Fill and Sign the Confessed Judgment Form

Promissory Note With Confessed Judgment Provisions $____________________ _______________, 20____ For value received the undersigned, ___________________________________ _______________________________________ promises to pay to the order of __________________________________, ____________________________ Dollars, with interest at the rate of _________ per cent per annum, payable ________________________________________________________________ the principal to be due and payable as follows: ___________________________________ _____________________________________________________________________. Payments shall be made to holder at ___________________________________ or such other place as the holder may designate. Any holder hereof without notice to anyone may declare the entire debt due after ten days continuous default in the payment of any installment of principal or interest or in t he performance or observance of any covenant or condition contained in the mortgage securing this note. Upon such declaration the entire debt shall be immediately due and payable. Any attorney-at-law may appear in any court of record situated in the County where _______________________________ then reside or in the County where ________________________ signed this warranty and being in the Unites States at any time after the debt hereby evidenced shall become due, either at its stated m aturity or by declaration, and waive the issuing and service of process and confess judgment against the maker or makers, jointly and severally, in favor of the holder, for the amount then owing hereon, together with the costs of suit, and thereupon, release all errors and waive all right of appeal. ____________________________ Signature