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' SCHEDULE "A" SECURITY UST . _ ~ Brancfi Address Stamp ~
- Describe furniture by color ~nd style: - . - '
Abbreviaiions - Mod. , Trad. , Col . , Medi . , Fr. P. • ~
- Describe appliance by size and brand. V rbal List? ~
~ ~ Yes No -
' Sofas ~k Style TV ' ~ ~
~ Color Size Brand . .
~ ~ Lounge - Style 1jJ TV - '
` ~ Chairs # ~ Color ~ Size Brand
~ O Occ. ~ - TV
z ~ Chairs # olor ~Ja Size ~ Brand
_ ~ End ~ Stereo
V- Tables # St le 7j't2~ u~ T e Brand
' z Coffee W Room Air - ~
~ " Tabies # St le U Conditioners # Size Brand
~ ~ Ruqs z Range - '
~ _ Size Color ~ a Brand ' `
= - . Carpet - Refrigerator _ -
3 Size Calor Brand ~ -
~ Lamps ~ _ . - ' . a Dishwasher
_ T e erand - ~
~ Z Dinette Set /J ~ - Q Freezer
~ Pieces St le y)'l<<t~-c' Brand - ~
= W End - Washer
? ~ Tables # - St le Brand ~ -
_ o Chairs ~ Style ~ Dryer -
W - Color ~ ~ [3rand
o E' Sofa Style ~ Sewing Machine . ~ -
+ F- Color Brand "
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f W Desk ~ • Vacuum - : ~
~ Z - T e _ Brand
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~ - Power Type
~ Q ~
~ Lawn Mower Brand -
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I~ Suite - ~ Piano
~ ~ Pieces St le T e Brand -
~ Suite - W - Argan -
't. ~ # Pieces ~ ~ St le - Z T e Brand
; ~ . Suite 1 ~q~
~S _ ~ dlajor _ ~
~ ~ Pieces /w~ St le J Power Toois - fILEr_: Ay-- ut~c~q~p ~
~ Suite J.f~" .•`!~NTY FIA. ~
` ~ Pieces St le W - - , . • ~ Y; ~
' ° Rugs or Size ~ RECORD YFRIFIE~ v ~ ~
~ W Car ets ~ Color ~
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~ m c~~=r~ n ~ ~1'~ 34 r
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- Lamps #
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When and 1Yhere was furniture purchased ? vost $
? _ Customer's ~stimate of value - - - - ~ =
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; With what company is the furniture insured: Name -
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i Policy ~ _Address: ` - ~
~ Schedule "A" Security Agreement dated the day of , i9'
- Origi Loan o. '
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~ - (Witness) (Date) (5 al) - ~
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_ . (Witness) ~ (Date) - (Seal) _ ~
~ itness a e ea -
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