The Supreme Court ( )…… THE CHAIRMAN OF THE DEPARTMENT
To Be Sent,
………………….. TO THE JUDGES OF THE COURT
FILE NO. :
ON APPEAL PROMPT
SITUATED :
Deputy (if any) :
DEFENDANT :
Deputy (if any) :
COMMUNIQUE OF THE RESOLUTION
HISTORICAL :
ISSUE : ……………. Of the court ……/….. E ……/…… Numbered K
………….. and the appeal of his dated decision is a request.
INSTRUCTIONS :
Conclusion and prompt: explained above and will be considered if you are
into consideration the deterioration of the decision of the Local Court from your apartment to be determined
I respectfully request it. (Date)
Name and surname
Signature