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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp (
, Describz furniture by color and style: . - ~
Abbreviations - Mod. , Trad. , Col . , hledi . , Fr. P. ~
Describe appliance by size and brand. Verbal List? - '
I L~ Yes ~_I No ~
- Sofas # / Style~v~~~i~/ ~ ~ TV /i .
t:olo /kcv Size Brand G
~ Lounge 5tyle TV ' .,GY(i
- O Chairs # Color Size Brand ~ '
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; ~ Occ. ~ ~ ~ TV ~ ~
~ Chairs ~ Color ~ ~ Size ~ Brand C ~ ;
i End - ' ~ Stereo - -
c7 Tables # St le ~n T e Brand
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z Coffee ' W Room Ai r ,
= " Tables # St le ~ V Conditioners t~ Size Brand • '
~ Rugs , h~ z Range -
' J Size - Color - i Q Brand
- Carpet / , - Refrigerator '
Size K/- ~ Color J L rand {
Lamps ~ ~ • ~ a Dishwasher ;
T e 1, a Brand '
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Dinette Set ~ Q Freezer ~ ~
Z i ~ Pieces j' st .le Brand . ' }
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W ~ End _ Washer . :
~ Tabtes St le - Brand ~ _
o ~Chairs # Style Dryer
w ~ Color Brand `
o~ Sofa Style Sewing Machine~ ~ ~
1-~ ~ - Color Brand ~
_ Vacuum ;
W ~ Desk ~
z ~ T e ` Brand '
{ - N Power ¢ ~Type i
a Lawn Mower Brand ` '
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~ Suite Pieno , _
_ ~ ~ Pieces ~ Style f~zGL•.c-~ W T e-~ ksrand ~
N ~ Suite , Z Organ ~ ~ _ -
~ Pieces St le ~ >>.Q v. ~ Q T e Brand :
+ Suite- ~ 6lajor .
. ~ I ~ Pieces Style J Power Tools
~ ; Suite W fILEO !;;_':Li{UEO
a ? Pieces St le U ST ~UCIi _;:~:'ri'r flA. _
d Pl =
~ i Rugs or _ ~ Size / N ~:-F' ; _ i ~ ~~OURT ~ ~
W ~Car ets ~ Color _ - ~
Chairs ~ _ . ~
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Color ~ ~ f' _
- Lamps # . - ~
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' When and Where was furniture purchased ?_!~~~~~-t~ Cost $ ~5~~ ~
~ Customer's estimate of value 6~G`oZ - ~
IYith what company is the furniture insured: Name .
Polic ~ Address: ~
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Schedule "A" of Security Agreement dated the day oti , 19 ~
Original Loan No. ' ~ - ~
- - . a/1~ S" i~~~5~~ c~- ~ ~
_ [Witness) • -~Date) (,Se 1 ~
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~`'~2s~~! C~~
. (Witness) (Date) -~f (Seal) ~ ~
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