2006 Code of Virginia § 8.01-436 - Form of confession of judgment

8.01-436. Form of confession of judgment.

On the presentation of any such power of attorney as is mentioned in 8.01-435 by any of the persons therein named as attorney-in-fact, or on thepersonal appearance of the debtor and the expression by him of his desire toconfess such judgment, the clerk of the court mentioned in such power ofattorney, or before whom such debtor shall so appear, shall draw and requirethe attorney-in-fact so appearing, or the debtor, as the case may be, to signa confession of judgment, which shall be in form substantially as follows:

"Virginia:Intheclerk'sofficeofthe..................
courtofthe.................................................................
of...........,I,(orwe)A.B.,(orA.B.andC.D.,etc.)herebyacknowledged
myself(orourselves)tobejustlyindebtedto,anddoherebyconfessjudgment
infavorof(nameofcreditor)inthesumof.........dollars($..
......)withinterestthereonfromthe............dayof..
........,twothousand............,untilpaid,andthe
costofthisproceeding(includingtheattorney'sfeesandcollectionfees
providedforintheinstrumentonwhichtheproceedingisbased)hereby
waivingthebenefitofmy(orour)homesteadexemptionsastothesame,
providedtheinstrumentonwhichtheproceedingisbasedcarriessuch
homesteadwaiver.
Givenundermy(orour)hand,this.........dayof.........
.........,twothousandand..................
(Signatures)
or,ifbyanattorney-in-fact,signaturesandsealsofdebtors,
By.............................
his(ortheir)attorney-in-fact."

(Code 1950, 8-360; 1977, c. 617.)