O EXCELENTSSIMO SENHOR DESEMBARGADOR ANTNIO PESSOA

CARDOSO, CORREGEDOR DAS COMARCAS DO INTERIOR.

______________________________________________________, brasileiro(a),
(nome completo)

____________________, ______________________________________, portador(a) do RG n.

(estado civil)

(profisso)

______________, inscrito no CPF sob o n. _______________________, residente e

domiciliado(a) __________________________________________________________________
(endereo completo para contato)

_______________________________________________________________________________,
(complemento do endereo)

(cidade e estado da federao)

CEP :______________________________, vem perante Vossa Excelncia, com base no art.

89, inciso IV do Regimento Interno do Tribunal de Justia do Estado da Bahia, apresentar a
presente

REPRESENTAO

contra__________________________________________________________________________
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( indicar o nome do magistrado ou servidor do Poder Judicirio)

pelos fatos e fundamentos de direito que passar a expor:

I DOS FATOS:

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II DO DIREITO:
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III DO PEDIDO:
Ante o exposto, requer a esta Corregedoria das Comarcas do Interior sejam apurados os
fatos acima narrados, instaurando-se o competente processo administrativo disciplinar
para aplicao da penalidade cabvel e prevista em lei para a espcie.
Para demonstrao do alegado, requer a produo de todos os meios de prova em direito
admitidos.
Termos em que,
Pede deferimento.
______________________,____,_____________, _______________
(local)

(dia)

(ms)

___________________________________________
(assinatura)

(ano)