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" دیباچه حقوقی " - نمونه برگ تقاضا نامه صدور اجراییه چك و رسید آن
پنجشنبه 21 شهریور 1392

نمونه برگ تقاضا نامه صدور اجراییه چك و رسید آن

   نوشته شده توسط: ندا ممبینی    نوع مطلب :نمونه فرم های قضایی ،

 

 

نمونه برگ تقاضا نامه صدور اجراییه چك و رسید آن

 

 

 

                                      

قوه قضائیه

 

 

تاریخ .........................                     

شماره .........................

پیوست ........................

 

 

 

400 ریال

 

 


تقاضا نامه صدور اجراییه چك (از ده هزار ریال بیشتر )

اجراییه ثبت ...............

 

 

 

 

 

چون چك شماره ............. به مبلغ ........... ریال عهده بانك .............. شعبه ............ كه به نام اینجانب ......... شهرت .............. دارای شماره شناسنامه ............ صادره از .............. ساكن ........................ از طرف (صادر كننده ) بانو / آقای ........................ شهرت ........... شناسنامه شماره .............. صادره از ....... ساكن .................................................. صادر/ ظهر نویسی شده طبق گواهی مورخ ..........بانگ برگشت و با ابلاغ اظهار نامه / اعتراض نامه و انقضاء ده روز ضرب الاجل مقرر در پرداخت وجه آن اقدام نكرده است لذا صدور اجراییه طبق مقررات مورد تقاضا است و در صورت امتناع از تادیه وجه چك درخواست بازداشت اموال مشار الیه را خواهم نمود .

اصل چك و گواهی بانك و اظهار نامه / اعتراض نامه ابلاغ شده پیوست است .

 

 

محل امضاء

 

هویت و صلاحیت درخواست كننده گواهی می شود .                  محل امضاء متصدی

 

 

درخواست صدور اجراییه نسبت به چك به شماره ............... عهده بانك ............ به مبلغ ........ریال صادره از ناحیه بانو/ آقای .............. شهرت ....... در تاریخ .......... از طرف بانو/ آقای .......... به اجرای ثبت ............ واصل گردید.

 

 

محل امضاء متصدی 


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