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HomeMy WebLinkAbout06-0831 td? '?3/ c~d JUDGMENT NOTE MechanicsburQ (place) , Pennsylvania, Januarv 13. 2005 (date) , $ 2.858.40 (amount) FOR VALUE RECEIVED, I/we promise to pay to the order of F:ri~ InsnrAn~~ GrOllj) the sum of Two thousand eight hundred fi ftv-~i ght and 40/100 said sum to be payable said sum to be as follows: Two hundred dollars, ($ 200.00 )onthe l"t day of Fphn'Ary 20 0') and Onp- hllndred dollars, ($ 100.00 ) on the lRt 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 tbe 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 OC_b~;'o/;:hmfu=OC_fuOO~ ~.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 , 19 ,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. / .0t DRIVER DATE OF BIRTH DRIVER OPERATOR NO. l/n/7f{ I J..<)~!J..s 3 b'i: (L,S,) Sf";W1t' OWNER DATE OF BIRTH OWNER OPERATOR NO. (L.S,) (~ c-' 0 r:~::' c~ Co..:;) -n '~.' .... '"" .-' ~ '" til c:; - CJ -0 -" - t<~ f'.' (.J'. 010170783874 SG CERTIFICATE OF RESIDENCE I hereby request the Prothonotary to enter the within Judgment against: Kyle Spriggle 20 East Coover Street Apartment B Mechanicsburg, PAl 7055 Defendant Defendant within names, the last named address of the Defendant or Defendants being as shown above, and I hereby certify that the precise address of the Judgment Creditor is: Brenda Becker c/o Erie Insurance Group P.O. Box 2013 Mechanicsburg, PA 17055 Plaintiff ~dtd )dtlA , Sandra Goodling Subrogation Specialist ,? DISCLOSURE FOR CONFESSION OF JUDGMENT If We , Erie Insurance Group ,T;:mul'lry , 20..ns., a Judgment Note for , am executing this 13 th day of Two thousand eight hundred fifty-pient ~nn 40/100 ($ 2,858.40) DOLLARS, obligating me to repay that amount. INITIALS: \,,-'1'1-<;' INITIALS: Ie It has been explained to me by representative of the Erie Insurance Group that the Note contains wording that may permit them or their attorneys to enter Judgment against me at the Courthouse, whether or not said Note is in default, without notice to me and without offering me an offering me an opportunity to defend against the Entry of Judgment, and that the Judgment may be collected by any legal means. INITIALS: ,'{~- )( INITIALS : In executing the Note, If We am knowingly, understandingly, and voluntarily waiving any rights to resist the Entry of Judgment against me at the Courthouse, and am coknting to the Confession of Judgment. INITIALS: 1<'1+ 5 IC 0\~(~,C/~,*j INITIALS : COMMONWEALTH OF PENNSYLVANIA Notarial Seal MaIy J. Goofier, Notary Public Silver Spong Twp.. Cumberland Coonty My Commission Expires Nov. 17. 2007 Member, PennsylvaniA Association Of Notaries 0ArJUl\Rj 3 ~ dOO;-- - , AFFlDA VIT TO ACCOMPANY JUDGMENT NOTE Being duly sworn according to law, the undersigned jointly and severally depose and say that: 1. I/We are over twenty-one years of age, not within the military service of the United States and its allies nor otherwise within the civil relief provision of the Soldiers and Sailors Civil Relief Act of 1947 as amended. 2, I/We have delivered to Erie Insurance a Judgment Note containing a confession of judgment to secure certain payment obligations. 3. I/We understand that a confession of judgment allows for the entry of a judgment by confession against them and that said judgment encumbers all real estate that they own. 4. The note is not related to a consumer credit transaction. IN WITNESS WHEREOF and intending to induce Erie Insurance to complete the transaction ~rovided, the undersigned have affixed their hands and seals on this "3 I <;;1:. day of . \~NJ~ ,200S- G - /~ I/? /0 ~ (Seal) Sworn to and subscribed before me this 31 ~ day Of'5ArJJAci- ~ , 200':: , Gf.),QPu~ ~ COMMONWEALTH OF PENNSYLVANIA Notarial Seal Mal)' J. Gouffer, Notaty Public Silver Spong Twp., Cumbe~and Coonty My Commission Expires Nov. 17,2007 Member, Pennsylv~nia Association Of Notanes I certify that my annual incom((exceedstiS less than) TEN THOUSAND and OO/IOO DOLLARS, that the blanks in this disclosure were filled in when I initialed and signed it, and that I received a copy at the time of signing. ;?J(1f7 Date: 1/3)/O~- I f ACKNOWLEDGMENT Commonwealth of Pennsylvania ) County of r.uN\&'tR-~ ~ ss: Before me, the undersigned Notary, personally appeared ~ '? I r ~. S pl?~~ I E- o"'! SA,vJ~3~do''- , whose initials appear above, and who acknowledges nder oath that they execu e above Disclosure for ConfessIOn of Judgment together With the ConfessIOn of Judgment Note referred to in the First Paragraph of the Disclosure on this date. (SEAL) COMMONWEALTH OF PENNSYLVANIA NoIaria! Seal Mary J, Gouffer. Notary Public Silver Spring Twp.. CUmberland County My commisS\OO expires Nov, 17. 2007 Membef. Peflo&vlvania A.soc!slion Of Notaries ~~.J'A/&J No Pu 1 My commission expires on the V)~ day of ,,)ovfn<l3cA , 2(k)'l ' "- V'; "- ~ ,~ , *. r::'"' r"',~ C' It,. .;,~ ~ ~ & \.l' , (,c...l -'I' "'- ",--, ~ '(\ Ij ...., ,-' ~ ,-, -.' ~ r-q \--\1~.~ \. 'r, c.J "- '\ - i-~ "- '0 '- ~ C' ~ , '....i " -J '- ~ <::. ""' "" r - !> ~ ~ ~ "' \',,:: ~ '\J 1" :>~ ~ -, t.,;', ~ \J n _ _12_r_".rl[I.'! _ _~ l'_C ke,r_ _, ___ _ _hnnh'_ _, _ sJ.Q__f..x. i_e __In.s llrJio.c.e_ _GLD.ll.p_,_ _ ,_ __ ___ ,.,/ J" f In the Court of Common 'Pleas of Cumberland County, Pennsylvania VS. ____l5y.!_e.n~P_r::LgR1!'_____ __ n____n _unn_nm Judgment in favor of Plaintiff on _l=l3::f_QQ.l2__nn for $2+8.5.8 . 40 ------------------------------------------~Zf~------ No, _0.6.=-..831 Term, 192.0115 Entered ___ _ _ ________..____________________ 19______ .- - ---- --- - - - - -- - - - - --- - - - - - - - - - - - - - - - - - - - - - - -- - -- -- - - - - - -- ---- -- - - -- - - - ----- _. - -- -- --___ __ _ _ __ ____ _ Plaintiff in the :lboyc Judgm~nt, do appc.:n and acknov".ledge that on this day have had and received and from _ nnn n __ n nn _ _n nISy_t<:', nS_I1_r_izz_l ?n_ n _ _ n_ _n n n uu ____ __nm_nn_n__n___n_n_n_h___ the def~ndant in the above Judgm~r!t, full payment and ~aisfaction of t~c S:J.r.le, with interest and costs, :.nd desired that satisfaction therefore shall be entered upon the records thereof. And further, I do hereby authorize and empower -____ku.x.t.ia._R.__L.o,oZ.__PLD_ta.Qn.QJ:_<!_rShn_ theProthonotary of said Court, to appear ____j~.Q_(_Jn.e____.______________u_____________ and in my n3.me 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 warrant of authority. In testimony whereof, we have hereunto set our hands and seals this ______2_Ild_____n___n____h_________ day of ______~p~____,_________________,__,__,___,___, A.~~, D_~h nL..Jf(,~!l (Seal) Christ. rs, Claims SupervisQr --'-----------'---------------,-------__,_____ (~eal) Harrisburg Branch State of Pennsylvania County of Cumberland, } - --- -- -- - ---- --- ------- ----------- -- - - -- ---- --- (Seal) Personally appeared before me, the subscriber, _______Gh.r.is.J:..y__SJD.y..eLs___.~_____________________________ ----------------------------------------------------------------------------..-- .- ------ -- - - - - --- --- - - ---- -- ----- --- --- - - - - - - - -- - -- - -- - - - -- -- -- - ----- - --- ---- .--- - - - - - -- -- ------------------------------------------------------------------------------- the Plaintiff in the above Judgment, and in due form of law acknowledged the within and foregoing Power of Attorney to satisfy the Judg- ment se~ forth, to be act and deed, and desired that th.:: sam~ sh::tll be filed of record in the office of the Prothon- otaty of the Court of Common Pleas of said County. In testimony whereof, I have hereunto set myhand and day of --'JiAA.r-4.h___h,________________ n_'_m__ NOtNllAL IlEAL IlBIOIWlL I.IllllEIHl.1ER 511ll1. nl j , ........ "lfIlItl lINI IIIr llIMiIIII-Elil*II Dill Ih. 22. seal this _____~!!~_.______________________________ _c:L~_IJ,* -~- (Seal) ".""""",,, _...,,",~__._ ,...... ',.", ....."._ ~k ',_' ,A;.w ;A~.tC~ ~~;iI::r If'f:C~ JHi H~ID~'; ""~>()~l\'" ~1o'!i,;(,;.i~..n.roRl1.'\~~' ~ .JI.<~ is 16di1'I<<itCmYj.-.::i flJMf1$'"M.'~ ,",~i ~...-,,,,..,--~.........,..__...._,- .....'>.~'.._~...~." f'....' ,- (':~ - ... . POWER OF ATTORNEY AUTHORIZING SATISFACTION OF JUDGMENT IN THE COURT OF COMMON PLEAS Cnmbprl "n~ COUNTY, PENNSYLVANIA Rrpnoa Becker : No, 06 831 Term 19 700') C/o E r i e Ins u ran C e G r 0 uP: Debt $ 2.858.40 vs. Entered 1 -1 3-0') Kyle Spriggle Having received from Kyle Spriggle the full amount of the debt, interest and costs of the above judgment T do hereby authorize, empower and direct the Prothonotary of Cumberland County to enter satisfaction of the same on the records, Witness hand and seal this A.D.I9 ------ x Attest Claims Supervisor, AlC State of Pennsylvania SS: County of f1,.., b~ to lAnd.... Before me an Ii. ~ en t duly commissioned and sworn, personally came the above named (i ), t'/$ f'f 0rY">Ue I-S being the identical person, or authorized Officer of Company or Corporation named as Plaintiff in the above case, who in due form of law acknowledged the above Power of Attorney to be the same might be recorded as such. act and deed, and to the end that Witness my hand and seal this .2 ~day of l1AtoC ), NOTARIAL IlEAL DEIIOIIlMl L l.IIl8Rl.lER. NalIIy NIIc ....lk I 11_. Cwl_1Ind C8uIf:y .., 11- _ " ' n flqIIII& 0ICIlmbIr 22. 2llIlI 02dd~ A.D. ," ~, ..,J," en .' ,<\ i,:l~!~,." l ,.' ,r:'''4~' ~ ~~',.:"~', ~",,:J~ !;~,\t' ~,~,:;,:'t>"1":U "~IG'.!: ~ '.:';~""-~' "