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~ SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp _ `
Describe furniture by color and style: ~
Abbreviations - hlod . , T rad. , Cot . , 61edi . , Fr, P. ~ • i '
Describe appiiance by size and brand. ~ - ~ -
V~~er 'al List.
I f~Yes No ~
Sofas # Siyle TV ~ ~ a
• Color - ~ Size ~~G/D~ Brand I ~I C
z Lounge _ Style ~ TV ~ •
' ~ Chairs # Color Size Brand -
0 : Occ. . TV ~
~ a Cheirs ~ Coto ~ l~, Size Brand
' End Stereo n~ , i, p d~µ ~ ;
v Ta b les # S ly le ~ ~n T e C.- ~ and `~~~~}T~~_ }
Z ,Coffee - w Rc~m Air ~
Tables # St le - ~ /Q c~ Conditioners # Si e Brand ~
~ R~9S . - - - ~ Z 12ange
J Size Cotor h~ Q Brand / L~' -
J
Carpet - Refrigerator
Size Q, Color ~ -i Brand ~ "
l.amps # / ~ `t Di ;hwasher - - • - _ -
T e ,-~i a Brand _ . ;
' ~ - Dinette Set Q Freezer #
Z : Pieces St le + Brand s
W End
o Washer - _
Tables ~ St le Brand -
L
~ o Chairs ~ - Style Dryer - i
~ ~ Color - Brand ~
_ o E- Sofa Style Sewing Machine - ' j
F- Color Brand • .
- W /~P sh /J S~~ ~ Vacuum _
Z C~ t~ T e Brand G~'
- - - ~ ~ Power 'ryPe - ;
~ Lawn Mower Brand ~ ( 7'~~~ `
Suite • - ~ - - €
Q Piano . - `
W S
- # Pieces ~ ~ St• le T e Brand - - ~
- Suite Organ ~
N / Pieces ~ Style i1j! ~Q~ Z T e Brar~d - ~
~ Suite `t Major ~ ~ ' ~
I
~ # Pieces St le - ~ Power Toois ~ ~ _
~ ~ Suite W . ~ t U~'+~ uECUROED L~ `
~ # Pieces ~t le ~ v ST. LtfC'~ }:.r!~iY FLb. , i1 =
~ Ru s or I t Size - ~ ~ ~ ~
W Car ets ~ W~ w. Color ~n ~!~`~K ~'~.~.:1:i ~C°L°RT >
m _ P,F ~ Y-:•:F~~n ~
Chairs ~ ~
. Cclor - - ~ ~
Lamps ~ ~ /i~i - ~
- T e
When and lYhere was furniture purchased L f
Cost $ ,'~~D .di' - ~
Custor.ier's estimate of value ~~~D~a ~ - J
1Yith what company is the furniture insured: Name. -
Policy ~ - Address:
Sched 'A" of Security Agreement dated the ~ ~day of ~ , 19
_ _ igi I Loan No. _ ~
I'. - ~ ~ 7 V ~ ~
(Witness) _ ' (D e) (Seal) ~
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' - (Witness) (Date) (Seal) ~
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~ - - itness - - a e - ea -
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I L-48 - . Q R ~ f
i - 800K ~.+.i~ ~AGf ;
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