TO THE CHAIRMAN OF THE DEPARTMENT OF THE SUPREME COURT ( )……
To Be Sent
TO THE …….. COURT
FILE NUMBER :
REQUESTING AN APPEAL
SITUATED :
ATTORNEY(If any) :
DEFENDANT :
ATTORNEY(If any) :
NOTIFICATION OF THE DECISION
DATE :
ISSUE : ……………. Of the court ……/….. E ……/…… Numbered K
………….. and the appeal of his dated decision is voluntary.
INSTRUCTIONS :
CONCLUSION and STATEMENT: The above explained and re’sen will be considered
taking into account the considerations, the decision to overturn the decision of the local court should be taken from your apartment
i respectfully request it. (Date)
Name and Surname
Signature