HomeMy WebLinkAbout0274 i
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- SCHEDULE "A" SECURITY UST ~ Brancli rlddress Stamp •
Describe furn4ture by color and style:
Abbreviations - Mod. , Trad. , Col Medi Fr. P. - _ ~
Describe appliance by size and brand. Verbal List? _
• I ~es (=1 No ~
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Sofas # Styl TV , ~ ~
Coior ~ Size ~ "i.... 8rand
• ~ Lounge Style TV ~ . _ ~ -
~ Chairs ~ Color Size ~~i' Brand ~ -
O Occ. h ~ TV . .
a Chairs # L Co ~~.,.s~ Size Brand
' End Stereo
V Tables # ~ St le ~n T Brand
z Coffee w Room Ai ~ . •1 ~~-p Q j~`t' _
Ta51es ~ 1 St le v Cor~ditioners ~ ~Size Brand_
~ ~ Rugs z Range .
_ J ~,t~• ~ki Coior - Q Brand ~By~-d " - -
. - ~arpet " - tZefrigera or - ~ c/ ~
' - Size ~C / 2 Color Brand ~i-~}--yn~.~ ~ ~ ~7t ~O jSv-•1 ' t
Lamps # r~~ nlshwasher - - _
G.i . Type - - Brand _
~ Dinette Set` Q ' 1 Q Free~er .~J('~-
W 4 ~ Pieces ~ St le W Brand ~K t
~ End - - Washer -
Tables # ~ St le • Brand ~~T74-~I
_ , o Chairs 1k Style Dryer
• W Color Brand _ - ' _
o E-' Sofa Style Sew~ng Machine ~
F- Color - Brand
W Deslc ~ ~ Vacuum -
z Type ~ Brand ~ _
Porter ~T
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' ~ . ~ > Lawn Mower Br~hc7~~ -
~ Piano _
~ Suite ' - ~ ~
~ # Pieces Style W T Brand _ _
~ - Suite ~ ~ Z Organ _ -
~ # Pieces St le ¢ T e _ Brand -
` ~ Suite Major - -
~ ~ # Pieces - St le ~ ~ Power Too;s ~
' ~ Suite ~ ~ ~ ~
~ # Pieces Z St le
- ~ V -
Rugs or Size _ N
Car ts # Color _ ~ LED ?i0 REC R4EO
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f Chairs ~ ~ _ - ' OCEr~ P01 A$ ~ ~ -~v
~ = Color ' - ~`1~igN, CIRCYTT--S~~1'.-~
tamps # - _ RECflRt~ ~'ERlF1E4....:..~.~ -
5 - Type ~ - _ -
F When and Where was furniture purchased ? Cost $
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f Customer's estimate of value - _ _
E With what ccmpany is ~the furniture insured: Name -.r,~(y`~~1~~
i _ Policy # Address: " _ ~ -
€ Schedule "A" of Security Agreement dated the day af . 19~ `S;
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~ ~ (Witness) (Date) '~(Sea
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~ (Witness)_ . - (Date) ~Seal)
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: ~tness - - a e ea ~ _
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~ ~ _ BDOlE~~1 P,t6F i
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