HomeMy WebLinkAbout04-4102Erie Insurance Group
PO Box 2013
Mechanicsburg PA 17055
Vso
Amy S Rar~man
4540 Rolo Court
MechanlcsburE PA
17055
INSTALLMENT NOTE
This / Sk day of _ /iq 0,2(4 ,2004, I, Amy
S. Haman Eby, intending to be legal~bound hereJ~y, prom/se to pay to the Erie
Insurance Group, $4,369.25 by paying equal monthly installments of $50.00 each, being
payable on or before the first day of each month thereafter until paid in full.
The occurrence of any one of the following shall constitute an Event of Default
by the undersigned:
(l) The undersigned's failure to make payment to the Erie Insurance
Group on or before the due date;
(2) If the undersigned becomes insolvent or makes an assignment for
the benefit of creditors or if any petition is f-fled by the undersigned under any
provision of any law or statute, including under the United States Bankruptcy
Code, alleging that the undersigned is insolvent or unable to pay debts as they
mature;
(3) If any case is commenced against the undersigned pursuant to the
United States Bankruptcy Code;
(4) The entry of any judgment against the undersigned or the isming of
any attachment or garnishment against any property of the undersigned.
In the event a default occurs, the undersigned, in addition to any other
rights given to the Erie Insurance Group herein, or by the law, irrevocably
authorizes any attorney of any court of record to appear for the undersigned at any
time after the Note shal/be due and payable as aforesaid, to waive the issuance
and service of process and to confess judgment against the undersigned and in
favor of the Erie Insurance Group for such amount as may appear to be unpaid
or declared due thereon, together with costs and reasonable attorneys' fees, and
to consent to immediate execution upon such judgment.
The authority herein granted to confess judgment shall not be exhausted by any
exercise thereof but shall continue from time to time and at all times until full payment
of all amounts due hereunder. The undersigned hereby waives and releases all errors,
defects and imperfections whatever in the entry of such judgment or in any process or
proceeding thereon or in any way concerning the same. The undersigned consents to the
jurisdiction of the Court of Common Pleas of Dauphin County or any other court of
competent jurisdiction in the Commonwealth of Pennsylvania and agrees that any action
or proceeding may be maintained in said courts by service of process effectuated by
registered mail, postage prepaid, return-receipt requested or by overnight courier to the
address of the undersigned set forth below.
The undersigned hereby waives presentment for payment, not/ce of demand,
notice of nonpayment or dishonor, protest, notice of protest, and all other notices in
connection with the delivery, acceptance, performance, default or enforcement of
payment of this Note.
This Note shall be governed by and construed in accordance with the internal laws
of the Commonwealth of Pennsylvania disregarding rules regarding conflict of law.
SIGNED, SEALED AND DELIVERED
IN THE PRESENCE OF:
Chris'~ Stayers ~
llarrisbttrg C.~ll~f~s Supervisor
10631~.1
ERIE
KERRY J. RITCHEY, CPCU, AIC
Claims Manager
ERIE INSURANCE GROUP
Branch Office · 4.'30! Louise Dr. · Rossmoyne Business Center · P O. Box 2013 · Mechanicsburg. PA 17055~3710
(717) 795-8200 · To,I Free 1-8~)382-q304 · Fax (;717/ 795-2315 · ~'¢~,~,.erieinsurance.com
October 18, 2004
Cumberland County Prothonotary
Cumberland County Courthouse
1 Courthouse Square
Carlisle, Pa. 17013
Erie Claim No.: 010170378037
Erie Insured: Donald Murk
D/Accident: 7-23-98
Defendant: Amy Hartman
No. & Term: 2004-04102
Dear Prothonotary:
I certify that the above-captioned judgment is as a result of a motor vehicle accident.
Louella Sanders, A.I.C.
Subrogation Specialist II
cc: file
The ERIE Is Above All In sERvIcF~ Since 1925