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FORM llA
WAIVER
EXPLANATION OF RIGHTS IN CONNECTION WITH SIGNING OF
INSTRUMENT CONTAINING CONFESSION OF JUDGMENT, AS
REQUIRED BY OPINION OF SUPREME COURT OF THE UNITED STATES.
The undersigned clearly and specifically understand that_ by signing the note above referred to, containing a Confession
of Judgment clause;
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2. We and each of us waive all right to notice and to have an opportunity to be heard prior to the entry of the
judgment on the Court records. understanding that the only method to challenge this judgment would be by proceedings
in Court to open or strike it, which proceedings would result in substantial attorneys fees which the undersigned would
have to pay. (Without such clause containing a Confession of Judgment the holder would have to file suite against
the undersigned which would give the undersigned an opportunity for a hearing whi::h the undersigned does not have by reason
of the Confession.)
The undersigned acknowledge receipt of a copy of this affidavit and certify that after reading and fully understanding
it, the undersigned have signed this affidavit intentionally, understandingly and voluntarily waiving all the above rights,
being willing to sign. such note despite the consequences set forth above.
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In the Court of Common Pleas of
Cumberland County, Pennsylvania
No. 0/- yc/ P7
Civil. 19
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To
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ALlorney for Plaintiff
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