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SCHEDULE ".4"SECURITY LIST 6r nc ddress Stamp
Describe furniture by color and style:
Abbreviations -Mod., Trad., Col., Medi., Fr, P,
Describe appliance by size and brand erbal List?
? Yes No
Style ~ ~
Sofas Color ~ TV Size ~ brand
Style
L Loun Chairs . ~ Color e ~ 0 r .rte, TV Size brand
~
V Occ. Chairs . Color A TV Size brand s}
F
I P
N End Tables . St le a r^ P Stereo T e Brand
C z t L Room ~T
Coffee Tables . ~ St le 1 Airconditior?ers Size ~ 0~ Brand
R A
O Ru s Size Color N Ran e: Brand i ~ ~
O C
P,7 Car et Size Color - E Refri erator: Brand o ~ ~ ~
S
Lam s . T e Dishwasher: Brand
~ or
~ D Dinette Set .Pieces St le f'~ oc~ yf Freezer: Brand s~° r
I
N End Tables . St le Washer: Brand ~Q
I - =
E Style ~ 4
T Chairs Color Or er. 6: and o , _ _
T
R E Sofa St le Color Sewin Machine: Brand ,S e 4 `
rJ o r )
G U Oesk T e O U e r M Vacuum: brand ~
..ti, E ( 5 n q pp r r ~ d AS YPe
^I S Powe~Cawn Mower: ? Brand
C Type
Suite .Pieces St le E Piano: Brand 0 J ~ i+V %
L Type
~ Suite .Pcs. St le L ~ Or an: Brand
v Suite .Pcs. ~ ~ St le t ~ N Ma~or Power Toots ~.~~g Nor' ~ S F~• 2 5~
c;
O Suite .Pcs. St le O fll.E~
E CGU!1iY
F A- i
O Size U Q~t~C'1iT CC°.f~T Q
Ru or Car ets Color S
~ t~~r` L
Chairs -3 Color
Lams T sae
~ ~
'v'Jhen and Vlhere was furniture purchased Cost S ~
Customer's estimate of Value ~ o~U • °y
1."Jith what company is the furniture insured: Name
i
_ r
Policy . Address
Schedule A of Security Agreement dated the day of , 19 , Original Loan
N o.
•
( W i ess) Dat ) (S al)
1 Witness 1 (Date 1 (Seal) t
8~ 320 P~ 1549
(Witness) (Date) (Seal