HomeMy WebLinkAbout07-4116010170868806 BM ~ ~ '~~~~ ~~u~-t'
JUDGEMENT NOTE
Mechanicsburg ,Pennsylvania, 8-30-06 , $794.26
FOR VALUF. RECEIVED, Uwe promise to pay to the order of Erie Insurance Group
the sum of Seven hundred ninety-four dollars and 26/100 said sum to be payable said
sum to be as follows: Seventy-five dollars, 0,7.5.00) on the 15tH
day of September, 2006 and Seventy-five dollars, ($75.00) on the 15th day of every
month. thereafter ur_til the entire a-r!ount is paid in filll.
Uwe 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 Uwe do hereby voluntarily condemn the same and
authorize the Prothonotary to enter said voluntary condemnation upon any Fieri Facias
that maybe issued to collect said Judgment; and Uwe 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 laws of this or any other state
now in force or hereafter to be passed.
~ .l ~,/
Larry Marshall
(B.M.)
This note is given executed without duress or coercion and with full and complete
understanding that upon failure to make payment as agreed, that my operating privileges
ma_y be suspended.
Further, I do hereby acknowledge that the damage incurred in the accident of
June 16, 2006, 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 X ~ ~~^-- ~ ~~.~,..~'" (B.M)
DRIVER OPERATOR NO. X Larry Marshall
OWNER DATE OF BIRTH X X (g,M)
OWNER OPERATOR NO. X
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010170868806 BM
AFFIDAVIT TO ACCOMPANY JUDGMENT NOTE
Being duly sworn according to law, the undersigned jointly and severally depose and say
that:
1. I/We are over riventy-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.
?. UWe h.a«e :leliverPd tc: Erie lns~iracic.e a Judgment Note cortainir,g a
confession of judgment to secure certain payment obligations.
3. I/We 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
/~ day of ~~k_>.~6c~ , 20~ .
X ~^-~'~" (SEAL)
shall
(SEAL)
sworn to and subscribed before me
this /I day of c,-rrdr~' ,20~
~~.-l~
Notary Public
~~~Y~~!N, W~ EALTH OF ~ENN8YLVANIA
NOTARIAL SEAL.
ROBERTA E. BIESECI(l;R, Notary public
Camp Fiitl Boro, Cwnberiaad County
My Commission Expires July 23, 2009
010170868806 BM
I certify that my annual income (exceeds/is less than) TEN THOUSAND AND 00100
DOLLARS, that the blanks in this disclosure were tilled in when I initiated and sued it,
and that I received a copy at the time of signing.
X
Larry a 1
Dai ~: X ~ l l v(.~.
ACKNOWLEDGMENT
Commonwealth of Pennsylvania
County of Cli~d ~-~~
Before me, the undersigned Notary, personally appeared ~ q r ~ ~Qts ~~~
whose initials appear above, and w oh acknowledges under
oath that they executed 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)
~. ~,,,tti
Notary Public
9 COMMONWEALTH OF PENNSYLVANIA
My commission expires on the day of ~Jlc`fi ,20 d NOTARIAL SEAL
~_ 7 ROBERTA E, 131ESECK£R, Nob~ry Public
Camp HiN soro, Cum~rland County
. My (:ammissian Expires July 23u42009
010170868806 BM
DISCLOSURE FOR CONFESSION OF JUDGMENT
I/We, 1 qrr r~~ohyJi am executing this 30th day of
August , 2 06 , a Judgment Note for Seven hundred ninety-four dollars and
26/100 ($794.26 DOLLARS obligating me to repay that amount.
Initials: X
L.~;i.
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 opportunity to defend against the Entry of Judgment, and that the
Judgment maybe collected by any legal'means.
Initials: X%1~
L.M.
Initials:
In executing the Note, UWe 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: ~___ ~~
L.M.
Initials:
010170868806 BM
CERTIFICATE OF RESIDENCE
The parties to the transaction are X ~ awry //7g,("/hgJ
Name /f ~h g'ti ,1/~~ l pfd ~ ]"d ~S
Xllo `~ g~l~ O/'/~c /ai, ~ h'
Address
X
Address
X
Address
I certify that these are the last known addresses of the parties to this matter.
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Harold Webber
c/o Erie Insurance Group
Plaintiff
In the Court of Common Pleas
Cumberland County
Pennsylvania
vs
Larry Marshall
Defendant
Docket No.
Civil Action
To: Larry Marshall, Defendant (s):
You are hereby notified that on /(' , 2007, the following (Order)
(Decree) (Judgment) has been entere against you in the above captioned case.
Date: 7 /f p ~ ¢ ~ ,~ ~,`
(Prothonotary) /~~
Larry Marshall
1109 Apple Drive, Apt. 8
Mechanicsburg, PA 17055