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Home My WebLink About05-4267 05'~ 4').. (., 7 ~ Jc/V"- JUDGMENT NOTE (place) ,Pennsylvania, 2-11-03 (date) ,$ 1446.04 (amount) }'ItH'n!:ln~ f""'f=lhn"l'"'g FOR VALUE RECEIVED, I/we promise to pay to the order of R,.,i P. TnRllrRn"" Rxchan,.e thesurn of One Thousand Four Hundred Forty-Six & 04/100 said sum to be payable said sum to be as follows: Fifty dollars, ($ so. 00 ) on the 1st day of MRrch 200'0 and Fifty dollars, ($ 50.00 ) on the 1 st . 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) (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 Ifwe 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 I1we further agree that said estate may be sold on a Fieri Faeias, and Ifwe do hereby waive and release all relief from any and all appraisement, stay of execution, exemption or bankruptcy laws of this or any 0 state now in force or hereafter to be passed. x 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. Further, I do hereby acknowledge that the damage incurred in the aeeident of 1-4-03 , 19 ,for which this note is given resulted from my negligence and fault, and I do hereby aCknOWledg~e and&waive my right to any hearing or trial..on that issue. DRIVER DATE OF BIRTH X J c '1 ~JV1 ~~ ~ (L.S.) DRIVER OPERATOR NO. x.jJ 0: 1b. en zaprya' OWNER DATE OF BffiTH (L.S.) OWNER OPERATOR NO. J ~ ~*~, ~ ~ t'. '\;:, ~ ~ ~~ ~ Q . ~ ...f::, :i> .......... '-1 ~ \ -b ')c:, ~ l \ ~ 1- N (\ () ~ v\ -.j. ~ -0 (' --i )'- ~:> ~ ~ 9- &;"\ ~...o ~::~ :i!: rt1~, ", (~ -Q,~" -\J r:;J :tt.,'...( %'\ - '.j', '(j'\'. ~. \:..,'?,.~.~?r'~ ':!..-.", "'.;"" - ''-/ .-' '......, :z... .'::;~\ b C, ;;: JQ 'y-~;. 0 ::..4. :2 - ~ -. ~ V \ @ - " Erie ~ Insurance@ Kerry J. Ritchey, CPCU, Ale ClairnsManager Branch Office' ,1901 Louise Drive' RossrYloync Business Center' . P,O Boy, 2013 . Mcchon;csbuf~J, PJ\ 170::)~J-ll71() (717) 79.582DO . Toll rfe,f; 1 80038213(]4 . Fax (717) 795_~::':~IS . wwwerieinsur,:'inCt;_corT1 January 23, 2006 Cumberland County Courthouse Prothonotary's Office One Courthouse Square Carlisle, PA 17013 Erie Claim # : Our Insured: Date of Loss: Defendant: No. and Term: 010170656814 Danielle Bucha l-4-03 Jen Zappia 05-4267 Dear Sir or Madam: I certify that the above-captioned Judgment is a result of a Motor Vehicle Accident. Sincerely, ( .'. ^ ( (\ r\ ' . .--) OJ\_dUdl ~) C;CxY. \0J'-',\ '~andra Goodling, AIC, AIS 'o__J Subrogation Specialist l-800-382-1304, Ext. 293 SG:car The ERIE Is Above Allin Service~. We commit, care and serve ir2 our true blue promise ~ Cl '. ) ~ ." L'." ~ i.\ \ ~ . .- ~ , . ........ "- \<'- ,,j "-J ~ r \.N '- ( ,~ VJ \X\ vJ "- ~~ '^\ ~ G ------- Danielle Bucha _ _ In the Court of Common Pleas of c~o Erie_Insurance --- -------- - ----------------------r~~ r-'-------- Cumberland County, Pennsylvania vs. Judgment in favor of Plaintiff on August _19 ~_ 2005 --J~-~P~-a------------------------------------ _____________ for 1,446.04 ------------------- 5-------- -------------------------a r 2005 / ----------------- ----- No. _42.hZ-- ---civil---- Term, ------ --------------------------------------------------- Entered ---~ugust__19r----------------- ._2005 __Danielle Bucha c[o Erie Insurance _ _______________________ ______ P-aintiff ---------------------------- - ------------- in the abo.•c Judgment, do appear and acknowledge that on this day have had and received and from __ Jen Zappia - ------------------------------------------------------------------------------- t]te defendant in the above Judo ^_nt, full payment and :aisfaction of t:tc same, with interest and costs, and desired that satisfaction therefore shall be entered upon the records thereof. . And further, I do hereby authorize and empower____ ~ll]~1i]..$_~:_Long._____________________________ --------------____-- theProthonotary of said Court, to appear ______fnr_ale________________________________ and in mY nstne and stead to enter full satisfaction upon the record of said Judgment, as fully and effectually, to all intents and purposes, as I . could were I personally present in person to do so. And for so doing this shall be your sufficient ~~•arrant of authority. In testimoay whereof, We have hereunto set our hands and seals this _____~,..1tIL__________________________ June day of --- ------------------------------------------~ A.D.~~_~ 0 _ CYLCi~~Y_ Smy_er _~_arrisburg_ ~l~ims Su~~isor State of Pennsylvania 1 ---------------------------------------------- (Seal) County of Cumberland, J} Penonall a eared before me the subscriber Christy Smyers Y PP , ------------------------------------------------------------- •---------------------------------------------------------------------------------------- the Plaintiff in the above Judgment, and in due form of law acknowledged the within and foregoing Posver of Attorney to satisfy the Judg- ment se. forth, to be an act and deed, and desired that tha sartc small be filed of record in the office of the Prothon- otary of the Court of Common Pleas of said County. Ia testimony whereof, I have hereunto set my hand and seal ~tiis _-___ 15th June 2009 O ,. n t n /~ ~~ day of --------------- ---------------------- A. D. --- '. l(„J ~,[.! ,J NOTARIAL SEAL--- ------ C)EF10RAti L LINGENFlLTER, NOltary~PL1b10 AAedranicsburg Baro, CuttlberlMd Q~MI~ My Commission Expirt„s OecemCer 23.2012 Danielle Bucha c/o Erie Insurance Group } Plaintiff } } } Jen Zappia } Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA No. OS-4267 PRAECIPE TO SATISFY JUDGMENT TO: PROTHONOTARY OF THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY Pursuant to the authority ganted to Erie Insurance Exchange in the Power of Attorney to Satisfy Judgment, attached and incorporated herein at Exhibit A, Erie Insurance Exchange, by its authorized representative, acknowledges full payment and satisfaction of the Judgment for $1,446.04, with interest and costs, in the above action. And pursuant to the authority ganted to Erie Insurance Exchange in the Power of Attorney at Exhibit A, please mark the Judgment "Satisfied." Respectfully submitted, ERIE INSLJRANC~ EXCHANGE By: wL. I Christy Smyers a risburg Claims Supervisor STATE OF PENNSYLVANIA } COUNTY OF CUMBERLAND } Personally appeared before me, Christy Smyers, the undersigned officer, who acknowledged himself (herself) to be the Agent of Erie Insurance Exchange, a corporation, and that he (she) as such officer, being authorized to do so, executed the foregoing instrument for the purpose therein on behalf of Erie Insurance Exchange. F IN TESTIMONY WHEREOF, I have set my hand and seal this 15`h day of June 2009.. COMMONWEALTH Ot= PENNSYLVANIA ' Notary Public NOTa„RAL SEAL DE60RAH L LINGtNF1LTER, Notary PutNic (SEAL) tdec~anicshurg Borg, Cumberland Cardgl My Comatission Expires Oecem6er 23, 2012 ~'ILCL~-':1r ~,C ~F THE w=',~~-}''~,'~,~T,~F?~ 20U9 .~I<!t# (7 f~I~ I I ~ ~~ C~l~,~~i:~_~ ~,:"iY