CERERE

pentru nscrierea modificrilor actului constitutiv i/sau statutului*)

*) Inclusiv schimbarea sediului persoanei juridice fr scop patrimonial.
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| 1. Persoana mputernicit pentru efectuarea procedurii:
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| - Numele/Denumirea ..................................................... |
| - Domiciliul/Sediul .................................................... |
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| 2. Denumirea persoanei juridice fr scop patrimonial .................. |
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| 3. Sediul:
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| - judeul .............................................................. |
| - localitatea .......................................................... |
| - adresa ............................................................... |
| - telefon .............................................................. |
| - fax .................................................................. |
| - e-mail ............................................................... |
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| 4. Modificarea se refer la ............................................ |
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| 5. Actul modificator: actul adiional autentificat de ...... sub nr. ... |
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din data de ..................
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| 6. Temeiul juridic al cererii: Ordonana Guvernului nr. 26/2000
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| 7. nscrisuri doveditoare:
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| - Actul adiional ............. exemplare
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| - Alte acte ............................
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| 8. Taxa judiciar de timbru ............. lei, conform ................. |
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| 9. Timbru judiciar .................. lei
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| 10. Data
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| 11. Semnatura
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