CERERE

pentru înscrierea modificărilor actului constitutiv şi/sau statutului*)

*) Inclusiv schimbarea sediului persoanei juridice fără scop patrimonial.

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| 1. Persoana împuternicită pentru efectuarea procedurii: |
| - Numele/Denumirea ..................................................... |
| - Domiciliul/Sediul .................................................... |
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| 2. Denumirea persoanei juridice fără scop patrimonial .................. |
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| 3. Sediul: |
| - judeţul .............................................................. |
| - localitatea .......................................................... |
| - adresa ............................................................... |
| - telefon .............................................................. |
| - fax .................................................................. |
| - e-mail ............................................................... |
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| 4. Modificarea se referă la ............................................ |
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| 5. Actul modificator: actul adiţional autentificat de ...... sub nr. ... |
| din data de .................. |
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| 6. Temeiul juridic al cererii: Ordonanţa Guvernului nr. 26/2000 |
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| 7. Înscrisuri doveditoare: |
| - Actul adiţional ............. exemplare |
| - Alte acte ............................ |
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| 8. Taxa judiciară de timbru ............. lei, conform ................. |
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| 9. Timbru judiciar .................. lei |
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| 10. Data |
| 11. Semnatura |
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