HomeMy WebLinkAbout2167 . . . _ . . . . . . . . . . . _ . ~ 2
i
' ~
~ j - i
SCNEDULE "A" SECURITY I.IST ~ ~ Branch Address Stamp ~
b furnilure b color and st le:
Descri e y y ~ _ ~
Abbreviations - Mod. , Trad. , CQI . , Medi . , Fr. P. ' ~ ~
Describe a liance b size and brand. ~ ~ #
pP Y Ver List.
- ~ ~ Yes No ^1 ~
Sofas ~ Style TV
" _ olor Size - - Brand ~
~ ~ounge ~ Style N - ~
O Chairs # ~ Color _ _ Size Brand _
O Occ. ~ TV ~ : . ~ -
~ Chairs # ~ Color ~ Size Brand
/~E~nd „ Stereo ~
- V L~ables # St le N d~ ~
z - offee W Room. Air ~
~
~ - Tables # ~ St le v Conditioners # Size ' Brand .
~
~ Rugs 2 Range . - ~
J SiZe Color ' Q Brand
. Carpet - Refrigerator ~
- Size Color i3rand
Lamps ~ ' Dishwasher . ~
T e ' n' Brand {
Qinette Set Freezer - _ - ~ ~
Z # Pieces St le ~ Erand -
W End . Washer
~ Tables # St le Bran~ ,
o Chairs Style - _ Dryer
w - Color - - Brand `
- o F- ~ Sofa Sfyfe - Sewing Mashine
F- Color _ Brand ~ ~
" W Desk ' Vacuum
z T e Brand - e.
- Power . Type
C~ - - - N Lawn AAower Brand ?
~ ~ -
' ~ Suite _ ~ Piano - -
~ . ~ ~-~Pi~es ~ 5t le W T e Brand
~ Suite Z Organ - : ' - , . ~ ~
~ Pieces ~ St le Q T e Brand ~
~ Suite _ ~ Major ` ROCEP, P41TP.A$ • j~
~ # Piec es S t l e P
o w e r T o o l s C L E R K 1
~ Suite . J , E , D VEr:~FIED~.~ - . ~
w
~ i# P3eces St le -
o ~ ~i 20 5
Rugs or Size ~
W Car ets Color _ _ ~
m Chairs # ~ ~ ~ _
- . Color ~~~r
.
Lamps ~ ~ :
- - T e -
When and Where was furniture purchased ? Cost $ ~ ~
Customer's estimate of value ~
1^~U - -
With what company is the furniture insured: Name
- :'olicy # - ~ Address: _ -
Schedule "A" of Security Agreement dated the day of 19 ~ ~
Original L'oan No. ~
~
~ x ~ .
(Witness) (Date) (Sea
~p ~.~~r~'' _ "
(Witness _ (Date) (Seal) S
_ t .
itness a e . ea
. ' 1
_ t:
- L-48 BOCK~Z~ P~~~~,~