HomeMy WebLinkAbout01-4992010170501383 DJ
(a) Where Judgment is confessed:
James Fickes
Manuel A. Raudales-Avendano
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
CIVIL ACTION - LAW
NO. Ot- ~/?q.L ~3~TERM 19
TO Manuel A. Raudales-Avendano , Defendant (s):
You are hereby notified that on ~o~a- a 7 ~o! ,1~
Judgment by confession had been entered against you in the sum of $ 3,490.32
in the above captioned case.
Dated: ~.~ g ~ ol.o l, ~_
I
I hereby certify that the following is the address of the Defendant (s)
stated in the Certificate of Residence:
2205 Cedar Run Dr. Apt. A
Camp Hill, PA 17011
JUDGMENT NOTE
Mechanicsburg ,Pennsylvania, Dec. 6, 2000 ,$ 3,490.32
(place) (date) (amount)
FOR VALUE RECEIVED, I/we promise to pay to the order of Erie Insurance
the sum of Three Thousand Four Hundred & Ninety dollars and 32/100.
said sum to be payable said sum to be as follows: One Hundred
dollars, ($100.00 )onthe 1st dayof January
2030 and
One Hundred dollars, ($100.00 ) on the 1st 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 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 further 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 lawsfio~ this o~ ,any other state now ~n force or hereafter to be passed.
(L.S.)
(L.S.)
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 accident of
July 7 ,11912000 , 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 BIRTH x ,O-[ / ZS [ ~C) (L.S.)
DRIVER OPERATOR NO. X
OWNER DATE OF BIRTH (L.S.)
OWNER OPERATOR NO.
Name
Address
I cer~ th~ these are the last known addresses of the parties to this matter.
X
By:
STEVEN L. METZLER, AIC, AiM
Branch Claims Manager
ERIE INSURANCE GROUP
Branch Office · 4901 Louise Dr. · Rossmoyne Business Center · RO Box 2013 · Mechanicsburg, PA 17055-0710
(717) 795-8200 · Toll Free From Pennsylvania Only 1-800-382-1304 · Fax (717) 795-2315
November 6, 2001
Cumberland County Prothonotary
Cumberland County Courthouse
South Hanover Street
Carlisle, PA 17013
Our Claim No.: 010170501383
Our Instlred : James Fickes
Date of Loss: 07-07-00
Defendant: Manuel Alex Raudales-Avendano
No. and Term: 01-4992 Civil
Dear Sir:
I certify that the above-captioned Judgment is a result of a
Motor Vehicle accident.
DJ/lmj
Sincerely,
Subrogation Specialist
The ERiE Is Above All In sERvIcE,, . Since 1925