Hợp Đồng Hủy Bỏ Hợp Đồng Ủy Quyền

Mu s 28-CC/UQ
CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc
----------------
HP NG
HY B HP NG Y QUYN
Ti Phng Cng chng s .. thnh ph H Ch Minh (Trng hp vic
cng chng c thc hin ngoi tr s, th ghi a im thc hin cng chng v Phng
Cng chng), chng ti gm c:
Bn y quyn (sau y gi l Bn A):

ng (B):..................................................................................................................
Sinh ngy:................................................................................................................
Chng minh nhn dn s:.......................cp ngy..................................................
ti.............................................................................................................................
H khu thng tr (trng hp khng c h khu thng tr th ghi ng k tm tr):.....
.................................................................................................................................
Hoc c th chn mt trong cc ch th sau:
1. Ch th l v chng:
ng : .......................................................................................................................
Sinh ngy:................................................................................................................
ti.............................................................................................................................
H khu thng tr: ...............................................................................................
.................................................................................................................................
Cng v l b: .........................................................................................................
Sinh ngy:................................................................................................................
ti.............................................................................................................................
H khu thng tr:................................................................................................
.................................................................................................................................
(Trng hp v chng c h khu thng tr khc nhau, th ghi h khu thng tr ca tng
ngi).
2. Ch th l h gia nh:
H v tn ch h: ....................................................................................................
Sinh ngy:................................................................................................................
1
Mu ny c ban hnh km theo Quyt nh s
ca y ban nhn dn thnh ph H Ch Minh.
123/2005/Q-UBND ngy 15 thng 7 nm 2005
Mu s 28-CC/UQ
ti.............................................................................................................................
H khu thng tr:................................................................................................
.................................................................................................................................
Cc thnh vin ca h gia nh:
- H v tn:..............................................................................................................
Sinh ngy:................................................................................................................
ti.............................................................................................................................
H khu thng tr:................................................................................................
.................................................................................................................................
* Trong trng hp cc ch th nu trn c i din th ghi:
H v tn ngi i din:........................................................................................
Sinh ngy:................................................................................................................
ti.............................................................................................................................
H khu thng tr:................................................................................................
.................................................................................................................................
Theo giy y quyn (trng hp i din theo y quyn) s: ..
ngy .do ..lp.
3.. Ch th l t chc:
Tn t chc: ............................................................................................................
Tr s: .....................................................................................................................
Quyt nh thnh lp s:.........................................ngy........thng ......nm.........
do ....................................................................................................................cp.
Giy chng nhn ng k kinh doanh s:.................ngy......thng.......nm.........
do ....................................................................................................................cp.
S Fax: ...............................................S in thoi:..............................................
H v tn ngi i din: .......................................................................................
Chc v: .................................................................................................................
Sinh ngy:...............................................................................................................
ti.............................................................................................................................
Theo giy y quyn (trng hp i din theo y quyn) s: ..
ngy .do ..lp.
Bn c y quyn (sau y gi l Bn B):
(Chn mt trong cc ch th nu trn)
....................................................................................................................................................
....................................................................................................................................................
2
123/2005/Q-UBND ngy 15 thng 7 nm 2005
Mu s 28-CC/UQ
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
.................................................................................................................................
Nguyn trc y hai bn A v B c k Hp ng y quyn c
chng nhn (chng thc)
ngy .. , s .... , quyn s ..Theo , Bn A
y quyn cho Bn B thc hin .
.................................................................................................................................
Nay hai bn ng hy b Hp ng nu trn vi cc ni dung sau y:
IU 1
NI DUNG THA THUN HY B
Ghi c th ni dung tha thun lin quan n vic hy b Hp ng y quyn: thanh
ton li tin,th lao, chi ph hp l m bn B b ra thc hin Cng vic c y quyn,
yu cu bi thng thit hi (nu c)...
.......................................................................................................................................................
IU 2
VIC NP L PH CNG CHNG
L ph Cng chng Hp ng ny do Bn..chu trch nhim np.
IU 3
PHNG THC GII QUYT TRANH CHP
Trong qu trnh thc hin Hp ng m pht sinh tranh chp, cc bn
cng thng lng trn nguyn tc tn trng quyn li ca nhau; trong trng
hp khng thng lng c, th mt trong hai bn c quyn khi kin yu
cu ta n c thm quyn gii quyt theo quy nh ca php lut.
IU 4
CAM OAN CA CC BN
Bn A v bn B chu trch nhim trc php lut v nhng li cam oan
sau y:
1. Vic giao kt Hp ng ny hon ton t nguyn, khng b la di
hoc p buc;
3
123/2005/Q-UBND ngy 15 thng 7 nm 2005
Mu s 28-CC/UQ
2. Thc hin ng v y tt c cc tha thun ghi trong Hp ng

ny;
3. Cc cam oan khc ...
IU 5
IU KHON CUI CNG
1. Hai bn cng nhn hiu r quyn, ngha v v li ch hp php ca
mnh, ngha v hu qu php l ca vic giao kt Hp ng ny;
2. Hai bn c Hp ng, hiu v ng tt c cc
iu khon ghi trong Hp ng v k vo Hp ng ny trc s
c mt ca Cng chng vin.
Hoc chn mt trong cc trng hp sau y:
- Hai bn c Hp ng, hiu v ng tt c cc iu khon ghi

trong Hp ng v k, im ch vo Hp ng ny trc s c mt ca Cng
chng vin.
- Hai bn c Hp ng, hiu v ng tt c cc iu khon ghi
trong Hp ng v im ch vo Hp ng ny trc s c mt ca Cng chng
vin.
- Hai bn nghe Cng chng vin c Hp ng, hiu v ng tt c
cc iu khon ghi trong Hp ng v k vo Hp ng ny trc s c mt ca
Cng chng vin.
cc iu khon ghi trong Hp ng v k, im ch vo Hp ng ny trc s
c mt ca Cng chng vin.
cc iu khon ghi trong Hp ng v im ch vo Hp ng ny trc s c
mt ca Cng chng vin.
Hai bn nghe ngi lm chng c Hp ng, hiu v ng tt
c cc iu khon ghi trong Hp ng v k vo Hp ng ny trc s c mt
ca Cng chng vin;
c cc iu khon ghi trong Hp ng v k, im ch vo Hp ng ny trc
s c mt ca Cng chng vin;
c cc iu khon ghi trong Hp ng v im ch vo Hp ng ny trc s
c mt ca Cng chng vin;
3. Hp ng ny c hiu lc t.....................................................................
Bn A
Bn B
(k, im ch v ghi r h tn)
(k, im ch v ghi r h tn)

4

123/2005/Q-UBND ngy 15 thng 7 nm 2005
Mu s 28-CC/UQ
LI CHNG CA CNG CHNG VIN

Ngy .. thng .. nm ...(bng ch....)
(Trng hp Cng chng ngoi gi lm vic hoc theo ngh ca ngi yu cu
Cng chng c thc hin ngoi gi lm vic, th ghi thm gi, pht v cng ghi bng ch
trong du ngoc n)
Ti Phng Cng chng s .. thnh ph H Ch Minh.

(Trng hp vic Cng chng c thc hin ngoi tr s, th ghi a im thc hin
Cng chng v Phng Cng chng)
Ti ., Cng chng vin Phng Cng chng s ...

thnh ph H Ch Minh
Chng nhn:
- Hp ng hy b Hp ng y quyn ny c giao kt gia Bn A
l. v Bn B l...; cc bn t nguyn tha
thun giao kt Hp ng v cam oan chu trch nhim trc php lut v ni
dung Hp ng;
- Ti thi im cng chng, cc bn giao kt Hp ng u c nng lc
hnh vi dn s ph hp theo quy nh ca php lut;
- Ni dung tha thun ca cc bn ph hp vi php lut, o c x hi;
- Cc bn giao kt c Hp ng ny, ng ton b ni dung ghi
trong Hp ng v k vo Hp ng ny trc s c mt ca ti;
Hoc c th chn mt trong cc trng hp sau y:
- Cc bn giao kt c Hp ng ny, ng ton b ni dung ghi
trong Hp ng v k, im ch vo Hp ng trc s c mt ca ti;

- Cc bn giao kt c li Hp ng ny, ng ton b ni dung ghi
trong Hp ng v im ch vo Hp ng trc s c mt ca ti;
- Cc bn giao kt nghe Cng chng vin c Hp ng ny, ng
ton b ni dung ghi trong Hp ng v k vo Hp ng trc s c mt
ca ti;
- Cc bn giao kt nghe Cng chng vin c Hp ng ny, ng
ton b ni dung ghi trong Hp ng ny v im ch vo Hp ng trc s
c mt ca ti;
- Cc bn giao kt nghe Cng chng vin c li Hp ng ny, ng
ton b ni dung ghi trong Hp ng v k, im ch vo Hp ng trc
s c mt ca ti;
c cc iu khon ghi trong Hp ng v k vo Hp ng ny trc s c mt
ca ti;
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123/2005/Q-UBND ngy 15 thng 7 nm 2005
Mu s 28-CC/UQ

c cc iu khon ghi trong Hp ng v k, im ch vo Hp ng ny trc
s c mt ca ti;
c cc iu khon ghi trong Hp ng v im ch vo Hp ng ny trc s
c mt ca ti;
- Hp ng ny c lp thnh ... bn chnh (mi bn chnh gm .....
t, ..trang), cp cho :
+ Bn A .. bn chnh
+ Bn B.. bn chnh
+ Lu ti Phng Cng chng mt bn chnh.
- S Cng chng .. , quyn s ..TP/CC- ....
Cng chng vin
(k, ng du v ghi r h tn)
6
123/2005/Q-UBND ngy 15 thng 7 nm 2005

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Mu s 28-CC/UQ

CNG HA X HI CH NGHA VIT NAM

Bn y quyn (sau y gi l Bn A):

123/2005/Q-UBND ngy 15 thng 7 nm 2005

123/2005/Q-UBND ngy 15 thng 7 nm 2005

123/2005/Q-UBND ngy 15 thng 7 nm 2005

2. Thc hin ng v y tt c cc tha thun ghi trong Hp ng

- Hai bn c Hp ng, hiu v ng tt c cc iu khon ghi

(k, im ch v ghi r h tn)

(k, im ch v ghi r h tn)

Mu ny c ban hnh km theo Quyt nh s

123/2005/Q-UBND ngy 15 thng 7 nm 2005

LI CHNG CA CNG CHNG VIN

Ti Phng Cng chng s .. thnh ph H Ch Minh.

Ti ., Cng chng vin Phng Cng chng s ...

trong Hp ng v k, im ch vo Hp ng trc s c mt ca ti;

123/2005/Q-UBND ngy 15 thng 7 nm 2005

Hai bn nghe ngi lm chng c Hp ng, hiu v ng tt

123/2005/Q-UBND ngy 15 thng 7 nm 2005

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