T.C.

…………………. Executive Department Directorate

File Number :

provisional pledge deficit document
1-name, surname,address of the creditor :

2-name, surname,address of the debtor :

3-amount of receivables :

4-appreciated value of the Pledge :

5-Open according to The appreciated value

remaining amount :

This pledge deficit document in accordance with Article 150 / f of the enforcement and Bankruptcy Law……/……/……….. creditor in history…………………………………………. has been given.

(IIK m.150 / f)

……./……./……….

Executive Director

Seal and signature