HomeMy WebLinkAbout05-5387
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JUDGEMENT NOTE
Mechanicsburl!
, Pennsylvania, 01.06.2005
, $7846.02
FOR VALUE RECEIVED, I/we promise to pay to the order of Erie Insurance Group
the sum of Seven Thousand Eil!ht Hundred Forty-six and 02/100 said sum to be
payable said sum to be as follows: Fifty dollars, ($50.00) on the ~day of Februarv
2005 and Fifty dollars, ($50.00) on the 1st day of every month thereafter until the entire
amount is paid in full,
Iiwe 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. RC.P. 2951 (a) (1) with or without declaration, with costs of
suit, interest at the rate of6% 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 furthpr 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,
(L.S,)
(L.S.)
This note is given executed without duress or coercion and with full and complete HAR 0 7 ?aos
understanding that upon failure to make payment as agreed, that my operating privileges
may be suspended,
Further, I do hereby acknowiedge that the damage incurred in the accident of
10,09,2004, 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.
DRIVERDATEOFBIRTHX 1-;2S&X ~
DRIVER OPERATOR NO. X .1<;513,'317 '7
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(L.S.)
OWNER DATE OF BIRTH l',J-.S -f:5
OWNER OPERATOR NO. S"',..r/r_
(L.S,)
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Erie Insurance Group
In The Court of Common Pleas
Cumberland County, Pennsylvania
vs,
0,
NO, 05- S3.7 ~ lu-.
CIVIL ACTION -
Brandon Rogers
To Brandon Rogers, Defendant (s)
You are hereby notified that on
acT';"_, l'l ,200.;' , the following (Order) (Decree)
(Judgment) has been entered against you in the above-captioned case.
Date: (!Ja,/,w /1 ;2005,'
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I hereby certify that the name and address of
The proper person (s) to receive this notice under
Pa.. R. Civ. p, 235 is:
Brandon Rogers
922l Hasting Dr
Apt 204
Manassas VA 20110
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ERIE,
KERRY J, RITCHEY, CPCU, AIC
Claims Manager
ERIE INSURANCE GROUP
Branch Office. 4901 Louise Dr. . Rossmoyne Business Center. P.O. Box 2013 .. Mechanicsburg. PA 17055 0710
(717) 795-8200' Toll Free 1-800-382-1304' Fax (717) 795-2315' wwwerieinsurance,com
December 20, 2005
Cumberland County Prothonotary
Cumberland County Courthouse
I Courthouse Square
Carlisle, Pa. l7013
Erie Claim No.: Ol0170774990
Erie Insured: John Gleim
D/Accident: 10-9-04
Defendant: Brandon Rogers
No. & Term: 05-5387 Civil Term
Dear Prothonotary:
I certify that the above-captioned judgment is as a result of a motor vehicle accident.
Sincerely,
~~~
Louella Sanders, A.LC.
Subrogation Specialist II
cc: file
The ERIE Is Above Allin SERViCE"", . Since 1925
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