HomeMy WebLinkAbout2165 y
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SCHEDULE "A" SECURITY LIST - ~ Branch Address Stamp ~ ~
Describe furnilure by color and style: ~ ~
_ Abbreviations - Mod. , Trad. , Col . , A1edi . , Fr. P. ~ . ~ ~
- Describe appliance by size'and brand. 1 Ve List? ~ ~ ~
j~ Yes I I No -
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Sofas ~ Style ~ ~ TV - ~ n _ _ ~
~ Color ~ Size C:~- • Bran~i '
_ ,
~ Lounge . Sty le TV {
O~ Chairs N Color Size Brand
O Occ. ( ~ _ Tv . ~
a - Chairs # Color Size ~ Brand
End ~ Stereo , ~
V Tables A ~ St le ~ ~ T e Brand ~
z Coffee ~ Room Air ' ~
- . Tables ~ St le U Conditioners # Size Branci
> Rugs z. Range ~
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J Size - Color ¢ Brand G~ (4.~1~ E
_ Carpet - Refrigerator ~ _ ;
Size • Color- Brand • -
- - Lamps ~ - Dishwasher . f
T e Brand _ . - - ;
Dinette Set _ D Freezer ~ ~
Z ~ Pieces St le ~'~t'*`• Brand - ~
w End Vliasher ~ / - - ~
~ Tables 3 St le Brand /'T~~ '
o ; Chairs ~ Styie . _ - ~ Dryer - ~
t
W ~ Color - - E3rand •
o h Sofa Style - Sewing Alachine ~j ~ ;
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F- Color - Brand 4~~`'~- . 3
- W Desk ~ Vacuum - '
z T e Brand ~ ' ;
- ~ Power . Type - - ;
~ Lawn l4lower Brand ~
Piano
Suite =
# Pieces St le W T e ~ Brand -
~ Suite Organ _ - ~
,n - z
~ Pieces ~ St le - ~ T e Brand
- ~ Suite r~ J R1ajor - ~
~ ~ Pieces ~ Style ( /Lt~` J Power Toois ~
- ~ Suite ~ ' - J t . s
~ ~ w
# Pieces Style ~ V l0 4 - _ ~
E a Rugs or Size ~ _ fj«0 AM
u' Car ets ~ Color - s~ - R~e~~ `
~ °D Chairs ~ ~ - Ct~kKQER AOITR,~i ~
I Color - ~'1~2 ~
Lamps # - _ IEO~~'
. T• e - :
When and Where was furnitur-e purchased ? ~ - Cost $ ~v "
Customer's estimate of value ~j ~ n~-
IYith wh~t company is the furniture insured: Name _ f'~9
Policy #t Address: ~
Schedule "A" of Secunty Agreement dated the day of , 19 r~ _
_ ' inal Loan _ .
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- (Witness) . (Dat j ~ eal) ~
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(Witness) (Date) (Seal) ~
itness . a e ea ~
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