REDDİYAT MAKBUZU

Takip Kodu:

T.C.

……………………………..İcra Dairesi                                                                                 Örnek No : 39

……………………………… Mahkemesi                                                                                    Seri No:

                                                                                                                                              Sıra No:

                                                                                                                                              Reddiyat No:                                                       

Dosya No                               :  ……………………………………..

Borçlunun adı, soyadı            :  ……………………………………………………………………………………….

Alacaklının adı, soyadı          :  ……………………………………………………………………………………….

İban no su                              :  ……………………………………………………………………………………….

R E D D İ Y A T   M A K B U Z U

Yukarıda (*) …………………………………………………………………………………… lira……………………………………… kuruş…………………………………. alıcı ………………’nın banka hesabına aktarılmıştır.

                                                                                                                      ………/……./……..

                                                                                                                      Mühür ve İmza

İHTAR  : (*) Lira ve Kuruş yazı ile yazılacaktır.