US SPECIALTY INSURANCE COMPANY - PDF document

1 SUPREME COURT COUNTY OF Index
SUPREME COURT COUNTY OF Index No. U.S. SPECIALTY INSURANCE COMPANY Plaintiff AFFIDAVIT OF CONFESSION OF against JUDGMENT Defendant STATE OF NEW YORK } COUNTY OF ss.: --------------------- being duly sworn, deposes and says: that deponent is defendant herein. The defendant hereby confesses judgment herein and authorizes entry against defendant in the sum of $ _ Defendant resides at _ in the County of State of Defendant authorizes entry of judgement in County, New York, if said residence address is not in New York State. THIS CONFESSION OF JUDGMENT is for a debt justly to become due to the plaintiff arising from the follow - ing facts: THIS CONFESSION OF JUDGMENT is made for the purpose of securing the plaintiff against a contingent lia - bility arising by reason of the plaintiff executing, or causing to be executed, upon the request of the defendant, bond or undertaking in behalf of _ in the sum of Dollars, in favor of The People of The State of New York renewal thereof, and for the purpose of securing plaintiff against liability by reason of the execution of any bond or undertaking in continuation of, or in substitution for, the bond or undertaking and for the purpose of securing the per - formance of and by the defendant, of all the terms and conditions on the part of the defendant to be performed, of a certain written indemnity agreement executed and delivered by the defendant to the plaintiff, in connection with said bond or undertaking. Sworn to before me this ( L.S. ) day of ,20 -- The name signed must be printed beneath