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SCHEDULE "A" SECURITY LIST _ _ , dranch Address Startzp : {
Describe furniture bY color and style: ~ ~ ~
- Abbrevlations - Mod. , Trad. , Col . , Medi . , Fr. P. _ ~
~ ~ Describe appiiance by size and brand. ~~rbal List? I .
Yes_ (=1 No J
Sofas # Style . TV = r -
• ~ - Color ~ Sixe Brand G '
- ~ Lounge . Siyle j~j/ ~ T~i . .
O Chairs # Color Size Brand
O Ucc. - ~ . _
~ ~ Chairs $ Cntor Size Brand ~ }
End - Stereo - n
U Tables # St le v? T Brand ~,a
. z Coftee W -Room Air ~ . . . _
- Ta41es 9 St Re U C~nditlaners # Size Brand
- ~ Rugs - z -Range -
~ Size Color Q Brand
- Carpet " ~ ° Refrigerator _ _
- Size Coior ~ Branii .
~~5 ~ a Dishwasher
T e n' Brand _ ~
Dinette Set . Q FrPezer ' i
Z $ Pieces Styte Brand _
- W End - . Washer _
~ 7ables i ' St le Brand 0. ~r -
o Cfiairs # Style - Dryer. ~ .
w Color Brand ~ -
` p F- 5ofa Style _ - Sewing Machine ~
i _ - Color _ Brand -
~ . _ Vacuum .
i . W [>esk - .
j z T Brand -
- _ : . ~ Power _ Type .
- ~
Lawn Mower Srand
Suite ~ Piano _ - °
~ # Pieces St le - W T Brand
~ Suite Organ . . ~
F S PiFC~s St le Q T Brand _
~ Suite - ~ . Major ~ ~ -
f ~ # Pieces St le ~ Power Tools ~ 1~G -~~D !~G ~y ~ ~ S i
E ~ ~ Suite ' ' :
~ a - _ w LE A}IP R~
; # Pieces St le V £
~ Rugs or ~ Size v, ' ~ _ ~
~
W Car ts # Color _ ~OG~R ~+QI . s
` °D Ct~airs # - _ _ - ~ - ECOAii ~Rlfl!'D.;,.,,.r.:,E,;~ . " ' -
~ ' - Color
t `-a",~5
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~ T e • _
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; When and Where was furniture purcha~ed ? J Cost $ ' - _
E rt
~ Cus[ome!-'s estimate of va:ue ~~Q. 4~- - .
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With vshat company is the furniture ens~red: Name
Policy # Address: . - -
Schedule "A" of 5ecurity Agreement rlated thP ~ t~ day ~f /~ir , 19 _ ~
Ori ' al Loan No. ~ _ -
~ _ - ~J~ 7. Y - ~ -
t--~..JZ..~ -
(Witness) ~ - ' iDate) Seal1 a
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~ (~'llitness) iDate) (Seal) • , ` "
~ - . ~tn~ss a e ~ e : ~
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