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SCHEDULE "A" SECURITY LIST Branch Address Stamp
Oescrlbe furniture by color and style:
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P. i
Describe appliance by size and brand. i Ver I List? ~
i
- es 1- I No
Sofas # Style TV
Color Size Brand -
~ Lounge Style TV i
O Chairs # Color I Size _ ~ `y~ralid _ ~
O Occ. ATV
~ Chairs # Color ~ Size _ Brand
End ~ Stereo
V I Tables M ~ St le ~ N Type Brand
z Coffee i W } Room Air
- i Tables M / Style_ v Conditioners # Size Brand
~ i Rugs z ~ Range ~ .S'
~ Site ~ Color Q i Brand 1~-Gw~L
Carpet - ' Refrigerator _
Size Color Brand ~Lti ~C I? ~'Z'<tc~
lamps ~ Dishwasher
~ Type I a Brand
Dinette Set ~ Q Freezer
~ z # Pieces ~ St le j Brand £
j - 3
O W End ~ ~ i Washer ~ ~i
j o G I Tables r St le _ _ i Brand ~ ire ~n-%u"x'~ -
~ o ! Chairs # .,1J Style ~ ti -Dryer
I ~ Color ' _ Brand _ _ _ _
E lJ o F- i Sofa Style Sewing Machine
z F- ~ ~ Color I ! Brand -
W i Desk ! Vacuum ~ d -
z Z j T j Brand A
i A QI N Power TYPe
~ Lawn Mower Brand
: _
Suite ~2~t+-tT,r• I O Tano
! # Pieces ~ t le ! Ype Brand _ =
W
Suite z Organ
~ # Pieces St le Q 4 Type Brand -
~ ~ Ma or
Suite ~ ~ ~
j./~~~ ty,tt, i 1 /ILEO AMU PF L •.OEO
O ~ # Pieces Style _ ~ ~ Power Tools :-i
O 1 Suite ! ROCi ~ -
x ~ # Pieces ~ ~~^'''°st l~"- _ - ~ W ! _ CLERK }T ;;vUR
- U -
O Rugs or Size ~ j
1 Carpets • Color , _
m I Chairs # I L 58~ 1 . -
_ Color '
~ -
Lamps # ~ _ _ -
Type j ~ _ = - - - j
` ~~`rI `
When snd Where was furniture purchased ? b. Cost S _ _ _ _ _ _ _ _
Customer's estimate of value ~d0.
~ With what company is the furniture insured: Name _ - - _
Policy # ~i~~ Address: _ _ - - - - - -
Schedule "A" of Security Agreement dated the- day of ~ . 19'~-;
iginal Loan No. __y__
' / ~j~
( s (Date) (Seal)
• (W tness) (Date)----- - - -ISr_all
Hess ~6aTeT j5ea7]- - -
L-ae 30~1K P~CE~l,~O