پنجشنبه 21 شهریور 1392

نمونه برگ پایندان كیفری (برای كفالت )

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

 

 

نمونه برگ پایندان كیفری (برای كفالت )

 

 

تاریخ ..................

شماره .................

پیوست ................         

 

برگ پایندان كیفری

 

اینجانب ................. شهرت ......... كار ................. فرزند ............ دارای شناسنامه ............. شماره .......... ساكن بخش ........ خیابان ........ كوچه ................... خانه / مغازه پلاك شماره .......... كه دارایی من كفاف پرداخت مبلغ پایین را می نماید به موجب این برگ از این تاریخ تا پایان دادرسی و اجرای حكم از تن آقای / خانم .............. شهرت .............. فرزند ........... دارای شناسنامه .................. كفالت می نمایم كه هر وقت از مقامات صلاحدید از نامبرده را بخواهند او را تسلیم و هرگاه بر خلاف مندرجات این برگ رفتار نمودم متعهد هستم طبق ماده 136 مكرر آیین دادرسی كیفری همگان مبلغ .........ریال بدون درنگ كارسازی نمایم .

 

 

تاریخ .... ماه ........                                          جای امضاء  و مهر پایبندان

 

 

شماره .........................

اینجانب ............. كلانتر بخش ..... اعتبار پایندان و صحت مراتب بالا را گواهی می نماید .

 

 

جای امضاء و مهر كلانتر بخش

 

 

آقای ........ شهرت ..... فرزند ....... دارای شناسنامه شماره ..........در دفتر اسناد رسمی شماره ..........به مدلول مندرجات بالا اقرار نموده است .

 

تاریخ ....... ماه .......سال ......

 

جای امضاء و مهر دفتر خانه اسناد رسمی شماره ..............

 


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