Съдия по вписваниятаДО
СЛУЖБА ПО ВПИСВАНИЯТА КЪМ
АГЕНЦИЯ ПОВПИСВАНИЯТА
/дата / подпис/
ЗАЯВЛЕН ИЕ
за периода от:.......................................................................
На основание чл. 47 от ПВ и във връзка с чл. 48 от 11В
От...............................................................................................................................................
/име, презиме, фамилия на заявител/
ЕГН........................................
....................................Адрес....................................................................................................
л.к.№...............................изд.на......................................................от.....................................
Моля, да ми бъде издадено удостоверение за тежести върху следния недвижим имот. а
именно:
...................................................................................сплощ от....................................кв.м.,
находящ се в тр./с./ ,.......................................................ж.к.”
”,
ул, ”.................................................................”..........№ ,......................................................бл
вх ет , ап...........................................................
местност ”................................................................................................................................. ”
имотен план №.............................................кад.л. №..............................................................
квартал”...........................................”,......................................масив......................................
парцел.................................................
При граници:
1./.......................................................................................................................................................................
2./.......................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......
3./......................................................................................................................................................................
Настоящият имот е собственост на:
1....................................................................................................ЕГН.....................................
2....................................................................................................ЕГН.....................................
3....................................................................................................ЕГН.....................................
4....................................................................................................ЕГН.....................................
5....................................................................................................ЕГН.....................................
6....................................................................................................ЕГН.....................................
Фирма....................................................ф.д. №/ЕИК............................................................./
Придобит от:
1
....................................................................................................................................................
ЕГН............................................................................................................................................
2....................................................................................................ЕГН.....................................
Прилагам:
1.........................................................................................................................................................................
2..................................................................................................................................................
3............................................................................................................................................
4.................................................................................................................................................
5.................................................................................................................................................
/попълва се номерацията от акта на Службата по вписвания/
Настоящето удостоверение ми е необходимо за да послужи
пред:...........................................................................................................................................................
Дата:/20...г.
С уважение,
1
413
92
