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Home My WebLink About05-3085 \ " JUDGMENT NOTE Il6 oS, 3m.:: ~ (u......, Mpf"'n::ln;('Ahl1T'E (place) , Pennsylvania, 02-14-2000 (date) ,$ 12,104-.70 (amount) FOR VALUE RECEIVED, I/we promise to pay to the order of Erie Insurance Exchange the sum of l"f',\!,ToOl VA rphnll~~n(l Onp. Hl1nnT'pil FOl1!' and 70/100 said sum to be payable said sum to be as follows: nne Hnnn"''''n dollars, ($ 1 00 . 00 ) on the 1st day of April 2003 and . One Hundred dollars, ($ 100.00 ) on the 1 st . day of every month thereafter until the entire amount is paid in full. Ilwe 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 Ilwe also waive the right of inquisition on any real estate that may be levied upon to collect this note; and I1we 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 Ilwe 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. :Zf.~ ~~4-k- ~, (L.S.) 0/ g~~AVLGaUker (L.S.) This ., dXXthChe"Yl Gauker. and 'thfull d I und d' note IS given execute WI out auress or coerclOn WI an comp ete erstan mg 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 1 1 - 29 ,Wl 20 0 ~ . 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 BIRTII '1/.2 r:; Ie 5- DRIVER OPERATOR NO. ,;),,1 7.), '--/ /7P . OWNER DATE OF BIRTII // h ~h r OWNER OPERATOR NO. {;I1f 'l{;; 7 <fob b- -:tl~--< d ~.,;z..2.(L.s.) X Bruce Gauker tf-tjtl>fl-(u,{Jtv XX Cheryl Gauker (L.S.) r. .. I DISCLOSURE FOR CONFESSION OF JUDGMENT If We , .!<,ru('e GauK.r>L , am executing this Id day of 4-0/ , 20113 , a Judgment Note for 'fuP-l"" 'Tmn~""i1 rn~ Hll"d.rect sr:xi Fbur Lbllars & 70/1C ($12,104.70 ) DOLLARS, obligating me to repay that amount. INITIALS: ~ XID INITIALS: It has been explained to me by representative of the Erie Insurance Group that the Note contains wording that may permit them or their attorneys to enter Judgment against me at the Courthouse, whether or not said Note is in default, without notice to me and without offering me an offering me an opportunity to defend against the Entry of Judgment, and that the Judgment may be collected by any legal means. INITIALS: Z7~ XID INITIALS: In executing the Note, IfWe am knowingly, understandingly, and voluntarily waiving any rights to resist the Entry of Judgment against me at the Courthouse, and am cotlsenting to the Confession of Judgment. INITIALS:~ XID INITIALS: I certify that my annual in~ome (exceeds/is less than) TEN THOUSAND and 00/100 DOLLARS, that the blanks in this disclosure were filled in when I initialed and signed it, and that I received a copy at the time of signing. X ~-4/,^ ("..( ~ ..ez. Name Bruce~ Gauker Date: vl/ ;0f' ACKNOWLEDGMENT Commonwealth of Pennsylvania ) ) ) ss: County of :IJrllu1h'AJ ( Before me, the undersigned Notary, personally appeared --:Brut' e (}au kel!... , whose initials appear above, and who acknowledges under oath that they executed the above Disclosure for Confession of Judgment together with the Confession of Judgment Note referred to in the First Paragraph of the Disclosure on this date. (SEAL) My commission expires on the 4..')4 day of ~ J Seal Kalt1leen M. Lyle, NoIary Upper P"':lon Tw;>., Dauphin CounIy My CcmmJss!cn Ex;iras Jvly 25, 2OC6 _.1'tlnn$yWani3 _OfNoladol ,20Q0 '. AFFlDA VIT 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 Judgrnent 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 Id day of V/JJ.l. .,20123 x ~./A-Ft:~...dSea1) Bruce Gauker ... (Seal) Sworn to and subscribed before me this W daYOf/YUj!J , 20613 . C#t: /, 1 Public Natalia! Seal KalhJ_ M. Lyle, NolaJy f'Ldo Upper p&'ion Twp.. Daupllin County My CommISSIon Ex;1:res Jul~! 25, 2000 Monwer. f'ennsyt;ania AssocialiOll Of Nofario8 ,. , -', ',. CERTIFICATE OF RESIDENCE The p~es to this transaction are {!AuyL. 0A v1luz N~e sbu1A tj'7A sirllIL7 tk/lfl.]X P,4 /7PYL Address 13t'Lur.- <>z GA t I ,{~ ~~S t./:'J, Sine-;- Ild;::-1J:< pI! //0]7- Address I certify that these are the last known addresses of the parties to this matter. BY'_t;;ikx 910 r ) r r;~ l. (' <;) -. ...,., - ..S> "" " - 11'< " ~ (" \ '\-' t:: ~ 00 '" .c. '- ~ ~ "" ........... r \"" \ -. .- r , 0 ct, .J.. ~ "' ...so C r r' ! ------- ('1 ~.~ ~"'\) i~' ,~ ....> C"' c':;:J. Cor' (--.,~ S:',;"; ."- o ...1 -' ~ ~,~- --,; rnf:'::' ~~;~,,\l~~ 1..../1 -, " ..n t') n _/, - (.n c.:' SJ .""~ - <f\ "'" ~-'- < ~ -;'~ . . :2 - ";;. '''' Erie Insurance Exchange In The Court of Common Pleas Cumberland County, Pennsylvania vs. NO.of-3Di~ ~. Iu- CIVIL ACTION - Bruce Gauker To Bruce Gauker, Defendant (s) You are hereby notifie~that on C)". ~ 15~:).tJ1J S ,20_, the following (Goeef) (~ (Judgment) has been entered against you in the above-captioned case. ~ Prothonot - . Date: ~. I>. ;? Ih':: I hereby certify that the name and address of The proper person (s) to receive this notice under Pa.. R. Civ. P. 235 is: Bruce Gauker 13 South 4th Street Halifax, P A 17032 f ~ r "0:>' ~ fJ ~\ .'i~ ~ \: - \ r ~~ . -.l \; ~ , .----- - gErie ~ Insurance@ Kerry J. Ritchey, CPCU, Ale Claims Manager BranctlOtlice . 4901 LOljise lJrive . Rossrnoyne Business Center. PO Box 2013 . Mpcl18flicsburg, PA 17055-0710 (717) 7%8200 . Toll F'ee 18003821304 . Fax (717) h"1523F-j . wv.,rwe!ielnsGr-ance,corr August 16,2005 Cumberland County Prothonotary Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Erie Claim # : Our Insured: Date of Loss: Defendant: No. and Term: 010170649867 Karl Paskevich 11-29-02 Bruce Gauker 05-3085 Dear Sir or Madam: I certify that the above-captioned Judgment is a result of a Motor Vehicle Accident. Sineere1y, '\Ij,,\(J1L C~~6&-~ kJ Sandra Goodling, AIC, AIS Subrogation Specialist 1-800-382-1304, Ext. 293 SG:car Tile ERII.=: Is Above Allin Service';" We commil, care and serve It's our true blue promise \\:, ~ \. . \, '- ';J C\ ~ '-"l "'. 'V 'I::: ~. ~ ~. (~;. ~- \ w B \. , r ~~ (,,- (i) c:) I Erie ~llnsurance@ Kerry J. Ritchey, CPCU, Ale Claims Manager BrWlch Office' ,1901 Louisc; Drive' Rossrnoync Business Center. P,O Box 2013 . MechanicsLurg. PA 17055-0710 (JOl) 19SB?OO . Toil FrPe 18003821304 . Fax (717) 7~.:jS2315 . IIVwweneinSlW1.llce.cOfn August 16, 2005 Cumberland County Prothonotary Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Erie Claim # : Our Insured: Date of Loss: Defendant: No. and Term: 010170649867 Karl Paskevich 11-29-02 Cheryl Gauker 05-3085 Dear Sir or Madam: I certify that the above-captioned Judgment is a result of a Motor Vehicle Accident. Sincerely, :~n J;, ,,-GbOC~_"- Sandra Goodling, ArC, AIS . Subrogation Specialist 1-800-382-1304, Ext. 293 SG:car The ERIE Is Al)Ove Allin Service'''' We commit. care and serve. It's our true blue promise , ~ lv -:Ii '" ( ., () ._._1 " ..... t> :-J (j L\ ~ '.(:, "" 't ~ ~ ~". ~ 'J ' . ~ )V J-. C) ~ ~j "