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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp
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Describe furniture b; ta!or =rd style: ~
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P.
Describe appliance by size and brand. verbal List?
i ? Yes (=1 No
Sofas # Style TV L ~ !
Color ~ ) Size L ' Brand iYl
~ ~ Lounge Style TV „ /~z
O Chairs # Color (Size ~q Brand 1.
O nn Occ. TV
of Chairs # Color $ Size Brand •
^ End Stereo
u d.Tables # S le v~ T Brand
~ Coffee ~ Room Ai r
- Tables # St le U Conditioners # ~ Size Brand
~ Rugs z Range
~ Size Color Q Brand I
Carpet - Refrigerator
Size Color t Brand ~
Lamps # o. Dishwasher
n T a Brand
Q~ Dinette Set a Freezer
z # Pieces St le Brand
W End Washer
p ~ Tables # St le Brand ~ ~ .5:~~
a `o Chairs # Sipic Dryer
~ w Color Brand
i ~ o , Sofa Style Sewing Machine
y ~ H Color ( Brand
` w Desk ~ Vacuum ~
z T f 1 Brand ' `-lam
~ - Power Type
ID G ~ N Lawn Mower Brand
~ r Suite ~ O Piano f~ r c
g ~1 # Pieces St le J ! ~ i~ O T ' J ~ Brand _ - - " C ` r
Suite ^nn~ z Organ ~
# Pieces St le X71' Q T Brand
~ ~ ~ Suite ~i~,, ~ Major
O ` # Pieces St le ) I ' J Power Tools
O Suite w
~ # Pieces St le 1 1 t7EC ZB ~ ~ O~
O Rugs or Size U
Car is # Color ~ f0.E0 ANQ fiEt0is0E0
m Chairs # ~ p01t AS
Color T T
~ Lamps # yFRlf IEO
~ T 4
When and Where was furniture purchased ? Cost S a~~~
f
~a Customer's estimate of value
With what company is the furniture insured: Name
Policy # Address:
Schedule "A" of Security Agreement dated the day of 19
Original n No. ~r
(Witne ( e) (Seal)
(Witness) (Date) (Seal)
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