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5CNEDULE "A" SECURITY LIST - . ~ Branch Address Stamp
Describe furniture.by color and style: ~ - . - ~
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P.
_ Describe appliance by size and brand. ~
V~I List? ~ ~ -
Yes No
Sofas # (,,~.i~ tyle TV ' 1 -
. , Color - Size ~ v~-- Brand ~ _ _ r
~ Lounge Style _ - TV - _ `
O Chairs;~ Color Size Brand ~
s
O Occ. - - , + TV '
ot Chairs # olor ftSt~v. Size Brand ~
End . - Stereo - Q - _ _
V Tables I~ t le in T - Brand -
z Coffee W Room Air
- Tables ~ St le - ~7 Conditioners # 5ize ~ Brand
> Rugs . i h~ z Range ,
I J Size Z- Color ~ Q Brand -
I Carpet - - Refrigerator
; Size Color . Brand ~ ~ ~ -
` Lamps # ' t.-~ ~ _ ~ a Dishvvasher _ . ~ ,
` __~~lu.tn6~x' e Brand
' Dinette Set - / Freeier
- Z # Pieces Style n~a~~ Sran~ .
u'i ~ End . . _ . Washer , ~
~ Tabies # - St le. ~ Brand _
~ o Chairs ~ Styte Dryer - _
w ~ Color Brand ~
E o F' Sofa Style . - ~ Sewing M chine _
~ ~ Color Brand ~ , ~
~ w Desk ~ - . - Vacuum. - '
~ : 2 T e _ Brand
Power Type
~ C] ; Lawn Mower' Srand
~ Suite ~ ~p Piano
~ # Pieces St le U.7'tv~x.t W T Brand _
~ Suite _ Organ ,~f~/ _
- ~ - St te Z T e - BrendT, ~'~KD
# Pieces
~ ~ Suite . St le J Power Tools R~jFR~cF~ p0U
R r
~ ~ ~ # Pieces
~ Suite W FR:FI~~ COUqj
~ ~ Pieces Style "
r 0 - V -
~ Rugs or Size N - , ~S '
W Car ts # Color
" ~ m Chairs # - _ g 8
t - Color - - r.
~ ~~5 ~ _
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~ When and Wt~ere was furniture purchased?~~..~o~--•~-~~ ~ r`'e Cost $__~J~'~d~'~
~ ~ ~+~t s~
~ _ Customer's estimate of value -
~ - With what cortq~any is the furniture insured: Mame .
~ " Polira ~ ~ ~•~~l7$ Address: ~ -
i Schedule "A" of Securi y greement dated the ~ day of . 19 ~Sf -
Orlginal Loan N . - - - -
- - - ~
(1Nitness) ~ ~ (Date)_ _ ZSeal)
- (Witness) (Date) (Seal) -
~tness - a e . ea -
48 - - ~
~ ' - ~ BO(~iK ~'4V PACE~~,O4 - -
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