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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.6<br />

FORMULAR<br />

Cerere de transfer direct pentru cauza de moarte<br />

Numele si prenumele fostului titular _____________________________________________________________________________<br />

Cod numeric personal ________________________________ Certificat de deces seria ________ nr. ________________________<br />

eliberat de ______________________________________________ la data de _________________<br />

Domiciliul _________________________________________________________________________________________________<br />

Numele si prenumele noului titular _____________________________________________________________________________<br />

Cod numeric personal ________________________________ Act de identitate seria __________ nr. ________________________<br />

eliberat de ______________________________________________ la data de _________________<br />

Domiciliul _________________________________________________________________________________________________<br />

Numar de instrumente financiare care se transfera (_______________________________________________________________)<br />

Documente anexate cererii:<br />

- Certificat mostenitor / certificat de legatar nr. _________________<br />

- Declaratie de impartire a instrumentelor financiare mostenite 19 (in original) din data de ________________<br />

- Certificat de deces: seria _______________ nr _________________<br />

- _______________________________<br />

- _______________________________<br />

Data: __________________<br />

Semnatura<br />

Data in fata mea,<br />

Numele si prenumele ________________________________________<br />

Societatea _________________________________________________<br />

Stampila<br />

_________________________________________________________________________________________________________<br />

19<br />

Noi, mostenitorii din certificatul de mostenitor / certificatul de legatar nr. ____________din _________________<br />

eliberat de _____________________________________________________intelegem sa impartim instrumentele financiare lasate noua mostenire<br />

de _______________________________________________________________________dupa cum urmeaza:<br />

1. Nume, prenume, domiciliu, BI, CNP, primeste x actiuni/obligatiuni emise de _____________________________________________________<br />

2. ......

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