N Lawn Mower Brand
Suite 4b~ ~ ~ _ Piano -
# Pieces S le hW T Brand _ -
h Suite r(o~t~ci~G.'i'tt Z Organ
~ # Pieces ~ S le t T Brand -
i o svf~ ~ Major .458514 _
# Pieces S k Power Toots
~ Suite `
• Pieces 5 to W t9i9 SEP i 3 ~
~ RuQs Or Size V
W Ca # Color F 0 AliO RE~~0~
°D Chairs #
Color ~ CIER)(CIRt~T
fps #
T RECCao VERi6tiED
C~Q`~ S
Mlhen and Where wss furniture purchased' `C]~~~1ci~¢- S ~G~_ Cost S Q_ ~
Customer's .estimate o! value - a
Muth what company is the furniture insured: - •
Pblicy # Address: - _ ------w
Sdttetlule 'A• of Security Agreement dated the day of 14 t ; - H ^ - - -
~nil Loan No.
~l ~ _
tM?itness) (Date) (Seal) -
ss a e eaTJ_`-_" -
L-~
- aooK316 ~AaE1171