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Äîâåðåííîñòü
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Ãîðîä:__________________________________
Äàòà:__________________
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ß íèæåïîäïèñàâøèéñÿ(àÿñÿ)______________________________________
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_______________________________________________________________
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Ïðîæèâàþùèé(àÿ) ïî
àäðåñó:_____________________________________
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_______________________________________________________________
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Ïàñïîðò:
ñåðèÿ______ ¹ ____________ Âûäàí: " __ "/ __________ /____ã.
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_______________________________________________________________
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_______________________________________________________________
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Äîâåðÿþ:
_____________________________________________________
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Ïàñïîðò:
ñåðèÿ ______ ¹ ____________ Âûäàí:"___ " /_________ /_____ã.
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_______________________________________________________________
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_______________________________________________________________
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Ïðîæèâàþùåìó:
_______________________________________________
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_______________________________________________________________
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Ïðàâî
óïðàâëåíèÿ, àâòîìîáèëÿ (ò.ñ.) ïðèíàäëåæàùåãî ìíå
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íà îñíîâàíèè
ïàñïîðòà òðàíñïîðòíîãî ñðåäñòâà (ÏÒÑ) :
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Ñåðèÿ_____
¹____________ Âûäàíî"_____"/______________/ _______ã.
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Ñâèäåòåëüñòâî
î ãîñóäàðñòâåííîé ðåãèñòðàöèè (òåõïàñïîðò):
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Ñåðèÿ_____
¹____________ Âûäàíî"_____"/______________/ _______ã.
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Ñîñòîèò íà
ó÷¸òå:________________________________________________
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_______________________________________________________________
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¹ vin:_______________________________ Ãîä âûïóñêà:____________
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Ìàðêà:
______________________________ Øàññè:
___________________
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Öâåò: ____________________________
Ðåã/çíàê:__________________
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Äâèãàòåëü:
¹_______________
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Êóçîâ (êàëÿñêà):
________________________________________________
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Äîâåðåííîñòü
âûäàíà ñðîêîì íà _________________________áåç
ïðàâà
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äåéñòâèé
òðåáóþùèõ íîòàðèàëüíîãî çàâåðåíèÿ.
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Äàòà:
"_____"/ ______________/ _________ã.
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Ïîäïèñü
_______________________________________________________
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ÑËÓÆÁÀ
ÝÂÀÊÓÀÖÈÈ : 8 (495) 502-5225; 8(915)2222-321.
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