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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 sire and brand. V 1 List?
Yes No
i _
i Sofas # ~ Style TV _
Color Size ~3 ~ Brand
~ Loun Style TV
j O Chairs # Color Size Brand _
~ O Occ. TV
~ Chairs # Color Size Brand
End 1 Stereo _ 4t - - L
V Tables M St le A~ Y ~n T / 7JJ.~c~Brand _ _
z Coffee w Room Air !
- Tables # / St le (,f/YJf V Conditioners # Size Brand -
~ Rugs z Range '
J Size Color a Brand
Carpet - Refrigerator
Size Color -t Brand _
lamps # a Dishwasher .
T h/~~ a Brand
Dinette Set ~a~,Lf~ a Freezer
z # Pieces ~ St le ~u,~ Brand - _ _ _ _ ~
O W End Washer
O O Tables # St le Brand _ _ _ _ .
~ o Chairs # Style ~ Dryer
~ ! W Color Brand _ ~ -
i ~ o i" So/a Style Sewing Machine
F- Color Brand _
Desk ~ Vacuum
i ~ z T Brand
G ~ Power Type
i _ Lawn Mower Brand g
~ Suite =O Piano
~ ~ i Pieces St le w T Brand _ .
Suite Organ
~ # Pieces St le z T e Brand _ _
Suite ~ i Major ~ /tlv~~ i
O # Pieces Style _ ; ~ Power Tools _ _ _ _ _ _ _ _
O Suite W
# Pieces style 19T9 OEC 28 ~I~.QG____
~ U
Rugs or Sire v? F EO A RE
W Car is # Color -
m Chairs # Color I ~ f 1~06ERP01 RA ~
T.t:01JR
Lamps # T ~„~/,y lY.t/ii ~EE~ VERIFIE0~~1~_
- i
1 When and Where was furniture purchased ? ~~~d 3 ~:,t[,lC~~~ Cost ~ ~ .
Customer's estimate of value B2i ~OC~
With what company is the furniture insured: Name _ _ (
Policy # Address: _ _ _
S edule "A" of Security Agreement dated the _ day of 19
Orlgf Loan - .
(W e ) (Date) ~ (Seal)
~ ~ 7 ~
fitness) (Date) (Seall }
Hess ~_(Dace1" jSeaTj------ - -
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