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SCHEDULE •A" SECURITY LIST ' Branch Address-Stamp
Describe furniture by color and style: - .
Abbreviations -Mod.. Trsd. , Coi . , Meth . , Fr. P. '
Describe appiisnq by si:e and brand. Verbal List3
` [j Yes No
Sofas # - _ Sb TV u
Color Size Br
i Loun~ Style ,q,Ov,ty~~ TV
O Chairs i Color Size Brand
O Occ. TV
oC Chairs # Colo Size Brand
End Stereo
~ V Tables # S le T brand
z Coffee Room Air
- T~l~ # S le U Conditioners # Sire Brand
> RYgs i Range
Size Color < Brand
~ t Refrigerator
Size Color Brand
Vmps o. Dishwasher
T Brand
- Olnetb Set < Freezer.
_ # Places S le Brand - -
W End Washer .
~ Tsbies # S le Brand
o Chairs Style ~ Dryer
u+ Color Brand -
H Sets Style Sewing Machine
M- Color Brand
W Desk Vacuum
Z T Brand
- ~ Power TYPe
~ D - ~ Lawn Mower Brand
Suite O Piano
# Pieces S le T Brand M
m Seib z Organ
# Pieces S le T B
~ Suib Major -
O , Power Tools _
# pieces- S le ~
O Suite m UC CO(A1TTY.fLA. -
oG # Piaoes S to R R PO TRAS
p U
W Rugs or Sfze ~n RECORO If
Ca # Color _ _
m Chain # ~ .
Colo
Lamps # Q~
T
When and When was furniture purchased? D~~ - Cost S
Customer's estimate of value ~Q. nn
With what company is the furniture-insured: Name _ -
Pollry # Address: _ _
Schedule "A" of Security Agreement dated the _ day of 19
Original Loan No.
(Wi ss) - at (Seal) -
~~~J' (Seal)
Witness (Date)"--~"
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