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SCHEDULE "A" SECURiTY LIST i Branch Address Stamp - ~
Describe furniture by color and style: ~
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Abbreviations - Mod., Trad., ~Col., Medi.,` Fr.P. ~ ~
= Describe appliance by size and brand. Verbal List? ~
_ . I LJ Yes No . - _
f Sofas # Style 'n/
~ Color Si2e Brand~
~ Lounge Style 7y _
~ Chairs # Color - Size Brand-
0 Occ. TV
a Chairs ~ Color Size - ~ - Brand
End , - Stereo .
V Tables St le ' v~ T Brand -
Z Coffee w Room Air- ~ -
- Tables ~ St le U Conditioners ~ Size Brand ~
- - ~ _Rugs ' . , z Range _ ~ ~
- J S~ze Color h~ q Brand - ~
- ~ Carpet Refriger or ~ ? ~ ~
Size _ Color • Brand - {
Lamps # - ~ a Dishwasioer - ~
7 e 3 rand - _ .
_ ~ Dinette Set ~7 Q Freezer _ -
Z ~ Pieces l St le ~ -Brand ~ - -
W End -
o , Washer _
L Tables ~ ~ St le - - Brand
o Chairs # - Style pryer . ~
W Color - Brand 1S
~ o Sofa . Style Sewing Machine ; - ~
E' Color Srand ~ ~
W Oesk - - Vawum - - ~
_ Z ~ e ' • Brand • . . _ - ~ ~
~ N Power Type - - -
~ La;nrn Mow.e . r4~y~ Brand
- Suite ~ ~ ' -
~ Piano - . _
# Pieces Style ~ T e Brand ~
Suite' - W Organ
~ $ Pieces S~_ St le Z Type ~ - Brand
~ Suite . ¢ Major - ~
~ ~ Piece~ St le ~ Power Tools
_ ~ ~ Suite ~ - t
w ST, lUC3> GaUH7i' F~/~ - l _
~ Pieces ~ Style V R.";; r~a
~ Rugs or Size . LE~n C;:::.UlT ~O~t~~
W Car ets A " Color ~ . RF~~~;r::E,:.;,;~ `
°D Chairs ~ _ - ~ _ • , .
Color M ~ -
Lamps # . , . -
- T e - ~ _ -
- When an~ K'he`e was furniture ~urchased ? - Cost ~(j~Q~A
Customer's estimate ~f va~.~e ~-f~Q Q ~C - . . ~
- With what company is the furniture insured: Name -
Policy ~ - - Address: . - _
Schedule "A" of Security Agreement dated the day of 197 -
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ic~nal Loa N . ~ ~ - ~
_ _ - ~ -7 ~ ~,1~/~.~ _
(Witness) ~ ( te) - (Seal) - -
. (Witness) - (Date) - (Seal) _ .
~ - - itness a a _ ea
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_ ~ $oox239 P~~~138~ ~ ~