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Judgment Note
c: (/M " ~,... L.I'1N() . Pennsylvania
Dated: J'JII(, I ~ / D S-
ON DEMAND, I/we promise to pay to () ~"';1L() 4 0 /LHL.
its/their heirs/successors and assigns, the sum of
-r." rH'''s"""O r...."'H........q...AlOp,....r~F"~u./IOO ($ /0 -.~~ i!L-) Dollars without
defalcation, value received, without interest (eR at 1I.... ~..l... vf -.
{ 0'/0 ~ pir SIRt ,er lHHlUfll).
AND FURTHER, l/we do hereby authorize and empower the Prothonotary or any' Attorney of any Court of Record of Pennsylvania or
elsewhere to appear for an enter judgment against me/us for the above sum, with or without declaration, with costs of suit and reasonable attorney
fees, release of errou, without stay of execution, and I/we hereby agree not to make any motion or any application whatsoever to any Court for
an inquisition on any real estate that may be levied upon to coUect the aforesaid sum. and [/we voluntarily condemn same, and authorize the
Prothonotary to enter said voluntary condemnation upon the Writ of Execution and further hereby waive and release an relief from any and all
appraisements. stay or exemption laws of any State now in force or which are passed hereafter.
WAIVER
IN EXECUTING THIS NOTE, I/WE UNDERSTAND THE TRANSACl10N, AND KNOWINGLY AND VOLUNTARILY WAIVE
MY lOUR RIGHTS TO CON'IDT THE ENTRY OF THIS JUDGMENT AGAINST MEIUS IN COURT, AND DO HEREIIY CONSENT TO
THE ENTRY OF THIS JUDGMENT BY CONFESSION.
Witness my hand and seal the day and year first above written.
WITNESSES:
d:-f?t1cJ.
/' '
(SEAL)
(SEAL)
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF t:.l"rT IS .t.tl-.L..I'1""'P
Simultaneously with the execution of this affidavit this li of IJ 1/ (, "" $, ,- . ~ t1 ()~ I am/we are signing an"d
giving a judgment note in tne amount of $ / Q ~ s '! ~ obligating my/our real and personal estate as collateral for thai amount.
(Initials) _ _ pe
- ,
Representalives of 0 P ....... t9 " t? aIL /<f l
have explained to me/us that this Notice contains wording that will permit the entry of said judgment against melus. at the Court House whether or not
said note is in default, without notice to melus and without giving melus an opportunity to defend against the entry of judgment; and that tbe judgment
may be enforced by any legal means. . . ~----1., P 0
(Imltals) _ ~
In executing this note 1 am/we are knowingly, understandingly and voluntarily waiving my/out rights to resist entry of judgment against me/us at the
Court House and my/our tights to the confession O~I:~:1~dgme~p e
l/we certify that my/our annual income exceeds Ten Thousand ($10,000) Donars, tbat J am/we are not in the military service and that l/we have received
a fully executed copy of the Judgment Note. c-P e
(Initials)
4 S ISA.IA,.., ()f)../VL t:::.I1AL/~l..t. I'IP.
"I ~ 17'1'H ~r
. Pennsylvania r
Address of Debtor is
Pennsylvania, and the address of the Creditor is
.,
('....A~/.. I~ L C
a~ I! '/!C?J(
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(SEAL)
(SEAL)
"This form recommended and aPProved for. but not restricted to,
use by members of the Greater Harrisburg Board of REALTORS" ..
HJN 112 11/9]
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