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Home My WebLink About09-5658 017-010170949518 SG JUDGEMENT NOTE Mechanicsburg , Pennsylvania, 12-10-2008 , $969.66 FOR VALUE RECEIVED, I/we promise to pay to the order of Erie Insurance Group the sum of Nine hundred sixty-nine dollars and 66/100 said sum to be payable said sum to be as follows: 100.00 dollars, ($100.00) on the 15th day of January, 2009 and 100.00 dollars, ($100.00 on the 15th day of every month thereafter until the entire amount is paid in full. 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 I/we 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 may be issued to collect said Judgment; and Uwe further agree that said estate may. be sold on a Fieri Facias, and I/we 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. o?? (S.G) D Johnson (S.G.) 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 may be suspended. Further, I do hereby acknowledge that the damage incurred in the accident of November 14, 2007, 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 t13))9 (S.G.) DRIVER OPERATOR NO. X 269 ay 2 S3 ara Johnson OWNER DATE OF BIRTH X SX (S.G.) OWNER OPERATOR NO. X Sc1 vr? r ERIE Insurance versus Dara Johnson STATE OF Pennsylvania: COUNTY OF Cumberland: :ss AFFIDAVIT OF MILITARY/NON-MILITARY STATUS Sandra Goodling, having been duly sworn, hereby states as follows: 1. I am a representative of Erie Insurance Group ("Erie") and as such am fully familiar with the facts and circumstances underlying the above-captioned matter. 2. Erie is subrogated to its insured, ERIE Insurance, in connection with a loss that occurred on November 14, 2007 which is the incident giving rise to this matter. 3. Pursuant to the Soldiers and Sailors Civil Relief Act of 1940, as modified by the Servicemembers Civil Relief Act of 2003, this affidavit is submitted as proof that Dara Johnson is not presently in active service in any branch of the United States Military. 4. As proof of the military/non-military status of Dara Johnson, the undersigned contacted the Defense Manpower Data Center which provided written verification of such status, attached hereto as Exhibit A. 5. The foregoing information is true to the best of my knowledge and belief. Sandra Goodling Duly Authorized Representative of The Erie Insurance Group Sworn t before me this °? ` day of 0a n" _ ..2009 ARY PUBLIC COMMONWEALTH OF PENNSYL-VANIA NOTARIALSEAL _ DEBORAH L LINGENFILTER, N MedWiCSbWg Bono, Cuad w*w * Commission ExpiresDecember ? 2Q1g , Regqest for Military Status Department of Defense Manpower Data Center 10 Military Status Report Pursuant to the Servicemembers Civil Relief Act Page 1 of 1 APR-21-2009 07:38:59 ,< Last Name First/Middle Begin Date Active Duty Status Service/Agency JOHNSON DARA Based on the information you have furnished, the DMDC does not possess any information indicating that the individual is currently on active duty. Upon searching the information data banks of the Department of Defense Manpower Data Center, based on the information that you provided, the above is the current status of the individual as to all branches of the Military. Mary M. Snavely-Dixon, Director Department of Defense - Manpower Data Center 1600 Wilson Blvd., Suite 400 Arlington, VA 22209-2593 The Defense Manpower Data Center (DMDC) is an organization of the Department of Defense that maintains the Defense Enrollment and Eligibility Reporting System (DEERS) database which is the official source of data on eligibility for military medical care and other eligibility systems. The Department of Defense strongly supports the enforcement of the Servicemembers Civil Relief Act [50 USCS Appx. §§ 501 et seq] (SCRA) (formerly the Soldiers' and Sailors' Civil Relief Act of 1940). DMDC has issued hundreds of thousands of "does not possess any information indicating that the individual is currently on active duty" responses, and has experienced a small error rate. In the event the individual referenced above, or any family member, friend, or representative asserts in any manner that the individual is on active duty, or is otherwise entitled to the protections of the SCRA, you are strongly encouraged to obtain further verification of the person's active duty status by contacting that person's Military Service via the "defenselink.mil" URL provided below. If you have evidence the person is on active-duty and you fail to obtain this additional Military Service verification, provisions of the SCRA may be invoked against you. If you obtain further information about the person ( e.g., an SSN, improved accuracy of DOB, a middle name), you can submit your request again at this Web site and we will provide a new certificate for that query. This response reflects current active duty status only. For historical information, please contact the Military Service SCRA points-of-contact. See: http://"www.defenselink.mil/faq/pis/PC09SLDR.html WARNING: This certificate was provided based on a name and Social Security number (SSN) provided by the requester. Providing an erroneous name or SSN will cause an erroneous certificate to be provided. Report ID:HGOXORMZBW https://www.dmdc.osd.mil/scra/owa/scra.prc_Select 4/21/2009 r D?ICE ?? ? y PM i2? 1 9 X795 ???' 4k Erie Indemnity Co. Erie Insurance Group } In the Court of Common Pleas Plaintiff } Cumberland County } PexWgylvania } vs } } } } Docket No. Dara Johnson } Civil Action Defendant } To: Dara Johnson, Defendant (s): You are hereby notified that on Q1? /?c , 2009 the following ((fir) (Daerec) (Judgment) has been entered against you in the above captioned case. Date: .., /V0 a (Prothonotary) Dara Johnson 26 Windy Hill Rd. Newville, PA 17241 OF 4WO'-NTARY ZU9 AUG 14 PM 12' 20 CUk4 pg;--?A &OLNTYN1 C-p- /oy4S;? 17 ------------- Erie Insurance Group No. 09-5658 Civil Term vs Dara Johnson "AFFIDAVIT" I, Heather Mehalick , certify that the Judgment against Dara Johnson is a result of a Motor Vehicle Accident which occurred on November 14, 2007. Re: Plaintiff Erie Indemnity Co. Defendant: Dara Johnson Docket#: 09-5658 Signature L ?? CJ Witness Sworn to and subscribed before me This 'y day of Ao ?e ?n ?20a y 4!jy Notary Public DEBORAH L LINGEW It VCR NrAwy PlAk ANaM?nio?rg Bo?c, +auabe?18nd ca.yr Cawi?ioa E?piw? 0OMT&K 2S, OW MED *- 2909 NOV I$ ?" 20 36 - Erie -Insurance -Exchange--- -------------------------------------------- vs. In the Court of Common Pleas of Cumberland County, Pennsylvania --Dara_.Iohnson ------------------- ----------- Judgment in favor of Plaintiff on August 14,__2009_ ------------- for 969.66 ------------------- 'T 5658 VCivil 2009 No. Term J Entered __ Dcember_101 2008 ___ _ Erie -Insurance -Exchange------------------------------------------------------------------- Plaintiff in the above Judgment, do appear and acknowledge that on this day have had and received and from Dara Johnson -------------------------------------------------- the d,-:=ndant in the above Judgment, full payment and :aisfaction of the sar.te, Nvith interest and costs, and desired that satisfaction therefore shall be entered upon the records thereof. And further, I do hereby authorize and empower----David D. Buell ----------------------------- -------------------- theProthonotary of said Court, to appear ___f_Qr .IIIe_-_-_____-_-_ 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, we have hereunto set our hands and seals this ------ 231:d ------------------------- day of ---- Q???RI?er------------------------------ A.D. ---- ------------------------------- (Seal) .ChristyHarrisburg Claims -Su?ga. sor State of Pennsylvania ---------------------------------------------- (Seal) County of Cumberland, Personally appeared before me, the subscriber, ----- bxj,,91y_-Sw91:9 -------------------------------------- ------------------------------------- ---------------- 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 se, forth, to be an 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 whereof, I have hereunto set my hand and seal this ,--23rd. day f December 010 - COtvttul+rmw?L-??+???!?s???ArvIA• -----• NOTARIAL SEAL DEBORAH L LINGENFILTER, Notary P - - -- ---- - - ---- - I- ---------- Cal) Meftnicsburg Boro, Cumberland County tu„ (`nrn.»ieainn Fvnirnc rlnr•u.nr,n. xi ?n» FILED-OFFICE OF THE PROTHONOTARY 20111 , i 14 t, CUMB 1? T Erie Insurance Group Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA Dara Johnson } No 09-565$-Civ'1 T c-? • i erm ?, Defendant ro? r 2-n rnr- r? - -v "Ofem. {n r, PRAECIPE AND POWER OF ATTORNEY TO SATISFY TUDGMEI"w = -+a T- o~'n Zc) C) TO: PROTHONOTARY OF THE COURT OF COMMON PLEAS OF CUM1kB .AND COUNTY Pursuant to the authority granted to Erie Insurance Exchange in the Power of Attorney to Satisfy Judgment, Erie Insurance Exchange, by its authorized representative, acknowledges full payment and satisfaction of the Judgment for $969.66, with interest and costs, in the above action. Please mark the Judgment "Satisfied." Respectfully submitted, ERI4INSURAN XCHANGE By: Chrie burg Claims Supervisor STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND 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. IN TESTIMONY WHEREOF, I have set my hand and seal this 23rd day of December 2010. Notary Public (SEAL) NOTARIAL DEBORAH L LIWt3WII 1Aecherrc"D IW4 C, 0 0 'mob A Or X n j 0 J o CL rb _ a owl cn ? a e IL ?. d ? o