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JUDGEMENT NOTE
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FOR VALUE RECEIVED, I!we promise to pay to the order of Erie Insurance Group
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Mechanicsburg, Pennsylvania, August 16, 2004, $2047.98
the sum of Two Thousand Forty Seven dollars and Ninety Eight cents said sum to be
payable said sum to be as follows: Fifty dollars, ($50.00) on the 3rd day of September
2004 and Fifty dollars, ($50.00) on the 3rd day of every month thereafter until the entire
amount is paid in full.
I!we hereby authorize and empower any attorney of any Court of Record of Pennsylvania
or elsewhere, to appear for and confess Judgment against me for the sum due and payable
hereon, pursuant to PA. R.C.P. 2951 (a) (I) with or without declaration, with costs of
suit, interest at the rate of 6% per annum, an attorney's fee, release of errors, and without
stay of execution; and I!we also waive the right of inquisition on any real estate that may
be levied upon to collect this note; and I!we do hereby voluntarily condemn the same and
authorize the Prothonotary to enter said voluntary condemnation upon any Fieri Facias
that may be issued to collect said Judgment; and I!we further agree that said estate may
be sold on a Fieri Facias, and I!we do hereby waive and release all relief from any and all
appraisement, stay of execution, exemption or bankruptcy laws of this or any other state
now in force or hereafter to be passed.
/tltIJ,Jr
1ffuJj Jj6
(L.S.)
(L.S.)
This note is given executed without duress or coercion and with full and complete
understanding that upon failure to make payment as agreed, that my operating privileges
may be suspended.
DRIVER DATE OF BIRTH ~/z<;1 t(j
DRIVER OPERATOR NO. -.it G. 9''-1 4- .so
-1114
(L.S.)
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DISCLOSURE FOR CONFESSION OF JIJDGMENT
TlWe, !la r s ha 11 S te t le r, am executing this 3r d day of.Se I' t. 2001t , a
Judgment Note for S 7 n b 7 q A
($ 2047 . 98 ) DOLLARS, obligating me to
repay that amount.
INITIALs:L
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 offering me an opportunity to defend against the Entry of Judgment, and that the Judgment
may be collected by any legal means.
INITIALS:~
INITIALS: /41 tj
In executing the Note, I/We 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.
h
INITIALS: J.1 7
INITIALS: J.tf 7
AFFIDAVIT TO ACCOMPANY JUDGMENT NOTE
Being duly sworn according to law, the undersigned jointly and severally depose and say that: ~
1. TJW e are over twenty-one years of age, not witbin the military service ofthe United States
and its allies nor otherwise within the civil relief provisions 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. TJW e 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
pro~t2YmderSigned,have affixed their hands and seals on this -3 day of ~-I-
1JIJ j)p---"
(Seal)
(Seal)
Sworn to and subscribed before~ V
this -3 day of ~ 2--"
Notary Public
NllTARIAt SUIt
MICHAEL D. ormz. Notary Public
~*. l.IncIItet Count>I. M
My Commission Expies Ocltlber 11. 2004
. . CERrz-~NCE
The p~ies to this transaction are .
Name t. ~ J
/ (J /4>" dl(.{!'7: ~ u..
Address LtVI (', f, 17 t of--
Name
Address
I certity that these are the last known addresses of the parties to this matter.
ByiJJr
I certity that my annual income (exceedslis less than) TEN THOUSAND and 00/100 DOLLARS,
that the blanks in this Disclosure were filled in when I initialed and signed it, and that I received a
copy at the time of signing.
irJJJr
Name
Date:
;7 hht/
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ACKNOWLEDGMENT
Commonwealth of Pennsylvania
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ss:
County of tA-nrA-f-l-v
Before me, the undersigned Notary, personnally appeared H;ftt.s t",,/ L T s--Id- k v"
, 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.
(SEAL)
No21/.; ~
My commission expires on the J
day of ~I- 2~./
NOTAAlAl SEAL
MICHAEL O. OIlTIZ. Notary Public
Llncaster, Loneaster County, PA
My Comm~.ion Expires October 11, 2004
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In the Court of Common Pleas
Cumberland County
Peunsylvania
Joseph & Jodie Dengler
Plaintiff
Marshall Stetler
Defendant
Docket No, OiS-NCj 0;..:J T.b->
Civil Action
To: Marshall Stetler, Defendant (s):
You are hereby notified that on (~AH,,/ Jo, ..l..O{l.~/ _, 2tliE\, the following (Order)
(Decree) (Judgment) has been entered against youin the above captioned case.
.. 2 /
Date: <.. "",,...._ 10, :J-iJO",
I I
~LC K. E.'f 14--;'
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(Prothonotary)
I hereby certify that the name and address of the proper person(s) to
receive this notice under Pa.R.C.P. 235 is:
MARSHALL STETLER
1018 MARSHALL AVE
LANCASTER, PA 17602
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