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
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2004 OC i 15 PM Z: 5 7
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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
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''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
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