Xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxx xx xxxxxxx *rtf (xxxxxxxx xxxxxxx) xxx xxxxxxxxx xxxxxxxx této xxxxxxx.
Xxxxxx/Xxxxxxx úřad *)....................................................................................
Xxxxx ..............................................................................................................................
X.x. ..............................................................................................................................
X .......................................... xxx ..........................................
Xxxxxx/Xxxxxxx xxxx *)
....................................................................
XXXXXXXX
x xxxxxxxx
Xxxxxx/Xxxxxxx úřad *).......................................... odbor ..........................................
xx xxxxx §13 xxxx. 1 xxxxxxxxx xxxx xxxxxxxx x Xxxxxx xxxxxxxxx xxxxxx
xxxxxxxxx úkonu ..............................................................................................................................
xxxxx xx xxx xxxx xxxxxxx xxx x xxxxxxxx nebo x xxxxxxxxxx xxxxxxx, xxxxx xxxxx by xxxxxx xxxxxxx xxxxx.
Xxxxxxxxxx:
§68 xxxx. 3 xxx. xxxx ..............................................................................................................................
........................................................................................................................................................................
........................................................................................................................................................................
Xxxxxxx x xxxxxxxx:
Xxxxx xxxxxx xxxxxxxx xx xxxxx xxxxxxx (§76 odst. 2 x xxxx. 5 xxx. xxxx).
xxxxxx razítko - xxxxx
..................................................................
xxxxx, xxxxxxxx x xxxxxx oprávněné xxxxxx xxxxx
*) Xxxxxxxx xx xxxxxxxx