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SCHEDULE "A" SECURITY LIST Branch Address Stamp
Oescrlbe furniture by color and style:
Abbreviations -Mod., Trad., Col., Medi., Fr.P. _ ~ FINANCE
Describe appliance by size and brand. i
Verbal Lisi7 EAGLE G~~tr
~ L~ Yes , No ~ j 2057 S• FEDERAL m ~50; _
Sofas It Style Q10 'fie n3 i TV
Color v:. (l1 ~ Sire ~ ~ - Brand S e ~ R S _
~ Lounge Style pD ~ TV
O Chairs 8 Color ~R uJ ~ ~ Size _ - Brand -
O Occ. ~ ! TV
~ Chairs tt Color_ _ ~ Size Brand
End ~ Stereo
V I Tables 8 ~ Style f~ Dd t 1~ ~ ~n ! Type / Brand S r~ ~ 5 _
Z fi Coffee ~ W Room Air
Tables Y ~ Style rilodcR ~ I v Conditioners >t Size _ Brand_____
~ r Rugs ~ z ~ Range ~~~j,~
~ f Site r Color ~ R ~ ~ N ~ Q ~ Brand ~i-^~_" -,S ~ ~
Carpet - j Refrigerator
Si~_ ze ~ - / ~ Color - _ ! a _ Brand ,S ~ r~}/[~~_-- _
Lamps at ~ Dishwasher
_ I ~7 TYPe ~I~,~v~~ ~L/9~ a Brand _ _
r Dinette Set Q Freezer
~ Z E as Piece Style--~Q~rR~ j Brand
a W I End Washer t .J N ~ . _ _
~ ~ Tables tt Style ' Brand ~ C____ _ _
~ o ! Chairs A Style mad C ~ti ~ ~ Dryer
W ~ ~j, Color _~/l O w ~ ~ i ~ Brand - - -
4 t -
{ o F' ~ Sofa Style Sewing Machine
~ z ~ I Color Brand
~ W ~ Desk - Vacuum 1-----
? z Type ~ ~ Brand f ~ r/ 00(/ ~ - . -
~ Qi N ~ Power Type
. _ _ ~ Lawn Mower ~ -_Brand_Low.-._ _L•,~ _ -
~ Suite p Piano
1 8 Pieces Style j~10G{C~f' N W __Ty~ Br rand _ _ _ -
Suite ~ ~ Organ
~ t Pieces ,j Style f"/~~NCN ~ Z ~ TYPe Brand _
~ Suite \ + ~ h1a)or
O ! i Pieces ~ Q
$ Style M ~dt°R ~ j Power Toots ~JT9 ~~1 '
O
~ ~ AuPieces L~ Style /j/~c! L~iP ~ V _ _ 0 _~t'~ ;i~ 4
O i Rugs or / ~ ~ Size T~~ ..ll ~ - FIL~U aN;; r~
4' ~ -Carpets It a D Color G. ~ ~ ~ N i _ _ ST. LUC;E~Li:: i
Yeti-+1:--- -
~ Chairs * i ~ R POITRAS
CLERK CIRCUIT CI?tIR
( Color
~ Lamps * - - - - - ;i-•_.; -9._~-
YP i
~ T e i - - - - - - -
When and Where was furniture purchased? _ Cost S D_~'~_U _ _
Customer's estimate of value G O ul- rT:
D
With what company is the furniture insured: Name ,1 /~/1'/ t° _ _ - _
- ~1_~---=-- - - - _ _
Policy Ir Address: ~ / -~tu~!, C,/~ ~-i rid ~e~-/,?cK~L`~~
Schedule "A" of Security Agreement dated the day of 19
Or final Loan No. - - -
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( itne s I(Da 1 ~ IFea~ _
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i nes) (Uate) (Beall
i Hess -----~aTe~------ ---~a~ - - -
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