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- SCHEDULE "A" SECURITY LIST - Branch Address Stamp ( ~
pescribe furnitura Ly color and styte: " _ ~
Abbreviations - Mod., Trad., Col., h~edi., Fr.P. -
Oescribe appliance by size and brand. _ Verbai List? + ~
. - " , ~es ~_1 No . ~ ~
Sofas # ~ Style j TV 4~ Jj -
Color~ ~ }~-°1 5ize Brand ~"-1 ~
~ Lounge Style . TV .
` ~ Chairs # Color ~ Size Brand
. O Occ. 7 N
- ~ Chairs # > Color _ ~ Size Brand ~
End Stereo ~
V Tables # Style cn Type ' Brand ~
z Coffee ~ w Room Air _ ~
- Tabies # St le U- Conditioners # ~ Size Brand - ~
~ 7 Rugs , z Range ~ A.
. J Size /~~-P~~ Color h~ Q~ Brand , ~=-~..n~Y- K~v~. _ ~
Carpet - Refrigerato ~
Size - Color Branct ~ ~
Lamps ~ - ~ Dishwasher ~
~ - T e a Brand ~ -
Dineite Set Q Freezer `
~ ~ Pieces St le ~ Brand - ~
0 End ~ ~ ?Yasher ~ ~
; . Tables ~ St le Brand ' , ~
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Cr hairs # Style ~ Dryer
_ W ~ Cofor Brand / ~
o~, - Sofa Style ~ Sewing Mach' e ~
1- ~ Color Brand - _ 3
W ~ Desk _ - Vacuum ~
_ ~ T e ' Brand - ' ~ . ;
_ Q t - ~ Power - . Type ~
- ~ ~ Lawn Mower Brand j
_ ~ Suite ~ Piano ~
# Pieces _ St ie .~y~~ W T e Brand ~
Suite Organ _ ~
~ ~ Pieces ~ /.t~ ~ St le ~ Z ~ e Brand ~
~ Suite ~ Aiajor ~ -3
a # Pieces Si le J Power Tools - - ~
~ j Suite - " ;
~ ( w - -
= Pieces St le V ~~a..~,
Q Rugs or Size ~ - T %k:: f:E~J~0E0
W Car ets R Color _ Sj• ~UCIc t;4U T1' FLA.
_ m Chairs # ~ . CLEfiK ~~i:~C:;iIT COURT. ~
- Colar - ' ' RFC(:~ y;
lamps ~
T e ~ t
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When and Where was furniture purchased ? Cost $
- ~ - Customer's estimate of value ~ft10C~ 4- _ _ ,
With what company is tha furniture insured: . Name
Policy ~ Address: - " ~
_ Schedule "A" of Security Agreement dated the ~ day of 1f-~-~ , i9 7S`- _ - ~
_ - Original Loan " - . ~
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- (Witness) ( ate) ~ eal) - ~ ;
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- (Witness) ~Date) (Seal)
itness a e ea
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