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Activitatea COMISIEI în perioada 01.02.2008-0 - CNVM

Activitatea COMISIEI în perioada 01.02.2008-0 - CNVM

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Anexa VI.2<br />

FORMULAR<br />

pentru inscrierea/radierea mentiunilor de garantie reala mobiliara sau financiara<br />

in sistemul Depozitarului Central<br />

Numele si prenumele/denumirea debitorului ______________________________________________________<br />

Act de identitate seria ______________ nr. _____________________<br />

Cod Numeric Personal _______________________________________________________________________<br />

Numar de inregistrare in Registrul Comertului _____________________________________________________<br />

Cod Unic de Inregistrare ___________________________________<br />

Domiciliul/sediul ____________________________________________________________________________<br />

Prin prezenta solicit inscrierea/radierea mentiunilor de garantie reala mobiliara/garantie financiara in sistemul depozitarului<br />

Central (a se sublinia modificarea solicitata), cu grad de prioritate _________ asupra unui numar de _____________________<br />

actiuni/obligatiuni (a se sublinia/completa instrumentele financiare, obiect al garantiei), avand valoarea nominala de<br />

_____________________ lei, emise de S.C. _________________________________________________________________,<br />

pentru garantarea unei obligatii de plata de ________________ lei, asumate in favoarea creditorului<br />

_____________________________________________.<br />

Documentele anexate cererii:<br />

1. ___________________________________________________________________________________<br />

2. ___________________________________________________________________________________<br />

3. ___________________________________________________________________________________<br />

4. ___________________________________________________________________________________<br />

Nume:______________________Prenume:______________________<br />

Semnatura:_____________<br />

Data: _______________<br />

Calitatea_____________________<br />

____________________________<br />

Stampila<br />

(pentru persoane juridice)<br />

Va rugam sa ne transmiteti confirmarea inscrierii/radierii garantiei reale mobiliare la:<br />

fax ___________________<br />

adresa _______________________________________________________<br />

_________________________________________________________________________________________________________

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