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11-6845
v1 Term COMMONWEALTH OF PENNSYLVANIA Notice of Judgment/Transcript CIVII COUNTY OF CUMBERLAND Case I t* Mag. Dist. No: MDJ-09-3-04 MDJ Name: Honorable Thomas A. Placey Address: 5275 East Trindle Road Suite 110 Mechanicsburg, PA 17050 Telephone: 717-697-2201 Nichole Collins c/o Erie Insurance Group P O. Box 2013 Mechanicsburg, PA 17055 Disposition Summary Docket No MJ-09304-CV-0000200-2011 Judgment Summary Participant Tracey Thompson Nichole Collins c/o Erie Insurance Group V. Tracey Thompson 6161 -7I,CD.5y o2_4:_ D 1 Plaintiff Defendant Nichole Collins c/o Erie Tracey Thompson Insurance Group Joint/Several Liability Individual Liability $0.00 $491.48 Judgment Detail (*Post Judgment) In the matter of Nichole Collins c/o Erie Insurance Group vs Plaintiff and judgment was awarded as follows: Judgment Component Joint/Several Liability Civil Judgment $0.00 Filing Fees Costs $0.00 $0.00 Docket No: MJ-09304-CV-POOPWO-q 11 Case Filed: 3/29/2011 3 --i xrn ? rn- r N ?rn - th'' w ©° r--z --tca cC:7 -n =? z? rn -?? Disposition Disposi kn Date Default Judgment for Plaintiff 07/21/201 Amount $491.48 Tracey Thompson on 7/21/2011 the disposition is Default Judgment for Individual Liability Deposit Applied Amount $414.98 $414.98 $70.50 $70.50 $6.00 $6.00 Grand Total: $491.48 ANY PARTY HAS THE RIGHT TO APPEAL WITHIN 30 DAYS AFTER THE ENTRY OF JUDGMENT BY FILING A NOTICE OF APPEAL WITH THE PROTHONOTARY/CLERK OF COURT OF COMMON PLEAS, CIVIL DIVISION. YOU MUST INCLUDE A COPY OF THIS NOTICE OF JUDGMENT/TRANSCRIPT FORM WITH YOUR NOTICE OF APPEAL. EXCEPT AS OTHERWISE PROVIDED IN THE RULES OF CIVIL PROCEDURE FOR MAGISTERIAL DISTRICT JUDGES, IF THE JUDGMENT HOLDER ELECTS TO ENTER THE JUDGMENT IN THE COURT OF COMMON PLEAS, ALL FURTHER PROCESS MUST COME FROM THE COURT OF COMMON PLEAS AND NO FURTHER PROCESS MAY BE ISSUED BY THE MAGISTERIAL DISTRICT JUDGE. UNLESS THE JUDGMENT IS ENTERED IN THE COURT OF COMMON PLEAS, ANYONE INTERESTED IN THE JUDGMENT MAY FILE A REQUEST FOR ENTRY OF SATISFACTION WITH THE MAGISTERIAL DISTRICT JUDGE IF THE JUDGMENT DEBTOR PAYS IN FULL, SETTLES, OR OTHERWISE COMPLIES WITH THE JUDGMENT. 1 "y t Date Magisterial District Judge Thomas A. Placey certify that this is a true an correct copy o the record o the proceedings containing the judgment. L Date Magisterial District Ju Thomas A. Placey It- 4CIIA5 pD PLW C# ma3SoN _0_2A gos: MDJS 315 Page 1 of 2 Printed: 07/21/2011 9:16:15AM 4 Nichole Collins c/o Erie Insurance Group Docket No.: MJ-09304-CV-0000200-2011 V. Tracey Thompson Participant List Plaintiff(s) Nichole Collins c/o Erie Insurance Group P. O. Box 2013 Mechanicsburg, PA 17055 Defendant(s) Tracey Thompson _ 15 S 2nd Street Wormleysburg, PA 17043-1303 Nichole Collins c/o Erie Insurance Group Plaintiff vs Tracey Thompson Defendant To Tracey Thompson, Defendant (s): In the Court of Common Pleas Cumberland County Pennsylvania Docket No. l.-tV 11 Term Civil Action You are hereby notified that on AQQ L)S+ ?J ? , 2010 the following (Order) (Decree) (Judgment) has been entered against you in the above captioned case. (Prothonotary) Tracey Thompson 15 S. Second St. Wormleysburg, PA 17043-1303 rre Insurance _Exchange 07 F --I for Nichole Collins o E ROTH4 NOT 11 the Court of Common Pleas of -------------------------------------- --.---------- n mberland County, Pennsylvania vs. 2012 FEB -9 l1 N Tracey Thompson CUMBERLl?N GA Xt in favor of Plaintiff on _July 21, 2011 - ---------- pENNSYL ANIA -------------------------------- for $_49148 ------------------------------------------6?,,-r ----- 11-6845 Civil 2011 No. -------- -------------- Term, ------ ------------ ------------------------------ ------- Entered ---.__-- August--31, 2011 - Erie -Insurance Exchange-------- ---------------------------------------------------------- Plaintiff in the above judgment, do appear and acknowledge that on this day have had and received and Tracey Thompson from ----------------------------------------------------------------- --------------------------------------- the d:.:endant in the above judg.mcr.t, full payment and raisfaction of the same. with 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 __-.Ear-me----------------------------------- 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 - -7th------------------------------ day of __Eebxua>_y----------------------------------> A.D), <.. 1412y'-_ 1 r' f -.r--- -- -> -- -- ------------------------- (Seal) Christy-_Smy____ _ Harrisburg Claims SuM ay)isor State of Pennsylvania County of Cumberland, Personally appeared before me, the subscriber, ----- bx1s> V- - 5m?grs-_-----_- -------------- (Seal) -------------.-.-------------------------------------------------------------------------- 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 dio sarte shall be filed of record in the office of the Prothon- otary of the Court of Common Pleas of said County. ,'O?? In testimony whereof, I have hereunto set my hand and seal this --------- NOTApfgLSEAL-----__ February 2012 WJZANNE M. WILAND, Notary Public day of - --- ------------ ------ - A. D. 12 Mfthan? g(motph,Ctmtbeft1dCounty - - - - - M Comtrtieeton EWW" Nttw,rJW 1, 2012 ----------------------- ------------------------- i. 017-010171054260 CR POWER OF ATTORNEY TO SATISFY JUDGMENT I (We), Nichole Collins do hereby appoint, authorize and empower Erie Insurance Exchange to appear and in my (our) name stead to acknowledge receipt of full satisfaction of any judgment(s) obtained on my (our) behalf against Tracey Thomason and to enter full satisfaction of such judgment on the records of any Court, as fully and effectively, to all intents and purposes as I (we) could were I (we) present in person to do so. With intent to be legally bound, I (we) set my (our) hand(s) and seal(s) this -?) \ - day of r , 20. --)anacA WITNESS: ?J r x EAL) Nichole Collins Plaintiff x ? Plaintiff STATE OF : p y? n f YA n SS: 1 SEAL) COUNTY OF: (u rY] b e- )- OL n Personally appeared before me, the subscriber(s): C? o f / /-? and in due form of law acknowledged the within and foregoing Power of Attorney to acknowledge and satisfy any judgment set forth therein, to be his(her) (their) act and deed, and desired that the same shall be filed of record in any Court. IN WITNESS WHEREOF, I have set m hand and seal this 3 / Sda y y of -mil r , 20z/-. NOTARY PUBLIC (SEAL) C jH Q,F NSY V NOTAML SEAL SUZM W M. VA-AM, NOWY Ptk& GrribwWo County NovemW 1, 2012