Ios

  • June 2020
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Naziv

________________________

Adresa ________________________ PIB

________________________

IZVOD OTVORENIH STAVKI NA DAN Poslovni partner Naziv

________________________

Adresa ________________________ PIB

________________________

Uvidom u našu evidenciju konstatovali smo da Vaši računi imaju sledeće stanje:

Broj računa

Datum

Pošiljalac izvoda

Valuta

Uplata

Duguje

Potražuje

Saldo

Potvrđujem saglasnost

_________________

_____________________

_________________

_____________________

Mesto i datum

Mesto i datum

Napomena: Osporavamo iskazano stanje u celini za iznos od _____________________ dinara iz sledećih razloga ______________________________________________________________________________ Ukoliko ne overite i ne vratite obrazac u roku od ________ dana po prijemu, smatraćemo da ste saglasni sa iskazanim stanjem.

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