Bydgoszcz, dnia ……………roku
Sąd Okręgowy w Bydgoszczy
X Wydział Cywilny Rodzinny
ul. Nowy Rynek 12
85-131 Bydgoszcz
Powód/ka: ……………………
Pozwany/a: ……………………
Sygn. akt X C …………………
WNIOSEK
O PRZESŁANIE PRAWOMOCNEGO WYROKU
Działając w imieniu własnym ja……………………………… zwracam się z prośbą o przesłanie na mój adres dwóch odpisów prawomocnego wyroku, który zapadł w przedmiotowej sprawie – po jego uprawomocnieniu się.
……………………………
Złączniki: opłata w kwocie 20 złotych.
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