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DOMNULE PRESEDINTE,
Subsemnatul(a) ………………., domiciliat(a) in ………………,
Reclamant(a), parat(a), apelant(a), intimat(a) etc. in dosarul nr. …….. in care s-a pronuntat sentinta civila (sau decizia civila) nr. …….. din …….. a acestei instante.
In temeiul art. 267 C. proc. civ., declar ca RENUNT LA CALEA DE ATAC, respectiv la …………… prevazuta de lege impotriva hotararii enuntate.
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Semnatura,
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DOMNULUI PRESEDINTE AL ……………………..
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