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• SCHEDULE "A" SECURITY LIST Branch Address Stamp
Describe furniture by color and style: ~
Abbreviations -Mod. , Trad. , Col. , Medi . , Fr. P. i
Describe appliance by size and brand. } Verbal List? ~
Yes 1-~ No ~
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Sofas # Style TV J
~ Color ~la~"'~ Size ~S ~ Brand
~ Lounge Style , ` TV nn ~ l ~ f ~
O Chairs # ~ Color Size o~ S C~`r Brarid
O Occ. TV II
~ Chairs # ~ Color ~ Size Brand
End Stereo ou~?
~ Tables # ~ St le ~~Yl~ v? T Brand
z Coffee ~ , Room Air
- Tabled # St le U Conditioners # Size Brand -
~ Rugs z Range
~ Size ~ Color Q Brand .
Carpet - Refrigerator
Size Cotor Brand
Lamps # n. Dishwasher
1' Brand
Dinette Set Q Freezer -
z # Pieces St le ~ , Brand
p W End Washer
~ Tables # S le ~ Brand
a c Chairs # Style ~ Dryer
w , Color Brand
o I- ~ Sofa Style Sewing Ma ne
i ~ F- Color Brand
w Desk _ Vacuum
z T Brand
- (o _ Power TYPe
D N Lawn Mower Brand
~ Piano
Suite O
4 # Pieces St le T Brand
i W Or an
Suite z 9
# Pieces S le ) 1 T Brand
Q _
~ Suite J Major
O # pieces St le ~ ~ ~ Power Tools
O Suite f _
~ # Pieces J St le 1' W r ~
U
o Rugs or Size N
Car is # ~,v Color -
m Chairs # ~ - ~ S ROGER
POITa!
S a
Color
Lamps # T Ri''[i~[! ~'Ef.~~~t r. y !1 -
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When and Where was furniture purchased ? Cost S ~ ~ Ud
Customer's estimate of value yQ~ O O G
With what company is the furniture insured: Name
Policy # Address:
Schedule "A" of Security Agreement dated the day of 19
Original Loan No. ^
i
(w- ss) r ~ ~ t ? (Seal)
Witness) (Date) (Seal)
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