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Plaintiffs Affidavit of Debtors Waiver of Rights

By executing this affidavit, the Plaintiff asserts that the Defendant is financially capable as of the signing of the document including the provision for judgment by confession. In this affidavit, the Plaintiff also presents details of the Defendant’s waiver.Download

Extracted Text for Proper Search

(6/02) IN THE COURT OF COMMON PLEAS OF MONTGOMERY COUNTY, PENNSYLVANIA 
 	
 	: 	 
 	
: 	 	
VS. : 
NO. 	
 	: 	 
 	
: 	 	
 
 
PLAINTIFF’S AFFIDAVIT OF DEBTOR’S WAIVER OF RIGHTS	
 
 
Commonwealth of Pennsylvania 
County of  ; ss 
 
  being duly sworn/affirmed according to law, deposes and 
says that he is a plaintiff/agent for plaintiff in the above captioned matter; that at the time of the signing 
of the document containing provision for judgment by confession in the said matter, the individual 
natural defendant(s) 
(  )  (1) 
 OR 
(  )    (2) 	
 (Check  one) 
 Earned more than $10,000 annually, 
 
If annual earnings are less than $10,000, did intentionally, understandingly, and 
voluntarily waive 
(a) the right to notice and hearing 
(b) the right of defalcation, i.e. the right to reduce or set off a claim by deducting a 
counterclaim 
(c) release of errors 
(d) inquest (to ascertain whether rents and profits of defendant’s real estate will be 
sufficient to satisfy the judgment within seven years) 
(e) stay of execution (if defendant owns real estate in fee simple within the county worth 
the amount to which the plaintiff is entitled, clear of encumbrances) 
(f) exemption laws now in force or hereafter to be passed 
(g) – 
The facts showing such waiver are: 
 
 
 
 
 
  Sworn to and Subscribed before me this 
 day of  , 20 . 
 
 
Notary Public   
  
Signature 
 
 
Title or Position
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