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~ SCHEDULE "A" SECURITY LIST ~ Branch Address Starrip _ _
Describe furniture by color and style: - " ~
, Abbreviations - Mod.•, Trad., Col., hledi., Fr.P. ~ ~ _
Describe appliance by size and brand. Verbal Lisl? -
- _ I LJ Yes No ~ -
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~ ' Sofas ~ Style TV~. • - r
' Color Size Brand G
' ~ Lounge ' Style TV -
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t_ , 0 Ghairs # Color ~ Size Brand
~ O Occ. TV .
r • cY Chairs ~ Color Size - Brand
End : Stereo
- V Tables # St le v~ T e - Brana
i; z Coffee ' . ~ Room Ai r -
~ - Tables 5t le U Conditioners # Size Brand
; ~ Rugs ~ ~ z Range
~ - Size - //~i ~ Cofo ~ ~f _ Brand
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Carpet - Refrigerator ' ~
; Size Color Brand x~Q~~
- Lamps ~ ; Dlshwasher -
; T oe a Brand
F Dinette Set Q Freezer
Z-~ Pieces St le Brand - -
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Q End Washer , .
7ables ~ St le Brand
~ o Chairs ~ Style Dryer
W Color - Brand
s o F- Sofa Style _ Sewing Machine
~ F Color Brand
~ u~ ' Desk ' - Vacuum j
f z T e ' ' Brand ~
; - - ~ Power Type
Q " Lawn Mower Brand
Y Suite ~ Piano -
F _ - # Pieces St le W T Brand ~
' ' Suite ' ~ Organ . - ~
~ # Pieces St le ' Q T e Brand
~ ~ ~ Suite J Major . .
~ # Pieces St le ~ Power Tools
° W ST.LUCi~~ cCORUEO
~ Suite . ~~JNT1' FIA.
I= Pieces St 1 v R f-~ '
~ Ru s or Size 1l/:2 - iC~ ~ ~~e'r. ~
w Ca9 ets # ~ Color _ - ~r~'=t;t• . COUAT ~ ~
°D Chairs # - . Y
~ - Color ~ ~ 17Ar ' f ~
f . _ Lamps ~ - / , .
; ,3 T e :i~*-~c.n~ _
y When and Where was furniture purchased ?'~.Q.~_~e.d-~Q ~ Cost $ pD O. D"U
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Customer's estimate of value ~ -
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With what company is ihe furniture insured: Name -
` Policy ~ Address: ~
Schedule "A" of Security Agreement dated the - S day of 19 ~
Original Loan No. _ - - ~
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(iMi~iwa[s _ (Date) (Seal) - . - _
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