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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp . i
Describe furniture by color and style:
Abbreviations - Mod. , Trad. , Co{. , Medi Fr. F'. - -
Describe appliance by size and brand. Verbal List?
I [J Yes No `
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- Sofas. # Style TV ~ ~
~ Color - ~ - Size ~",6~4_'.4~z~ ~ Brand C~iy>+~i~J
~ Lounge ~ Style TV - ~ - ~
- O Chairs Y Color Size Brand
O Occ. ~ TV . ~
~ Chairs ~ Color ? Size - Brand
~ End . Stereo -
v Tables # ~ St le ~ T Brand
z Coffee W Room Air ~h~~~~
- _ Tables ~ St le U Conditioners # Size Brand
~ Rugs _ . z Range ~
~ - Size ~ Color a Brand
J ~arpet ' - Refrigerator - ;
_ Size - Color Brand
. Lamps # _ Dishwasher ~ - ~
. ~ T e Brand = _ -
Dinette Set - a Freeier - -
Z-# Pieces ~ Style jc/lT~~ - Brand ~
Washer
W End -
~ Tabies ~ • St le Brand ~
o Chairs ~ Style ~ Dryer ~
w Color - - Brand ' -
o F- Sofa Style Sewing Machine . .
; - Cotor Brand
~ W Desk Vacuum - - t
z - ~ ~ T e 6rand - ~
' - - Porv~r ~ TYpe '
+ _ _ p N
F = Law~ Mower Brand
~ Suite Piano .
- - _ # Pieces _ ~ St le _ W T Brand .
. ' Suite . z - Organ . . -
I ~ ~ Pieces St iP Q T e _ Brand , = a. _
~ ~uite Major _ - ~ . ~
- O J
. ~ Pieces Siyle J Power Tools ~Q AMD
~ ~ Suite ~ w ~ fR PAtTRAi A~ ti'
- ~ # Pieces St le
' - ~ Rugs or Size _ N R~~(!~p y~Flfi~pa,.,,~.....
~ Car ets ~ Color - _ Y r~ ` s ~k i~~
~ _ Chairs # ~ _
Color - -
f Lamps # " ~ ' - ' -
- - T e ~ -
When and Wnere was furniture purchased Co=t $
- Customer's estimate of value ~ o~~a -
With what company is the furniture insured: Name " _ ~
Policy # Address: _
~ Schedule "A" of Security Agreement dated the 5 day of_~~;-~U ~ 19 'S ~ _ ;
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~ Original oan No. / ~ - ~~j/~~~ ~tJ L%~~"'~~ -
~ tG1 djju (P ~/~f /I` . '
~ (Witness) . (Date) ' ~Y(Seal) . -
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; . (Witness) ~ _ (Date) (Seal) _
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