Mẫu số 01- Bìa hồ sơ thi hành án dân sự

 

Phụ lục II

Mẫu số 01

(Ban hành kèm theo Thông tư số 04/2023/TT-BTP ngày 14 tháng 8 năm 2023 của Bộ Tư pháp)

 

CỤC (CHI CỤC) THI HÀNH ÁN DÂN SỰ..............         Vào sổ thụ lý thi hành án        Số:..................................       Ngày.....tháng.....năm......

CỘNG HOÀ XÃ HỘI CHỦ NGHĨA VIỆT NAM Độc lập - Tự do - Hạnh phúc

 

                      

HỒ SƠ THI HÀNH ÁN

Bản án, Quyết định số:.....................ngày.......tháng........năm.................................................................................

Của...........................................................................................................................................................................

Về việc......................................................................................................................................................................

Quyết định thi hành án số:...............ngày....... tháng....... năm.................................................................................

Chấp hành viên thi hành…………………………………………………………………………………………….............

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Người phải thi hành án Họ, tên....................................................................... Địa chỉ...................................................................... ...................................................................................... ……………………………………………………………. ……………………………………………………………. ……………………………………………………………. ……………………………………………………………..	Người được thi hành án Họ, tên..................................................................... Địa chỉ........................................................................ ............................................................................... ……………………………………………………………... …………………………………………………………….. ……………………………………………………………… ………………………………………………………………
Cho lưu trữ kể từ ngày…..tháng …..năm……                                                                                              THỦ TRƯỞNG CƠ QUAN THI HÀNH ÁN                                                                                           (Ký tên, đóng dấu)
CÁC KHOẢN PHẢI THI HÀNH ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................... ................................................................................ ................................................................................. ................................................................................. ................................................................................. ................................................................................. ................................................................................. ................................................................................. ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ............................................................................... ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ..................................................................................... ................................................................................... ....................................................................................... ................................................................................ ...................................................................................... ................................................................................. ……………………………………………………………..	KẾT QUẢ THI HÀNH ÁN ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ............................................................................... ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ............................................................................... ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ................................................................................ ………………………………………………………………

DANH MỤC TÀI LIỆU

 

SỐ TT	SỐ, NGÀY, THÁNG, NĂM CỦA VĂN BẢN, GIẤY TỜ	TRÍCH YẾU	BÚT LỤC	SỐ TRANG	GHI CHÚ
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