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DISTRICT COURT OF MARYLAND FOR ...................................................................................................... City/County
Located at......................................................................................Case No. ...............................................................
Court Address

.................................................................................... Name ....................................................................................
Address

(1) ...................................................................................
Name

vs. ....................................................................................
Address

....................................................................................
Plaintiff/Judgment Creditor

....................................................................................
Defendant/Judgment Debtor

(2) ....................................................................................
Name

.................................................................................... Address ....................................................................................
Defendant/Judgment Debtor

COMPLAINT FOR CONFESSED JUDGMENT (3-611)
Please enter a confessed judgment in the above captioned matter. The written instrument authorizing the confession of judgment for a liquidated amount is attached. The amount due is: $..................................... Amount authorized in note $..................................... Interest at .....................% from ..................................................... to ................................................ $..................................... Total amount to be confessed plus $..................................... Attorney's fees I solemnly affirm under the penalties of perjury that the matters and facts in the foregoing Complaint are true to the best of my knowledge, information and belief. I hereby certify that the instrument authorizing confession of the judgment was not executed by a buyer under the Retail Installment Sales Act, Commercial Law Article, §§12-601 to 12-636 of the Annotated Code of Maryland.

.................................................................................... Date .................................................................................... Signature of Attorney for Defendant .................................................................................... Address ....................................................................................
Telephone No.

.................................................................................... Signature of Plaintiff/Agent/Attorney/Attorney I.D. .................................................................................... Address .................................................................................... ....................................................................................
Telephone No.

JUDGMENT
Judgment entered as above prayed.

....................................................................................
Date

.................................................................................... Judge/Clerk

NOTICE TO DEFENDANT OF ENTRY OF CONFESSED JUDGMENT
You are notified that a Confessed Judgment was entered against you on ................................................ for the amount of $ ........................... plus attorney's fees of $ ................................ and costs of $ .............................. . You may file a Motion to open, modify or vacate the judgment with thirty (30) days after service of this Notice, stating the legal and factual basis for your defense to the claim. If the Court finds that there is a substantial and sufficient basis for an actual controversy as to the merits of the action, the Court shall order the Judgment by Confession opened, modified, or vacated and permit the defendant to file a responsive pleading.

....................................................................................
Date

....................................................................................
Clerk

DC/CV 3 (Rev. 8/2001)

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