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MEGHATALMAZS

Alulrott ...........................................................................................................................................(nv)
................................................................................(Szl.hely, id)..........................................................
(Anyja neve)..................................................(Szem.ig.szm).................................................................
......................................................................(lakcm) meghatalmazom ................................................
.............................................................(nv)........................................................... (Szl.hely, id)
.............................................................(Anyja neve).....................................................(Szem.ig.szm)
.............................................................................................................................................(lakcm),
hogy helyettem s nevemben vezeti engedlyemet a Debreceni Jrsi Hivatal Okmnyirodai
Osztlyn tvegye.
Kelt................................................................

............................................................

............................................................

Meghatalmaz

Meghatalmazott

Elttnk mint tank eltt:


1. Nv:............................................................
....................................................................
Szl.hely, id:....................................................
Szem.ig. szm:..................................................
Lakcm:..............................................................
Alrs:........................................................
2. Nv:............................................................
Szl. hely, id:...................................................
Szem.ig. szm:..................................................
Lakcm:..............................................................
Alrs:..............................................................

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