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. ~ SCHEDULE "A" SECURITY LIST ~ ~ Branch Address Stamp ~ - ~
~ Describe furniture by color and style: ~ E
Abbreviations - Mod. , Trad. , Col. , h~edi Fr. P. ;
Describa appliance by size and brand. Verbal List? ~ i
• . I ~_j Yes No ~ i
• Sofas N ~ Style TV ~ ~
- Color Size ~ L~ Srand ~
~ Lounge ~n~ Style TV ~
~ Chairs ~ ,~O~G~{i Color ~ Size ~rand
0 Occ. TV '
i
~ Chairs # Color - Size Brand ~ ?
_ . - End. Stereo ~
V Tables # St le in T e 7j1~"~"`~ Brand ~
' Z Coffee W Room Air
- Tabies # - St le U ~ Condilioners ~ Size Brand ~
~ Rugs , z Range •
~ 5ize Color y~ Q Brand a ~ ~
- Carpet - Refrigerator ~
Size Color Brand , ~ L~~ ' i
` Lamps ~ _ ; a Dishwasher _
T e Brand
~ Dinette Set _ Q Ereezer . ~
Z ~ Pieces St le Brand _
W End Washer
' ~ Tables # " St le Brand =
i
_ _o ~ Chairs # Style Dryer - '
W Color Brand ' ;
a h Sofa ~ ~ Style Sewing Machine ~
~ 1- ~ Color Brand ~
W Desk _ Vacuum
- 2 T e ' Brand
- ~ N Power Type -
~ " Lawn 1~lower Brand -
Suite = Piano ~
_ # Pieces 7j, ~ St fe W T e 8r~nd
. Suite ~ Organ ,
_ ~ # Pieces St le - Z T e ' f3rand
~ Suite - ~ ti~ajor =
~ ~ Fieces St le ~ Power Tools
~ I Suite }
~ Pieces St le ~ w ~
Q Rugs or _ Size V - ~ ~
w vs Y+ ~
Car ets ~ Color _ f~LED _ ~
m Chairs ~ g ~rUCIE
~p ~ORDEp a
' Color - RQ~~R UkT1' f~, ~
. ~amps # T e - .ECOR ~~FOT T ~
~ ~E1ilF ~R
When and Where was furniture purchased ? Cli~t ~ ~
Customer's estimate of value t~
p00. - ~ ~
With what con~pany is th2 furniture insured: Name L,~ -
Policy # Address: ~ _
= Sch2dule "A" of Security Agreement dated the - day of , 19 ~ ~
- Original Loan No. ~ - ' - ~
~ • ~ ~
_ l;e.?-~~
_ (Witne (Date) (5eal) _ i
- _ - 'c`~~~~' ~
(Witness) (Date) ~ (Seal) ~
~tness a e - ea ~
~-4s . ~ SOQK ~~O PAt~~JU [ - ,
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