Fill and Sign the Judgment Confession Sample Form

Affidavit for Judgment by Confession for Money Due IN THE ___________ COURT OF ___________ (County), ___________ (State) _________________ (Name of Plaintiff) PLAINTIFF V. CAUSE NO. 000, 0000 _________________ (Name of Defendant) DEFENDANT Affidavit for Judgment by Confession for Money Due STATE OF ____________________ COUNTY OF _______________________ PERSONALLY appeared before me, the undersigned authority in and for said county and state, _________________ (Name of Defendant) , who, having been being first duty sworn by the undersigned Notary Public, deposes and says: 1. I am the Defendant in the above-entitled action. 2. I reside at ___________________________________________________ (street address, city, state, zip code) . 3. I, as the Defendant in the above-entitled action, confess judgment in this Court in favor of the Plaintiff, ______________ (Name of Plaintiff) , for the sum of $____________ and hereby authorize the Plaintiff or his heirs, executors, administrators, or assigns to enter Judgment for that sum against me. 4. This confession of judgment is for a debt justly due to the plaintiff arising out of the following facts: ___________________________________________________ (State facts out of which the debt arose and specifies that the sum confessed is justly due) . 5. This confession of judgment is not for the purpose of securing the Plaintiff against a contingent liability. ____________________________ (Printed Name of Affiant) ____________________________ (Signature of Affiant) SWORN to and subscribed before me, this the ____ day of _____________, 20____. _____________________________ NOTARY PUBLIC My Commission Expires: