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HomeMy WebLinkAbout09-70900 l0 i?b??S`IR"7 017-010170993487 VS JUDGEMENT NOTE 716. 0 1- 10 46 OCR Mechanicsbure , Pennsylvania, 10-24-2008 , $6,293.00 FOR VALUE RECEIVED, Uwe promise to pay to the order of Erie Insurance Group the sum of Six thousand two hundred ninety-three dollars and 00/100 said sum to be payable said sum to be as follows: Fifty dollars, ($50.04 on the 1St day of December, 2008 and E fty dollars, ($50.00} on the 1" 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 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 Facial that may be 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. /.., (V.S.) enny Wiest (V.S.) 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 August 28, 2008, 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_2 (V.S.) DRIVER OPERATOR NO. X Penny Wiest OWNER DATE OF BIRTH X_.,? _ !a - ? -2 X (V.S.) OWNER OPERATOR NO. X FLED--CF,-:ICE 'OFT 2004 OC i 15 PM Z: 5 7 cart 2UNTv U\ Joshua Sweetser c/o Erie Insurance Group Plaintiff vs Penni Wiest Defendant To: Penni Wiest, Defendant (s): In the Court of Common Pleas Cumberland County Pennsylvania Docket No. 09- Action Civil You are hereby notified that on & le , 20?t, the following (Ordw) (Door* (Judgment) has been entered against you in the above captioned case. Date: ®c. ?.? . 1 S' a? OV y 6 A? iC (Prothonotary) Penni Wiest 94 Mount Rock Road Shippensburg, PA 17257 017-010170993487 VS 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 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. I/We have delivered to Erie Insurance a Judgment Note containing 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 1," , 20Ok' X 1Q, 14) ',--7L (SEAL) Penny" Wiest (SEAL) sworn to and subscribe before me this ay of COMMONWEALTH OF PENNSYLVAI ? Notary Public NO IAL SEAL DEBORAH WARREN, Notary Public Shft6iisburg Twp., Cumberland County COMMISSIRLE9 res Noy._8, 2009 017-010170993487 VS DISCLOSURE FOR CONFESSION OF JUDGMENT I/We, Penny Wiest am executing this 24th day of October , 2008 , a Judgment Note for Six thousand two hundred ninety-three dollars and 00/100 ($6,293.00 DOLLARS obligating me to repay that amount. Initials: X4. P. W. 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 P w -, P. W. Initials: In executing the Note, Me 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-- P. W. Initials: 017-010170993487 VS I certify that my annual income (exceeds/is less than) TEN THOUSAND AND 00/100 DOLLARS, that the blanks in this disclosure were filled in when I initiated and signed it, and that I received a copy at the time of signing. Penny Wiest Date: Z2 - ACKNOWLEDGMENT Commonwealth of Pennsylvania County of ) Before me, the undersigned Notary, personally appeared whose initials appear above, and who 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. COMWNNWEAEALTH?OFF PENNSYLVAIW NOTARIAL SEAL DEBORAH WARREN, Notary Public (SEAL) S1 omasburg Twp., Cumberland County My Commission Expir" Nav. 8, 2009 Notary Public . A_day ofC Qu ,2( My commission expires on the 0 017-010170993487 VS CERTIFICATE OF RESIDENCE The parties to the transaction are X 1 "mow Name Address X _3,E t j P4 - 17 241 Address X Address I certify that these are the last known addresses of the parties to this matter. By: X 11rlI , ';'''f DTARY f or T 7'd Ok /o/ogg4.3(- , ?._ .z .j.1 M, H12 SEP -E PM 2: 5 I ''JpENf YLVANIA TY **AFFIDAVIT** I, Constance Rowles , certify that the Judgment against Penni Wiest is a result of a Motor Vehicle Accident which occurred on August 28, 2008. Re: Plaintiff: Joshua & Laren Sweetser Defendant: Penni Wiest Lure VL'D?? Witness Sworn to and subscribed before me This h' day of 20?y Docket#: 09-7090 Claim# 010170993487 44 Notary Public Srr-AL 9Rma Cuff" ask C ?? laO?SSy ?