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委任書(Power of Attorney)

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  • 最後更新日期:108-9-18
  • 資料點閱次數:3313

行政執行事件委任狀

Power of Attorney – Administrative Enforcement

    委任人因貴分署   年度   字第     號等行政執行事件,委任受任人為代理人,有為一切行政程序行為之權,並有行政程序法第24條第3項但書、民事訴訟法第70條第1項但書及第2項所列各行為之特別代理權。

        The undersigned appointor hereby appoints the appointee as its agent for matters relating to the administrative enforcement case no. [--], and the agent shall have all rights and powers to execute and carry out any administrative procedural acts for such case, including all acts requiring special authorization listed in Part 3 of Article 24 of the Administrative Procedure Act, and Parts 1 and 2 of Article 70 of the Code of Civil Procedure.

  謹  呈

法務部行政執行署臺南分署 公鑒

Respectfully submitted to Tainan Branch, Administrative Enforcement Agency, Ministry of Justice.

 

委任人:             (親筆簽名及蓋章)    

身分證字號或統一編號:

聯絡電話:

住址:

Appointor:                                                   (Signature and seal)

I.D. Card Number or Uniform Business No.

Telephone:

Address:

法定代理人:             (親筆簽名及蓋章)    

身分證字號:

聯絡電話:

住址:

Legal Representative:                                               (Signature and seal)

I.D. Card Number or Uniform Business No.

Telephone:

Address:

受任人:             (簽名蓋章)        

身分證字號或統一編號:

聯絡電話:

住址:

Appointee:                                                   (Signature and seal)

I.D. Card Number or Uniform Business No.

Telephone:

Address:

中 華 民 國       年      月      日

Date:

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