HomeMy WebLinkAbout97-05623
q, - 5CoJ3
No.
alII Term
Ert"c... Ls. Ex~
vs,
Court of Common Pleas .
Cumbo Co.
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1\1..), 1/1. '5<..0:13
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JUDGMENT NOTE
..~1cch[U11c:>bur~-
(place)
> , Pennsylvania, _.10/10/%
(date)
, Sl ,091.00---.
(amount)
FOR VALUE RECEIVED, IIwe promise to pay to the order of .
Erie Insurance Exchan~e
_.____,_..~'_ _,_.____,______________'__'____".._ -_____,0_____'.,...._------ _____
the sum of ___ __.___ One lhousand ninety one dollars------u-u-
dollars,
"IlL '.'uuO r' .... .nOn _I Ill' r I
1 I. L II" said sum to be payable as
follows: _______u_________lllrt~ ___.~~_____ .__~______ dollars, ($ 40.00)
on the ...-1Jrst __u_..__ day of. Navmlrer._._______ . ,__.____.____._._.____ 19 -%- and
. forty,
dollars, ($ 1,0.00)
on the __U!st__ _u_... _..__u __ day of each and every --month-.--.
thereafter until thebalanc:e.ispaid,_.______ J. u._.in..iulL--..---- --,
L.I L. ~-,- u...-. ..I L..-I----1f LI -,1 i 'r!1 u...
r- 'J -&.._11 L. , .....J._ __.J r-l-i-I-.
UPON FAILURE to make an~' payments as herein agreed, this note shall, at the option of
Its holder, become Immediately due and payable, without demand or notice.
AND FURTHER, IIwe do hereby authorize and empower the Prothonotary or any attorney
of any Court of Record of Pennsylvania or elsewhere, to appear for and confess judgment
for the sum due and payable hereon, with or without declaration, with costs of suit, release
of errors, without stay of execution; and also waive the right of Inquisition on any real
estate that may be levied upon to collect this note; and do hereby voluntarily condemn
the same and authorize the Prothonotary to enter said voluntary condemnation upon any
Fieri Facias that may be Issued to collect said judgment; and further agree that said estate
may ba sold on a Fieri Facias, and do hereby waive and release all relief from any and
all appraisement, stay of execution, exemption or bankruptcy laws of this or any other
state now In force or hereafter to be passed, ....,.. ../ () ~
,X m"d~._ll~(L.S,)
~la~(fu' Reed, Jr,
.>.>, .u_ ,___ ___ (L.S,)
This note Is given and executed without duress or coercion and wllh full and complete
understanding that upon failure to make payment as agreed, that my operating privileges
may be suspended.
Further, I do hereby acknowledge that the damages Incurred in the accident of
Octoi?er.~~L_..._ , 199~__. for which this note Is given resulted from my negligence
and faull, and I do hereby acknowledge and waive my right to any hearing or trial on that
~SR~~:~ DATE OF BIRTH _ 1/t /5/ , X ~4;~~~ (L.S.)
1 .~ Marlin Reed, Jr,
DRIVER OPERATOR NUMBER /1/ '11 ( '13 u._. u_'_ (L.S.)
OWNER DATE OF BIRTH
OWNER OPERA TOR NUMBER
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