STIP

Name

Address

Telephone

E-Mail

Plaintiff in Proper Person or Attorney Name for Plaintiff (circle one)

COURT

COUNTY, NEVADA

) CASE NO.

)

Plaintiffs,) DEPT NO.

)

v.)

)

)

)

Defendants,)

)

STIPULATION AND CONFESSION OF JUDGMENT

1. and do hereby agree, stipulate,

confess and authorize the entry of judgment against each of them in the sum of $

plus interest at the rate of percent (%) per year from the date of entry, costs and

reasonable attorney’s fees if and in the event they do not fully pay the above mentioned sum pursuant

to the payment schedule described below. Any payments received by Plaintiff prior to default of the

below payment schedule shall be filed as partial satisfaction of this judgment.

2. This agreement, stipulation, confession and authorization for the entry of judgment is for

a debt justly due to Plaintiff which arose from money justly due and owing. After an opportunity to

consult with independent counsel, Defendants and

expressly stipulate and agree that the above mentioned sum is the previously agreed upon amount by

these parties and these fees are presently due and owing.

3. Payment Schedule: the Defendants shall deliver to Plaintiff the sum of $ by cash

or certified check made payable to Plaintiff ona (daily, weekly or monthly) basis with

each payment due on the following schedule and the parties hereto agree as follows:

PaymentsDueAmount

______

______

______

______

until paid in full. Each payment shall first be applied to the outstanding interest obligation with the

remainder applied to the unpaid principalamount. If, and in the event Plaintiff does not receive the

above mentioned payment pursuant to the above mentioned payment schedule, since time is of the

essence, Defendants, and each of them, expressly agree that upon the filing of this Stipulation and

Confession by Judgment may be filed with the above Court, judgment may be filed with the above

Court, judgment may be entered against them jointly and severally by the Clerk of this Court as outlined

above and that execution upon this judgment may be commenced immediately.

DATED: DATED:

PlaintiffDefendant

Defendant

STATE OF NEVADA)

) SS:

COUNTY OF )

, being first duly sworn, deposes and says: That he is the person who

executed the foregoing agreement, stipulation, confession and authorization and knows the contents

thereof and the facts stated therein are

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Understood by him and are true of his own knowledge.

SUBSCRIBED and SWORN to before

me on this day of , 2011.

NOTARY PUBLIC in and for said

County and State

STATE OF NEVADA)

) ss:

COUNTY OF )

, being first duly sworn, deposes and says: That he is the person who

executed the foregoing agreement, stipulation, confession and authorization and knows the contents

thereof and the facts stated therein are understood by him and are true of his own knowledge.

SUBSCRIBED and SWORN to before

Me on this day of , 2011.

NOTARY PUBLIC in and or said

County and State

STATE OF NEVADA)

) ss:

COUNTY OF )

, being first duly sworn, deposes and says: That is the person who

executed the foregoing agreement, stipulation, confession and authorization and knows the contents

thereof and the facts stated therein are

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understood by him and are true of his own knowledge.

SUBSCRIBED and SWORN to before

Me on this day of , 2011.

NOTARY PUBLIC in and or said

County and State

1