I, , the undersigned, hereby declare that the offer of compensation made on in the sum of is accepted in respect of injury incurred as a result of my participation in the non-marketing/conversion scheme introduced by Council Regulation (EEC) No 1078/77 (1) by acquiring land subject to the scheme and I expressly renounce any present or future claim in the matter, on my part or that of any of my assignees or beneficiaries, including any claim for interest or costs.
Spodaj podpisani/a,.., izjavljam, da se ponudba za odškodnino, z dne.. v znesku.. prizna za škodo, ki je nastala zaradi mojega sodelovanja v shemi ne-trženja/preusmeritve, uvedeni z Uredbo Sveta (EGS) št. 1078/77 [2] s pridobitvijo zemljišča, ki je predmet sheme, ter se izrecno odpovedujem kakršnemu koli trenutnemu ali prihodnjemu zahtevku v tej zadevi z moje strani ali s strani katerega koli mojega pooblaščenca ali upravičenca, vključno s kakršnim koli zahtevkom za obresti ali stroške.