Bydgoszcz, dnia …………………….. roku
Wierzyciel:
…………………………..
…………………………..
PESEL ………………..
Dłużnik:
…………………………..
…………………………..
Komornik Sądowy
przy Sądzie Rejonowym w Bydgoszczy
Krzysztof Ścibich
ul. Poznańska 19/5a, 85-129 Bydgoszcz
o wszczęcie postępowania egzekucyjnego
W imieniu własnym, na podstawie załączonego tytułu wykonawczego stwierdzającego, że niniejszy tytuł uprawnia do egzekucji, wnoszę o wszczęcie przeciwko dłużnikowi postępowania egzekucyjnego w celu wyegzekwowania należności poprzez zajęcie i egzekucję z:
– wynagrodzenia za pracę dłużnika ……………………………………………………………………………………………………………………………
(nazwa, adres pracodawcy)
– ruchomości dłużnika …………………………………………………………………………………………………………………………………………………… (wymienić ruchomości, wskazać gdzie się znajdują)
– rachunku bankowego dłużnika w banku………………………………………………………………………………………………………………. (nazwa banku)
– wierzytelności dłużnika ……………………………………………………………………………………………………………………………………………… (podać jakie, imię, nazwisko/nazwa trzeciodłużnika)
– nieruchomości dłużnika ……………………………………………………………………………………………………………………………………………… (numer Księgi Wieczystej, położenie- adres, wielkość udziału)
inne……………………………………………………………………………………………………………………………………………………………………………………. (emerytura/renta/ pozostałe świadczenia/ inne prawa majątkowe)
Pomimo tego, że próbowałem załatwić niniejszą sprawę polubownie, dłużnik nie chce zapłacić zasądzonej przez Sąd kwoty, dlatego koniecznym stało się skierowanie niniejszej sprawy do egzekucji.
Egzekucja winna zmierzać do wyegzekwowania na rzecz wierzyciela od dłużnika odpowiednio następujących należności:
należności głównej ……………………………………………………………………………………..zł (wartość)
z zasądzonymi odsetkami od …………………………………………. do dnia zapłaty (data)
kosztów procesu ………………………………………………………………………………………… zł (wartość)
kosztów klauzuli …………………………………………………………………………………………. zł (wartość)
inne ………………………………………………………………………………………………………………… zł (wartość)
Wyegzekwowane należności proszę przekazywać na rachunek bankowy :
__ __ – __ __ __ __ – __ __ __ __ – __ __ __ __ – __ __ __ __ – __ __ __ __ – __ __ __ __
(numer rachunku) (nazwa banku)
Proszę o pisemne informowanie mnie o podjętych czynnościach egzekucyjnych i ich skuteczności.
Jednocześnie korzystam z prawa wyboru Komornika do którego złożyłem wniosek zgodnie z przepisami.
W związku z powyższym wnoszę jak na wstępie.
………………………….
podpis
________________________________________
Załączniki:
- Tytuł wykonawczy w oryginale.
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