TABLE OF EXCLUSION RIGHTS Name and surname / Exclusion Address / Legal basis company or rights Object of Ordinal exclusion rights for exclusion creditor's exclusion number creditor exclusion rights VAT / tax rights headquarters rights creditor's number name Location and date _______________________
TABLE OF EXCLUSION RIGHTS Ordinal number Name and surname / company or exclusion rights creditor's name Exclusion rights creditor's VAT / tax number Address / exclusion rights creditor headquarters Legal basis for exclusion rights Object of exclusion rights Location and date _______________________