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ODQ
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ODQ
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122

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GRVWDYHGLSORPDWVNLPSXWHP
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ODQ
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GUDYHPROLOMH]DNOHWRJSUHYRGLRFD]DPROMHQHGUDYH

ODQ
6XGVNDYODVWNRMRMMHXSXHQD]DPROQLFDELHGXQDGDMRMXGRYROMLXSRWUHEOMDYDMXL
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9ODVWNRMDSRGQRVL]DPROQLFXELHREDYLMHWHQDDNRWRWUDLRGDQXLRPMHVWXJGH
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ODQ
8VOXDMXQHQDGOHQRVWL]DPROMHQHYODVWL]DPROQLFDHVHGRVWDYLWLVOXEHQRMQDGOHQRMVXGVNRMYODVWLLVWHGUDYHSUHPDXWYUHQLPSURSLVLPDQMHQRJ]DNRQRGDYVWYD

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ODQ
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GUDYDQLNDNYDNDXFLMDQLGHSRQRYDQMHPDSRGNRMLPQD]LYRPWRELORQHPRHVHQDPHWQXWLELORVWRJDWRVXVWUDQFLELORXVOMHGWRJDWRQHPDMXGRPLFLODPMHVWDSUHELYDQMDXWRM
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124

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ODQ
8JUDDQVNLPLWUJRYDNLPSUHGPHWLPDGUDYOMDQLPDVYDNHRGGUDYDXJRYRUQLFD
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8GUDYDPDJGMHSRVWRMLVXGVNDSRPR]DDGPLQLVWUDWLYQHSUHGPHWHRGUHGEHSURSLVDQHXSUHGQMHPVWDYXSULPMHQMLYDHVHLQDSUHGPHWHNRMLVHQDOD]HSUHGVXGRYLPDQDGOHQLP]DWXPDWHULMX

ODQ
8 VYLP VOXDMHYLPD XYMHUHQMH L]MDYX R VLURPDWYX WUHED GD L]GDMX SULPDMX YODVWL
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125

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da se podnese.

ODQ
9ODVWQDGOHQDGDL]GDXYMHUHQMHGDSULPLL]MDYXRVLURPDWYXPRLHGDVHREDYLMHVWLRLPRYQRPVWDQMXPROLRFDNRGYODVWLRVWDOLKGUDYDXJRYRUQLFD
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LGDXFLOMXGRYROMQRJUD]MDQMHQMDWUDLGDMRMVHGDMXLGRSXQVNHLQIRUPDFLMH

ODQ
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NRQ]XOQMHJRYH]HPOMHSUHGDWLYODVWLQDGOHQRM]DUMHDYDQMHLVWHYODVWLNRMXR]QDLGUDYD
JGMHPROEDWUHEDGDVHLVSLWD
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VXGVNHSRPRL

ODQ
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ODQ
6LURPDQLGUDYOMDQLMHGQHRGGUDYDXJRYRUQLFDPRLHSRGLVWLPXVORYLPDNDRL
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ODQ
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126

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ODQ
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ODQ
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ODQ
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ODQ
6YDND GUDYD NRMD QLMH SUHGVWDYOMHQD QD VHGPRP ]DVLMHGDQMX .RQIHUHQFLMH PRH
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6YDNDGUDYDXJRYRUQLFDSRWSLVXMXLLOLUDWLNXMXLRYXNRQYHQFLMXSULVWXSDMXLMRM
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ODQ
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FORMULAR ZA PROSLJEIVANJE MOLBE

ZA DOBIJANJE SUDSKE POMOI
Konvencija o olakanju meunarodnog pristupa sudovima, potpisana u Hagu,
25. oktobra 1980. godine

Identitet i adresa organa zaduenog da

proslijedi molbu

Adresa organa zaduenog za prijem

Dole potpisani organ zaduen da proslijedi molbu ima ast da ovim dostavi Centralnom organu zaduenom za prijem molbu za dobijanje sudske pomoi, kao i njen aneks
(izjavu koja se odnosi na ekonomsku situaciju podnosioca molbe), shodno poglavlju I navedene konvencije.
Eventualno primjedbe koje se odnose na molbu i izjavu: Druge primjedbe:

Sainjeno u ___________________ , dana _________________________

Potpis i peat



FORMULAR KOJI SE ODNOSI NA MOLBU

ZA DOBIJANJE SUDSKE POMOI
Konvencija o olakanju meunarodnog pristupa sudovima, potpisana u Hagu,
25. oktobra 1980. godine
1.Ime i adresa podnosioca molbe za dobijanje sudske pomoi
2.Sud u kome je pokrenut treba da se pokrene spor (ako je poznat)
3.
a) predmet(i) spora; iznos spora, ako je potrebno;
b) u sluaju potrebe, broj dokumenata koji slue kao argumentacija i koji se odnose na pokrenuti spor na spor koji se namjerava pokrenuti;1*
c) ime i adresa protivne strane.*
4.rokovi i datumi u vezi sa sporom koji povlae pravne posljedice za podnosioca
molbe i kojima se dokazuje posebna hitnost u razmatranju molbe.*
5.Svaka druga korisna informacija*
6.Sainjeno u _____________________
7. Potpis podnosioca molbe

3UHFUWDWLQHSRWUHEQR



, dana _____________________

$QHNVPROEL]DGRELMDQMHVXGVNHSRPRL
IZJAVA KOJA SE ODNOSI NA EKONOMSKU
SITUACIJU PODNOSIOCA MOLBE
I. Lina situacija
1. Prezime (djevojako prezime, ako je potrebno)
2. Ime (a)
3. Datum i mjesto roenja
4. Dravljanstvo
5. a) stalno prebivalite (datum poetka stanovanja);
b) preanje stalno prebivalite (datum poetka i prestanka stanovanja)
6. Lini podaci (neoenjen/neudata, oenjen/udata, udovac/udovica, razveden/razvedena,
razdvojen/razdvojena)
7. Ime i prezime supruga(e)
8. Ime, prezime i datum roenja djece koju izdrava zainteresovano lice
9. Druge osobe koje izdrava zainteresovano lice
10. Dodatna obavjetenja o porodinoj situaciji
II. Finansijska situacija
11. Profesionalna delatnost
12. Ime i adresa poslodavca mjesto vrenja profesionalne djelatnosti
13.
Prihodi
zainteresovanog
supruga(e)
lica
a)

b)

c)
d)

e)

f)
g)

plata, nadnica
(ukljuujuci primanja
u naturi)
penzije, invalidske
penzije, izdravanja,
rente, doivotne rente
dodatak za nezaposlenost
prihodi od profesija
koje nisu pod stalnom
platom
prihodi od vrednosnih
papira i pokretne
imovine
prihodi od zem1jita i
nekretnine
drugi izvori prihoda

osobe koje zainteresovano lice

izdrava

_______________ _______________

_______________

_______________ _______________

_______________

_______________ _______________

_______________

_______________ _______________

_______________

_______________ _______________

_______________

_______________ _______________

_______________

_______________ _______________

_______________

140

14.
Nepokretna imovina
a)

(navesti vrijednost(i) i
izdatak(ke)
_______________

15.
Druga imovina

a)

zainteresovanog
lica

zainteresovanog
lica

(hartije od vrijednosti,
uea, potraivanja,
bankovni rauni,
komercijalni fondovi
itd.)
_______________

16.
Dugovanja i drugi nansij- zainteresovanog
ski izdaci
lica
a)

b)

c)

d)

pozajmice (navesti
prirodu, iznos koji
je ostao da se plati i
godinja/mjesena
plaanja)
_______________
obaveze izdravanja
(navesti mjesene
iznose)
_______________
stanarina (ukljuujui
trokove grijanja,
struje, gasa i vode)
_______________
drugi periodini izdaci
_______________

supruga(e)

osobe koje zainteresovano lice izdrava

_______________

_______________

supruga(e)

osobe koje zainteresovano lice

izdrava

_______________

_______________

supruga(e)

osobe koje zainteresovano lice

izdrava

_______________

_______________

_______________

_______________

_______________

_______________

_______________

_______________

17. Porezi na dodatak i doprinosi za socijalno osiguranje iz prethodne godine

18. Primjedbe zainteresovanog lica
19. U sluaju potrebe, broj dokumenata koji slue kao argumentacija
20. Ja dole potpisan(a), obavijeten(a) o krivinim posljedicama u sluaju lane izjave, potvrujem au da je ova izjava potpuna i tana.
21. Sainjeno u ________________________ (mesto)
22. Dana ___________________________________
23. (potpis zainteresovanog lica)

_______________
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141

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APOSTILLE
(Convention de la Haye du 5 octobre 1961)

1. Zemlja: ______________________________________________________________
Da je ova jedna isprava
2. potpisana od strane ____________________________________________________
3. u svojstvu ____________________________________________________________
4. snabdjevena peatom, igom____________________________________________
____________________________tvrdi________________________________________
5. u _____________________________
6. na dan __________________________
7. (naziv organa vlasti) ____________________________________________________
8. pod br.__________________________

9. Peat (ig):
_________________________

10. Potpis:
__________________________

_________________________________
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244

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