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010170533960 SG
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JUDGMENT NOTE
Mechanicsburg
(place)
P I. March23, 2001
, ennsy vama,
(date)
,$2048.61
(amount)
FOR VALUE RECEIVED, I/we promise to pay to the order of Erie Insurance Exchange
the sum of Two Thousand Forty Eight and 61/100
said sum to be payable said sum to be as follows: One Hundred
dollars, ($ 100.00
) on the 15th
day of
Apri 1
20 01 and
One Hundred
dollars, ($
100.00
) on the
15th
day
of every month thereafter until the entire amount is paid in full.
I1we 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 I1we also waive the right of inquisition on any real estate that may be levied upon to collect
this note; and I1we 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 I1we further agree that said estate may be sold on a Fieri Facias, and Ilwe do
hereby waive and release all relief from any and all appraisement, stay of execution, exemption
or bankruptcy law:::.!! or ~y other state now in force or hereafter to be passed.
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This note is given executed without duress or coercion and with full and complete understancling..
that upon failure to make payment as agreed, that my operating privileges may be suspended.
Further, I do hereby acknowledfe that the damage incurred in the accident of
J an. 9 , 1'9" 200, .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 trial on that issue.
OWNER DATE OF BIRTH
OWNER OPERATOR NO.
'1-1..~-(,1 x ~ ~- (L.S.)
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DRIVER DATE OF BIRTH
DRIVER OPERATOR NO.
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010170533960 SG
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(a) Where Judgment is confessed:
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
Erie Insurance Group
CIVIL ACTION - LAW
Tamie Stouffer
NO. 01
{.'1(,,6" ('~ TERM 19
TO
Tamie Stouffer
, Defendant (s):
You are hereby notified that on 71..tHM ~ I 't
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Judgment by confession had been entered against you in the sum of $ 2,048. 61
in the above captioned case.
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Dated: n ''"' W'"...tv-- I '-f
;J.A.l) ,W_
I hereby certify that the following is the address of the Defendant (s)
stated in the Certificate of Residence:
Tamie Stouffer
75 Bonnybrook Rd., Lot 4
Carlisle, PA 17013
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010170533960 SG
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(a) Where Judgment is confessed:
Erie Insurance Group
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
CIVIL ACTION - LAW
David Robinson
NO. 01
(" '-H. &' (~ ~ .::tTERM 19
TO.
David Robinson
, Defendant (s):
You are hereby notified that on '7'UHU"'P,,~ /If
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Judgment by confession had been entered against you in the sum of $
2,048.61
in the above captioned case.
('1,.7,<, <<. i3:rr.;-
Pro honotary
Dated: 'MJH~ l'f
d-otll ,~_
I hereby certify that the following is the address of the Defendant (s)
stated in the Certificate of Residence:
David Robinson
75 Bonnybrook Rd., Lot. 4
Carlisle, FA 17013
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010170533960 SG
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ERIE@
STEVEN L, METZLER, Ale, AIM
Branch Claims Manager
ERIE INSURANCE GROUP
Branch Office. 4901 Louise Dr. . Rossmoyne Business Center' P.O. Box 2013 . Mechanicsburg, PA 17055-0710
(717) 795-8200 . Toll Free From Pennsylvania Only 1-800-382-1304 . Fax (717) 795-2315
1-29-02
Cumberland County Prothonotary
1 Courthouse Square
S. Hanover Street
Carlisle, PA 17013
Our Claim No.:
Our Insured :
Date of Loss:
Defendant:
N6. and Term:
010170533960
Alan Shover
1-9-01
Tamie L. Stouffer
01-6465
Dear Sir:
I certify that the above-captioned Judgment is a result of a
Motor Vehicle accident.
&~6~~
Sandra Goodling
Subrogation Specialist
SUbscribedandswomrh~, Ie _~ .,~.
this~OaYOf~
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NoIariaI Seal
Iillxle L Stoner, Notary Publlc
Camp HiIIi'larG, Cumbe~and County
My Commission expires Feb, 7, 2004
The ERIE Is Above Allin SERVICE@ . Since 1925
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ERIE.
ERIE INSURANCE GROUP
STEVEN L. METZLER, Ale, AIM
Branch Claims Manager
Branch Office. 4901 Louise Dr, . Rossmoyne Business Center. P.O, Box 2013 . Mechanicsburg, PA 17055-0710
(717) 795~8200 . Toll Free From Pennsylvania Only 1-800-382-1304 . Fax (717) 795-2315
January 29, 2002
Cumberl~nd County Prothonotary
Cumberland County Court House
One Court House Square
Carlisle, PA 17013
Dear Sir:
Our Claim No. :
Our Insured :
Date of Loss:
Defendant:
No. and Term:
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0101705339~S;:
Alan Shove~c"-'
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1-9-01 >Q
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David RObi~g
01-6465 Z
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I certify that the above-captioned Judgment is a result of a
Motor Vehicle accident.
Notarial Seal
Ellxle L. Stoner, Notary Public
Camp Hill Elore, Cumberland County
My Commission Elcpires Feb. 7. 2004
Sincerely,
0~~
Sandra Goodling
Subrogation Specialist
The ERIE Is Above Allin SERVICE@ . Since 1925
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VS,
Tamie Stouffer
In the Court of Common 'Pleas of
Cumberland County, Pennsylvania
2-23-2001
Judgment in favor of Plaintiff on h______hh_________
Erie Insurance Group
-----------~----------------------- -----~~--------
{Jlr~
David Robinson
-----___________________________ for
2,048.61
$u___u_
-----------~------------------------------~ZfT------
01-6465
No, huu__ .
___u__U_h__ Term, JI!k_1.0.D 1
November 14, 2001
Entered __________________________________ 19______
____~:_~_e__ _~ ~_~.".: _':~_::___G. ~_~~_L _ _ _ m _ _ _ _ ___ ___ _ _ _ u uuu _ _ __ _m____ U __ _ _ mh_____m__ _ Plaintiff
in the abo....~ Judgment, do appear and acknowledge that
Tami Stouffer & David Robinson
from ______________________________________________________-----------------------------__________________
on
this day have had and received and
the de~'endarlt in the above Judgmo::ntJ full payment and ;;aisfaction of 6,c s;:uae: with interest and costs, and desired that
satisfaction therefore shall be entered upon the records thereof.
And further,
I
. . Curtis R. Long
do hereby authonze and empower _n_____hn_h__hn___n___hh____h_hh_________
uu__u___h____u_ the Prothonotary of said Court, to appear
for me
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,
17th
have hereunto set our hands and seals this _________________n______hnn______
day of n__~~_~~:'_~_m___m_m_nnnmmnnn' Af/r'9~--~-?O 5 #~'
~-~ --~~~------- --- -----------
Ke.~'"_r-Y~i tchey,
--------------------------- - ---------------
Harrisburg Branch Manager
(Seal)
(Seal)
County of Cumberland,
}
(Seal)
State of Pennsylvania
, Kerry Ritchey
Personally appeared before meJ the subscnber, n______ __n_nn___n__n____________n____hnnn___nn__
,________________________________________________________________________________________ the Plaintiff in the
above Judgrnent, and in due fonn of law acknowledged the within and foregoing Power of Attorney to satisfy the Judg-
ment set forth, to be a 11 act and deed, and desired that tho:: saruc shall be filed of record in the office of the Prothon-
otary of the Court of Common Pleas of said County.
In testimony whereof, I have hereunto set my hand and seal this h__n______________h_____nnn__________
August
'" ~ ~~ -------------- ~~~--
17th
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