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SCHEDULE "A" SECURITY LIST Branch Address-Stamp
Describe furniture by color and style: ~ I
Abbsa'rl:ti~i - !!lc~d.; Tract:: Cc+l:= M~cii-: Fr-P.
Deacriba appliance by size snd-brand. Verbal List? _
_
Yes No -
So~as # Style TV
Color? Size t 2 1 k Brand ~ ~S r~l au~°~+S'
~ Lounge Style 'rv
g t ~t Cr1 Brand /Z e
O Chairs # Color Size
~ O Occ. TV
i oC Chairs # Color Size Brand
End Stereo
V Tables # S le w T Brand
ui --Room /fir- - _ - -
z fee- _ - - - -
- Tables # S le V Conditioners # ize Brand
> Rugs z Range
~ SI:s / ~ b ~ ~COIOr C {v ~ Brand
Garpet - Refrigerator
Size -h Color ~ fie- Brand
~ Lamps # as Dishwasher
T Brand /
Dinette Set _ Q Freezer t~ /011 pc~(P~ ,
Z # Pieces 'J S le Brand
W End Washer -
0 Tsbles # St le Brand ~Ma"`t a Y~
j ~ o Chairs # ~ ~ Style e C• c Dryer
j W C / S c ~i~ Color / Q C /G Brand
~ ~ o t' Soh Style Sewing Machine
F- Color Brand _
W peck Vacuum
~ Z T Brand
- Power ~ ~ TYPe - + -
0 ~ lawn Mower Brand
r Suite O Piano
# Pieces S le T Brand
W
a Suite z Organ
# Pieces S le T Brand
~ Suite < Major
~ O _
~ Places St le ~ Power Tools n ~
~
O Suite - W ~ P' 3 f ~ 17
~ # Pieces St to
C V
~ Rugs or Size ~ k
Ca is # Color
m Chairs # ~ _ A
Color -
Lamps # V1rRlF1ED~-
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When and Where was furniture purchased ? ~ Qd C 0 C ~ Cost S . ~
~ Ub0 r-
Customer's estimate of value ~ 4~~Q~
With what company is the furniture insured: Name _ -_.--V~~~_7_-____A----
Policy # Address: _ - - -
Schedule "A" of Security Agreement dated the ~ day of 19 ~ _
Original Loan No.
itness) ~ ej, ~ (Seal)
(Witness) (Date) (Seal)
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