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QlBTIrIcATE or SERVICE
I, James D. Bogar, Esquire, hereby certify that I served the
foregoing Praecipe to Satisfy JUdgment on the fOllowing named
individual by depositing a true and correct copy of same in the
United states Mail, postage prepaid, addressed to:
Noreen M. Thompson
2722 Walnut street
Camp Hill, PA 17011
Dated:
l~~l
James D. 80 re
Attorney I. No. 19475
One West Ma~ I street
Shiremanstown, PA 17011
(717) 737-8761
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J.UDQMENT NOD
$5,059.50 '?:;nlCJ...' /tI; I fY' r , 1998
FOR VALUE RECEIVED, I, NOREEN M. THOMPSON, of 2722 Walnut Str.eet,
Camp Hill, Pennsylvania 17011, promise to pay to the order of THOMAS W.
COOK, D.M.D., of 300 N. Walnut Street, Mechanicsburg, Pennsylvania
17055, the sum of Five Thousand F'ifty-Nine and 50/100 Dollars
($5,059.50), without offset, with interest at the rate of six (6\)
percent per annum, said sum being due and payable on demand.
AND FURTHER, I do hereby authorize and empower any attorney or the
Prothonotary of Cumberland County, Pennsylvania, or any Court of Record
of Pennsylvania or elsewhere to appear for and enter JUdgment against
me at any time before or after maturity for the above sum, with or
without declaration, with costs of suit, release of errors, without
stay of execution, and with 25% added for collecticm fees; and I hereby
agree not to make any motion or any application whatsoever to any Court
for an inquisition on any real estate that may be levied upon to
collect the aforesaid sum, and I voluntarily condemn same, and autho-
rize the Prothonotary or any Court of Record to enter said voluntary
condemnation upon the Writ of Execution and I further agree that any
property, real, personal or mixed may be sold through a Writ of Execu-
tion and further hereby waive and release all relief from any and all
appraisements, stay or exemption laws of any State now in force or
which are passed hereafter.
WITNESS my hand and seal the day and year first above
written.
WI~SED_~Y
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C(t(lfl-</I~ 'r!.3. L'trblL
'~~1-Lt'~",}771 ;~:;ll'(l/.1~SEAL)
Nor en M. Thompson
lAM
IU.ISIIQI.l1RI .OR OONJ'l!ll.ilON 0' JUDOIWll
EXECUTING, THIS ;";/!DAY OF \i!?)(lh~H
1998, P. JUDGMENT
INITIALS 17/7)} '/-
,
NOTE FOR $5,059.50 OBLIGATING ME TO REPAY THAT AMOUNT.
I UNDERSTAND AND HAVE HAD EXPLAINED 1'0 ME THAT THE NOTE CONTAINS
WORDING THAT WOULD PERM1:T THOMAS W. COOK, D.M.D. TO ENTER JUDGMENT
AGAINST ME AT THE COURTHOUSE, WHETHER OR NOT SAID NOTE IS IN DEFAULT,
WITHOUT NOTICE TO ME AND WITHOUT OFFERING ME AN OPPORTUNITY TO DEFEND
AGAINST THE ENTRY OF JUDGMENT, AND THAT THE JUDGMENT MAY BE COLLECTED
BY ANY LEGAL MEANS. INITIALS :")ill/'/'-
IN EXECU'rING THIS NOTE, I KNOWINGLY, UNDERSTANDINGLY, AND VOLUN-
TARILY WAIVE MY RIGHT TO RESIST THE ENTRY OF JUDGMENT AGAINS1' ME AT THE
COURTHOUSE, AND I AM CONSENTING TO THE CONFESSION OF JUDGMENT.
INITIALS:~1lla;r
I CERTIFY THAT I HAVE HAD 1::1..,
YEARS OF SCHOOL, THAT I HAVE
INCOME OF MORE THAN $10,000.00 PER YEAR, AND THAT THE BLANKS IN THIS
DISCLOSURE WERE FILLED IN WHEN I INITIALED AND SIGNED IT, AND THAT I
RECEIVED A COpy AT THE TIME OF SIGNING. INITIALSI~
L_7 \. C/. /"YI. '" ~ A~~ i
W.hu~, 7)'~:=~(SEAL)
Nor~n-M. Thompson
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