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THE COURT OF COMMON PLEAS OF BUCKS COUNTY, PENNSYLVANIA CIVIL DIVISION COMPLAINT IN CONFESSION OF JUDGMENT Check in the amount of $22.00 made out to Prothonotary Original Complaint and Confession (Warrant of Attorney) with Exhibits One copy of Confession of Judgment (from the Exhibits) highlighting the Judgment Clause PLEASE DO NOT HIGHLIGHT THE ORIGINAL EXHIBITS. Certification of address for both Plaintiff and Defendant Affidavit on Non-Military Service (If Individual) Affidavit of non-consumer credit transaction Affidavit of Income (If Individual Complete copy of above filings for each defendant Complete copy of above filings or a facing page for your office PA. R.C.P. 236 Notice for each defendant Envelopes addressed and stamped to each defendant and to your office Money totals must match in the final wherefore clause of the complaint and in the confession of judgment American LegalNet, Inc. www.FormsWorkFlow.com THE COURT OF COMMON PLEAS OF BUCKS COUNTY, PENNSYLVANIA CIVIL DIVISION JUDGMENT BY CONFESSION 26.3 PRAECIPE FOR ASSESSMENT OF DAMAGES AND CONFESSION OF JUDGMENT TO THE PROTHONOTARY: Pursuant to the Warrant of Attorney contained in the Note, a copy of which is attached to the complaint filed is this action, I hereby confess judgment in favor of the plaintiff and against the defendant and assess damages as follows: Principal $ Interest $ Late Charges $ Attorney Fees (15%) $ Total $ Attorney for Defendant American LegalNet, Inc. www.FormsWorkFlow.com THE COURT OF COMMON PLEAS OF BUCKS COUNTY, PENNSYLVANIA CIVIL DIVISION VERIFICATION OF NON-APPLICABILITY OF GOODS AND SERVICES INSTALLMENT SALES ACT and AFFIDAVIT of NON-CONSUMER TRANSACTION I,, being duly sworn according to law, depose and state that I am a , that I have sufficient knowledge of the facts to make the Verification and that this Confession of Judgment does not Services Installment Sales Act, 69 P.S. Section 1101 et sec, nor is judgment being entered against natural persons in coin Pennsylvania rule of Civil Procedure 2950 (as amended July 1, 1996). I further state that this verification is taken subject to the penalties of 18 Pa. C.S.A. 4904 relating to unsworn falsification to authorities. BY: Revised: (07/24/17) American LegalNet, Inc. www.FormsWorkFlow.com