HomeMy WebLinkAbout99-03889No. !f- .3?Fs9 Civil Term
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VS.
Court of Common Pleas
Cumb. Co.
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JUDGMENT NOTE 010170292645 LS
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MECHANICSBURG , Pennsylvania, -MARCH-26,1997 C"
(place) - $_5888.411
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(date) (amount)
FOR VALUE RECEIVED, I/we promise to pay to the order of, ERIE INSURANCE_GRO_UP__._-
the sum of FIVE THOUSAND EIGHT HUNDRED EIGHTY-EIGHT- AND 48/100 ********dOllarS,
NOW said sum to be payable as
follows: -FIFTY AND 00/100 ********************************** dollars, ($50.00
)
on the 1st day of
19 97 and
FIFTY AND 00/100
liars, ($ 50.00)
on the 1st day of each and every MONTH
thereafter until the BALANCE IS PAID IN FULL
r-,
UPON FAILURE to make any payments as herein agreed, this note shall, at the option of
its holder, become immediately due and payable, without demand or notice.
AND FURTHER, I/we 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
Fier! Facias that may be issued to collect said judgment; and further agree that said estate
may be sold on a Fieri Facias, and do hereby waive and release all relief from any and
all appralsement, stay of execution, exemption or bankruptcy laws of this or any other
state now in force or hereafter to be passed.
REFt This note i s given and executed without duress nd complete
understanding that upon failure to make payment as agreed, that my operating privileges
may be suspended.
Further, 1 do hereby acknowledge that the damages incurred in the accident of
MARCH 1 , 19 97 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.
DRIVER DATE OF BIRTH X
DRIVER OPERATOR NUMBER X :A?" .
OWNER DATE OF BIRTH X-._?
OWNER OPERATOR NUMBER x
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(a) Where Judgment is confessed-
F.ri Tn q it an p Cro P )
V. )
Karl Kurnik III )
IN THE COURT OF COMMON PLEAS OF
Cumberland COUNTY
CIVIL ACTION •. LAW
NO. qQ- 3B$4 TERM 4*
TO K a r l K u r n i k III , Defendant (s):
You are hereby notified that on .?uns>, D,5411 , 19 q9 ,
Judgment by confession had been entered against you in the sum of $g
in the above captioned case.
-\--sn_A-_t n xjClc,
Prothonot o
Dated:, 1U__ \O a54n , 19 99
I hereby certify that the following is the address of the Defendant (s)
stated in the Certificate of Residence:
307 Vanmatre Ave P.O. Box 5854
Eglin A.F B FL 52343
ERIE INSURANCE GROUP
STEVEN L. METZLER, AIC, AIM
Assrslanl Vmo Plesmmn and nrancM1 Claims Manager
Branch Olllce • •1901 Louise Dr • Rossmoyne Business Center • P 0 Box 2013 • Mechanicsburg, PA 17055- 0710
(717) 795.8200 • Toll Free 1 800 382.1304 • Fax (7 t7) 795 2315 • hail, //www Brie insurance coin
Cumberland County Prothonotary
Cumberland County Court (louse
1 Courthouse Square
Carlisle, PA 17013
Our Cliam No.:010170292645
Our Insured: Frederick Miller
Date of Loss: 03/01/97
Defendant: Karl Kurnik III
No. & Term:
g
Dear Sir:
I certify that the above-captioned judgment is as a result of a motor
vehicle accident.
Sincerelly,,?
Louella Sanders
Suborgation Specialist
Subrogation Specialist
11
ERIE
The ERIE Is Above All in SERVICE, • Since 1925
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