CNG HA X HI CH NGHA VIT NAM

c lp T do Hnh phc
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GIY Y QUYN
V/v lm th tc ct h khu

- Cn c B lut Dn s nm 2005.
- Cn c vo cc vn bn hin php hin hnh.
......., ngy...... thng...... nm 20...... ; chng ti gm c:
I. BN Y QUYN:
H tn:....................................................................................................................................
a ch:...................................................................................................................................
S CMND: ..............................Cp ngy: ............................Ni cp:..................................
Quc tch:................................................................................................................................
II. BN C Y QUYN:
H tn:..................................................................................................................................
a ch:.................................................................................................................................
S CMND: .................................Cp ngy: ............................Ni cp:...............................
Quc tch:............................................................................................................................
III. NI DUNG Y QUYN:
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IV. CAM KT
- Hai bn cam kt hon ton chu trch nhim trc Php lut v mi thng tin y quyn trn.
- Mi tranh chp pht sinh gia bn y quyn v bn c y quyn s do hai bn t gii quyt.
Giy y quyn trn c lp thnh 02 bn, mi bn gi 01 bn.
BN Y QUYN
BN C Y QUYN

XC NHN CA C QUAN NH NC C THM QUYN

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