HomeMy WebLinkAbout2191 Y
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~ SCHEDULE "A" SECURITY LIST ' Branch Address Stamp #
Describe furniture by color and style: ~ ~ S
Abbreviations - Mod. , Trad. , Col Medi Fr. P~ ~
Describe appliance by size and brand. ~ V~ a~ List?
' ~ ~ Yes No i
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~ . = Sofas # Style ~ ' TV ~
~ ~ Color~ Size Brand l-~c.it~
~ Lounge Style ~u~ . TV
O Chairs # Color Size • Brand
O Occ. TV ~
~ . Chairs ~ -Color ' Size Branci
End Stereo~; ~ 1• ' `
V Tables # Style u? T t'" ~c?~ • 4t~r~grand C'~t%~~ Q~~i ~ -
- z Coffee • W Room Air •
Tables # ~ St le til V Conditioners # ~ Size I~ Brend E~O'~
> R~95 z Range - • ;
~ Size _ Color Q Brand ` ~ ~ ~ i
Carpet . - - Refrigerator/~ • -
Size Color Brand _ l ~ 1~
Lamps # - - a Dishwasher ~ €
T e~ C: a Brand - -
Dinette 5et a Freezer ~
Z~ # Pieces St le 1• • Brand
~ En8 - Washer
Tables # St le Brand
o . Chairs # Style ~ Dryer -
_ w ~ Color - Brand ~ ;
' o i- Sofa Style - Sewing hlachine ~ • ~ ~ - .
F- Color - Brand -.~~~QPC
u~+ Desk , Vacuum/1 - L '
z , - T e 'v~ Brend l-~ ~IPrG~~ ` ~ec~~• -
- Power TYPe .
~ - ~ Lawn A7ower Brand ~
~ Piano
Suite . C' . . ~ ~1~,~
. p Pieces ~ St le W T e ~ Brand
Or a~ ~
Suite_ Z 9
- ~ # Pieces St le - ¢ T e - Brand f LEO AM~
~ • Ma or • OilfiT3' PLA: ~
O - Suite ~ 1 ~ROCER Pp!tRAS
# Pieces St le J Power Tools ~ ~
~ Suite- W E~~R~ yFRiFl~p -
~ # Pieces St le
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Rugs or Size x 1•~. . N } j~ py ! '
W Car ets # ~ Color ~ _
m Chairs # . ~ . - ~ ~ `s
Color - ~
~ Lamps # - - ;
' 7 e ~ uV~
When and Where was furniture purchased? - .r~Cn ~~~s i[:1,~!~ Cost 5_
Customer's estimate of value , ~ p _ . ,
~ With whal company is the furr~iture insured: Name a ~ -
. - Policy ~ Address: - " ~ .
_ Schedule "A" of Security Agreement dated the day of ~ , 19 -
- Origina ~No. " ~
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4 - (Witness) . (Date) (Seal) - - . . -
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(Witness) (Date) _ (Seal) ` - ~
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