Affidavit For Confession Of Judgment Page 2

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($
) Dollars, together with interest from the _______ day of
, ________,
plus costs and disbursements and do hereby authorize the Plaintiff or assigns to enter judgment
for said amount.
3.
That this confession of judgment is for a debt justly due or to become due to the
Plaintiff arising out of the following facts: Lease agreement dated
and
payment agreement dated
.
Sworn to before me this
_______ day of ________________, ________.
_______________________________________
NOTARY PUBLIC
A:64
This form provided free of charge from
74 Main St., PO Box 31, Akron, NY 14001, Phone: (716) 542-5444,

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