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Home My WebLink About07-1350010170686097 JUDGMENT NOTE Mechanicsburg Pennsylvania, July 23, 2003 $ 3,396.20 (place) (date) (amount) FOR VALUE RECEIVED, I/we promise to pay to the order of Erie Insurance Group the sum of 'T'hree Thousand,Three Hundred, Ninety-Six Dollars and 20/100 said sum to be payable said sum to be as follows: Fifty dollars, ($ 50.00 ) on the 1st day of September 20 03 and Fifty dollars, ($ 50.00 ) on the of every month thereafter until the entire amount is paid in full. 1st day I/we hereby authorize and empower any attorney of any Court of Record of Pennsylvania or elsewhere, to appear for and confess Judgment against me for the sum due and payable hereon, pursuant to Pa. R.C.P. 2951 (a) (1) with or without declaration, with costs of suit, interest at the rate of 6% per annum, an attorney's fee, release of errors, and without stay of execution; and Uwe also waive the right of inquisition on any real estate that may be levied upon to collect this note; and I/we 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 I/we further agree that said estate may be sold on a Fieri Facias, and Uwe do hereby waive and release all relief from any and all appraisement, stay of execution, exemption or bankruptcy law's of this or any other to now in force or hereafter to be passed. /? - (L.S.) Conrad Kendig (L.S.) This note its given executed without duress or coercion and with 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 damage incurred in the accident of June 17 , 19! 2003, for which this note is given resulted from my negligence and fault, and I do, hereby acknowledge and waive my right to any hearing or trill on that issue. DRIVER DATE OF BIRTH x 2 /V / &g x DRIVER OPERATOR NO. x? W 1 0 3 011 OWNER DATE OF BIRTH x -z- 16 /(,1 x OWNER OPERATOR NO. x zti n 0 3 0 11 cc,.s.> ., `610170686097 DISCLOSURE FOR CONFESSION OF JUDGMENT I/We, am executing this 1 S KQ s• , 20 o3, a Judgment Note for ($ - "-5 r G. ?,-? ) DOLLARS, obligating me to repay that amount. day of irw.e s zo INITIALS: X oyk C. K. INITIALS: It has been explained to me by representative of the Erie Insurance Group that the Note contains wording that may permit them or their attorneys 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 offering me an opportunity to defend against the Entry of Judgment, and that the Judgment may be collected by any legal means. INITIALS: x AA C. K. INITIALS: In executing the Note, I/We am knowingly, understandingly, and voluntarily waiving any rights to resist the Entry of Judgment against me at the Courthouse, and am consenting to the Confession of Judgment. INITIALS : X OAA- C. K. INITIALS: 1.010170686097 I certify that my annual income exceeds/is ess than) TEN THOUSAND and 00/100 DOLLARS, 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. a la Date: , Gam'" . Name ACKNOWLEDGMENT Commonwealth of Pennsylvania ) 1) ) ss: County of Before me, the undersigned Notary, personally appeared Conrad A.- . Ke. Yid in , whose initials appear above, and who acknowledges under oath that they execut the above Disclosure for Confession of Judgment together with the Confession of Judgment Note referred to in the First Paragraph of the Disclosure on this date- (SEAL) 4ryN Public ?;bd ' 14 My commission expires on the ' day of ?U ne, , 20b I-{: NOTARIAL SEAL PHYLLIS WISNIEWSKI, Notary Public Exeter Up, Berks Co. My Commission Expires 6-14-2004 t 010170686097 AFFIDAVIT TO ACCOMPANY JUDGMENT NOTE Being duly sworn according to law, the undersigned jointly and severally depose and say that: 1. J)/We are over twenty-one years of age, not within the military service of the United States and its allies nor otherwise within the civil relief provision of the Soldiers and Sailors Civil Relief Act of 1947 as amended. 2. ®/We have delivered to Erie Insurance a Judgment Note containing a confession of judgment to secure certain payment obligations. 3. ke understand that a confession of judgment allows for the entry of a judgment by confession against them and that said judgment encumbers all real estate that they own. 4. The note is not related to a consumer credit transaction. IN WITNESS WHEREOF and intending to induce Erie Insurance to complete the transaction as provided, the undersigned have affixed their hands and seals on this t I day of 2003 (Seal) (Seal) Sworn to and subscribed befor me t this day of 120 r Notary I)Iblic =WisNiEWSKKI, AL tary Public Co. 6-14 -2004 \Q\ Cl\ V `v?7 A C7 _tT1 W e? r ? Y eQ \ Y Erie Insurance Kerry J. Ritchey, CPCU, AIC Assistant Vice President & Claims Manager Branch Office 4901 Louise Drive • Rossmoyne Business Center • P.O. Box 2013 • Mechanicsburg, PA 1 7055-07 1 0 717.795.8200 Toll Free 1.800.382.1304 • Fax 717.795.2315 • www.erieinsurance.com May 18, 2007 Cumberland County Prothonotary Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Erie Claim #: 010170686097 Our Insured: Tammy & Joseph Sciscio Date of Loss: 06/17/03 Defendant: Conrad A. Kendig No. and Term: #07 1350 Civil Dear Sir or Madam: I certify that the above-captioned Judgment is a result of a Motor Vehicle Accident. Sincerely, Debra Jacobs Subrogation Specialist 1-800-382-1304 DJ:car The ERIE Is Above All In Service. We commit, care and serve. It's our true blue promise. ^1 Q t I'D (,v Tj `i S Tammy L Levengood Sciscio } c _ER Conrad Kendig } No. 07-1350 n -+ Defendant PRAECIPE TO SATISFY JUDGMENT h co TO: PROTHONOTARY OF THE COURT OF COMMON PLEAS OF DAUPHIN COUNTY c/o Erie Insurance Group } IN THE COURT OF COMMON PLEAS Plaintiff } Cumberland COUNTY, } PENNSYLVANIA n N Pursuant to the authority granted to Erie Insurance Exchange in the Power of Attorney to Satisfy Judgment, attached and incorporated herein at Exhibit A, Erie Insurance Exchange, by its authorized representative, acknowledges full payment and satisfaction of the Judgment for $3,396.20, with interest and costs, in the above action. And pursuant to the authority granted to Erie Insurance Exchange in the Power of Attorney at Exhibit A, please mark the Judgment "Satisfied." Respectfully submitted, ERIE WURANC/f EXCHANGE Bv! ;/I /??- CIMsty Sm ers, arrisburg Claims Supervisor STATE OF PENNSYLVANIA } COUNTY OF _ , __ __ _. _. C: u 1- dAvx J} Personally appeared before me, Christy Smyers, the undersigned officer, who acknowledged himself (herself) to be the Agent of Erie Insurance Exchange, a corporation, and that he (she) as such officer, being authorized to do so, executed the foregoing instrument for the purpose therein on behalf of Erie Insurance Exchange. F IN TESTIMONY WHEREOF, I have set my hand and seal this 24th day of. March 2010 t,:5,TARjAL SEAL DEWPM L LINGENFlt. M NOWY PJW kWCwpiw4on ExOm Dec. 2 2MMS ---T-A tY--L- LFi-FNC00D--sE1-Se10 ------------------ In the Court of Common Pleas of c/o --------------------------------- ERIE INSURACNF -------- Cumberland County, Pennsylvania vs. Judgment in favor of Plaintiff on _____________________ --CDNR.AD _KENDIG-------------------------------- -------------------------------- for $3,r3? ,-20 - ----------- ------------------- - ONol---0/ 1350 --------------- Term, 19 ------ --------------------------------------------------- JULY 2 3 Entered J - Ent k&2043 --------------------------------------------------- Plaintiff in the above Judgncnt, do appear and acknowledge that CONRAD KFNDIG this day have had and received and from ----------------------------------------------------------------------------------------------------- the de:endant in the above Judg n^rt, full payment and raisfaction of the same, xvith interest and costs, and desired that satisfaction therefore shall be entered upon the records thereof. And further, I do hereby authorize and empower.__CURTIS._Lf1bTG..------------------------------------ ------------------- the Prothonotary of said Court, to appear __________________________________- and in my name and stead to enter full satisfaction upon the record of said judgment, as fully and effectually, to all intents and purposes, as I . could were I personally present in person to do so. And for so doing this shall be your sufficient warrant of authority. In testimony whereof, have hereunto set our hands and seals this -__MARGH-44________________________ 0 day of -24 ----------------------------------------A.D. 201 (Seal) -- - --- - -------------------- HARRISBURG BRANCH CLAIMS SUPERVISE "CHRISTY SMYF____________________ (Seal) State of Pennsylvania ---------------------------------------------- (Seal) County of Cumberland, Personally appeared before me, the subscriber, ._-____CHRLST-Y_ S YERS_____________________________________ ----------------------------------------------------------------------------------- ----------------- ----------------------------------------------------------------------------------- the Plaintiff in the above Judgment, and in due form of law acknowledged the within and foregoing Power of Attorney to satisfy the judg- ment sei forth, to be act and deed, and desired that the saric shall be filed of record in the office of the Prothon- otary of the Court of Common Pleas of said County. In testimony testimony whereof, I have hereunto set my hand and seal this y --------------------------- ,day of MA er- ?r .ees )N &ULTM OF PF-W YI.1l A, Drf?--gQ / d (n ?n ?-? Ng-jARfAt.SEAL DESOM L UNGB*XTER, NowV I LwWriesbWo amo, CWrerland Cil k4v Corwinf{iosi Exoree Derefter 2% ---------------------------- v V RECEIPT FOR PAYMENT Cumberland County Prothonotary's Office Receipt Date 3/12/2007 Carlisle, Pa 17013 Receipt Time 12:39:09 Receipt No. 189977 ERIE INSURANCE GROUP (VS) KENDIG CON RAD Case Number 2007-01350 Received of PD ERIE INSU RANCE GROUP RL Total Non-Cash..... + 19.50 Check# 08089580 Total Cash......... + .00 Change ............. - .00 Receipt total...... = 19.50 ------------------------ Distribut ion Of Payme nt ---------------------------- Transaction Description Payment Amount JDMT/NOTE 9.00 CUMBERLAND CO GENERAL FUND TAX ON NOTE .50 BUREAU OF RECEIPTS AND CONTROL SATISFACTION 5.00 CUMBERLAND CO GENERAL FUND AUTOMATION FEE 5.00 CUMBERLAND CO AUTOMATION FUND 19.50 ? ?g2001 (OR 19 xi;