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SCHEDULE "A" SECURITY LIST Branch Address Stamp i -
Descrlbe furniture by color and style: '
Abbreviations -Mod. , Trad. , Cot. , Medi - , Fr. P. ~ '
f~scribe appliance by size and brand. t Verbal L- t? ~ ! '
Lj Yes No ~ ~ '
Sofas It , Style ~ Clnv,~cte~ TV
Color Size Brand
~ Lounge Style ~ TV
O Chairs if ~ Color Size Brand
O Occ. ~ _ y, JnOw~ TV
~ Chairs ~ ~ Color~Ydh/Y~. Size Brand _
End Stereo
V Tables A S le v~ ~ T e r nd
YP
z Coffee w Room Air
- Tab:es ~ SI le ~ U Conditioners tf Size _ Brand n~}
~ ~ Rugs z Range
~ Size Color Q Brand W • _
Carpet - Refrigerator
Size Color ~ Brand kl _
t La?nps t n' Dishwasher
- i ~ T e WC.~ a Brand
Dinette Set - Freezer
~ z i # Pieces ~ Style ~ Brand ( _ _ _ _
~ w { End i Washer
~ ! Tables ~ V St le ~ Brand ,r.~nu~T _
~ o Chairs / Style Dryer
w 0 Color Brand ~ _
U a Sofa Style Sewing Machine
z f' ~ Color ~ Brand H(~ ~„~iyn6~ _
¢ w j Desk Vacuum --r i
z ~ Type Brand
O ~ j ~-,~+M~"-" m Power Q.-}_ TYPe )
_ ~ ~ Lawn Mower rand ~ 9 _ _ l _ -
Suite 1 ' C Piano
t Pieces St le ~ T e Brand _
~ Suite ~ Z Organ
t Pieces St le T ~ Brand _
o Suite 3 ~ J Major A L CL ~L ~
• Pieces Style ~,,,h ~ ~ ~ Power Tools `t~h~V V
~ { Suite ~
~ ~ ~ Pieces St le ~ w + ir`~T 1}° C
w Rugs or Size Wy?ti- ~ ~
Ca is i Color
m c. : (t Alit ~ c C:.,tJc U _ _
Chairs fE ~ ~ g ST. LL'CIE l:Cl!'JI Y. L
` Color ,LA GiC - ROGLR PCITRAS
j Lamps i E - T-G811tt1--
} TYPe ~ ( ~~C~tFO +'r~ '
When and Where was furniture purchased ? ~t ~.r~em.~, J R '1 g st'S_ 7_.~~~'c~ _ - _
Customer's estimate of value ~
With what company is the furniture insured: Name y~.~,~n" _ _ _ _ _ _
Policy k Address:
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Schedule "A" of Security Agreement dated the clay of LiTi~''~171~ 197 - _ _ _ .
Original Loan No. _
f - - p
(Witne ) Date) , al
(Witness) Date - /J~
-'"`J - Seall ^ - - - - - - -
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Hess a e ~a~---------- -
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