HomeMy WebLinkAbout96-05392
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JUDGMENT NOTE
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(plaoo) ",
, Ponnsylvanlll,
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(dale)
, $ .3IJ.J,~ --. 7S-
(omount)
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FOR VALUE RECEIVED, IIwo promlso 10 pay 10 the order 01 (;Uio!.. ,.".." ........,.....
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the sum 01 '7'tl:,. .,,/,<~'.'_I"', /;. '/i.. _,i~,IIJ/j",,:-_~ Iu:,....j/~~,'dollars,
wit. 111. ".. I I 1U'\(, I'er a..,~b", Ire""."'-' lIy, sold Gum 10 bo payable os
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follows: ../,((: L (;;- ,j /c', -----.--,...-.... 'dollars, ($$1, "")
on the ,Jl"",;A.' day of l.J).~ <'v "'I~A 191,.;. and
~,' ";/.;r-, ,..) ....<~, .----... ____H dollars, ($J''', (VI)
,:;7/7 ;'
on the .Y.'f..JJ..:;t-- day 01 each an~ e,very , ....-.J"'O'L/~("I' J Atl
1,~Q"""I.~t' ~J.,.~n-~ ";) _)~ J,...J~, 7S- ,~'''/'...c.,~ .;-" .y,'-L r~
thereafter until tho "'-------,.-..- ... dByot-- "--...- - - -. 19 ,
on which dale the entire balBnce of the prlnclpallhen unpaid shall become due and paYBble,
UPON FAILURE 10 make any paymenls os herein agreed, this note shall, at tho option of
lis holder, become Immedlalely due and payable, wllhout demand or nollce,
AND FURTHER, IIwe do hereby authorize and empower Ihe Prothonotary or any allorney
of !lny Court 01 Record of Pennsylvania or elsewhere, to appear for and con fOBS Judgment
for Ihe BUill due and poyoble hereon, with or without declaration, wllh cosls of suit, release
of errors, wlthoul slay of execution; and also wolve the rlghl of Inqulslllon on any raol
estate that may bo levied upon to collect this nole; and do hereby voluntarily condemn
the Bame and authorize the Prothonotary to enter said voluntary condemnation upon any
Fieri Faclaslhat may be Issued to collecl said Judgll1enl; and furthor agree that said estate
may be sold on a Fieri Feclas, and do hereby wolve and releoso all rellof from any and
all appralsomonl, stay 01 oxocutlon, oxompllon or banl<ruplcy laws 01 this or any other
slata now In force or hereafter to be passed,
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(L,S,)
This note 15 given and execuled without duress or coercion and with full and complete
understanding that upon failure to make payment as agreed, thai my operating privileges
may be suspended,
Further) I do hereby ackno.wledge thai the damages Incurred In the accident of
U~~ .5' :1 , 19 1.,). for which this note Is given resulted from my negligence
anti llltllt, and I do hereby Bcknowledge and waive my right to any hearing or IrlBI on that
Issue,
,: _/0/_( ,"f
DRIVER DATE OF BIRTH
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DfUVER OPERA TOR NlJMeER
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(L.S,)
(L.S,)
OWNER DArE OF BIRTH
OWNEI1 OPERATOR NlJMBER
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