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第三人陳報扣押薪資債權或聲明異議狀(Third Party Seizure of Salary or Statement of Objection Form)

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  • 最後更新日期:108-9-18
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第三人陳報扣押薪資債權或明異議狀

Third Party Seizure of Salary or Statement of Objection Form

請郵寄或傳真至法務部行政執行署臺南分署

股別:

案號:     年度      字第        

義務人:

Please mail or fax to Tainan Branch, Administrative Enforcement Agency, Ministry of Justice

Section:

Case Number:    

Obligor:

第三人陳報或聲明狀

Third Party Form

請選擇適當之框格打V / Please put a tick in the appropriate box.

如有補充陳述,請載於備註欄/Please insert the supplemental statements in the “Note” section, if any.

 

義務人現為本公司(商號)員工,依照執行命令自       月起扣薪。

The obligor is a current employee of this company.  In accordance with the enforcement order, the employee’s salary has been seized since [date].

 

義務人對本公司(商號)之薪資債權現僅有新台幣  元,且已於         日離職,自      月起無從扣押。

The obligor only has NT$[*] in salary that has been seized by the company, and he/ she has left the company on [date].  Starting on [date], there are no other means to seize any further amounts .

 

義務人曾為本公司(商號)員工,但已於        日離職,無從扣押。

The obligor was an employee of the company but has left the company on [date].  There are no other means to seize any money.

 

本公司(商號)查無義務人此一員工,無從扣押。

The obligor has never been an employee of the company.  There are no means to seize any money.

 

義務人每月薪資新台幣    元,業經        分署以   年度   字第     號執行命令扣押,扣押命令到達本公司(商號)時間為           日。 

The obligor has a monthly salary of NT$[*] that has been seized by ______ Branch pursuant to  seizure order [order no.-], which was delivered to the company on [date].

 

義務人每月薪資新台幣    元,業經     法院以   年度  字第     號執行命令扣押,扣押命令到達本公司(商號)時間為             日。 

The obligor has a monthly salary of NT$[*] that has been seized by ______ Court pursuant to seizure order [order no.-], which  was delivered to the company on [date].

備註Note

 

     

 

聲明人:                              簽名蓋章

地址:

電話:

中華民國                                

Applicant: [signature/seal]

Address:

Telephone:

Date

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