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- Original (As adopted by EU)
Council Regulation (EC) No 4/2009 of 18 December 2008 on jurisdiction, applicable law, recognition and enforcement of decisions and cooperation in matters relating to maintenance obligations
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Euro (EUR) Bulgarian lev (BGN) Czech koruna (CZK) Estonian kroon (EEK) Hungarian forint (HUF) Lithuanian litas (LTL) Latvian lats (LVL) Polish zloty (PLN) Romanian leu (RON) Swedish krona (SEK) Other (please specify ISO code): …
by … (surname and given name(s))
to … (surname and given name(s) of the person to whom the sum must actually be paid)
Person for whom maintenance is owed:
… (surname and given name(s))
…
(from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event)
Due date: … (dd/mm/yyyy)
Amount: …
Due date(dd/mm/yyyy) | Amount |
---|---|
Once a week
Once a month
Other (state frequency): …
From: … (dd/mm/yyyy)
Due day/date: …
If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated:
…
Indexation applicable as from … (dd/mm/yyyy)
Amount: …
Form of payment: …
…
…
Interest due as from: … (dd/mm/yyyy)
…
…
…
…
by … (surname and given name(s))
to … (surname and given name(s) of the person to whom the sum must actually be paid)
Person for whom maintenance is owed:
… (surname and given name(s))
…
(from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event)
Due date: … (dd/mm/yyyy)
Amount: …
Due date(dd/mm/yyyy) | Amount |
---|---|
Once a week
Once a month
Other (state frequency): …
From: … (dd/mm/yyyy)
Due day/date: …
If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: …
Indexation applicable as from … (dd/mm/yyyy)
Amount: …
Form of payment: …
…
…
Interest due as from: … (dd/mm/yyyy)
…
…
…
…
by … (surname and given name(s))
to … (surname and given name(s) of the person to whom the sum must actually be paid)
Person for whom maintenance is owed:
… (surname and given name(s))
…
(from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event)
Due date: … (dd/mm/yyyy)
Amount: …
Due date(dd/mm/yyyy) | Amount |
---|---|
Once a week
Once a month
Other (state frequency): …
From: … (dd/mm/yyyy)
Due day/date: …
…
If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: …
Indexation applicable as from: … (dd/mm/yyyy)
Amount: …
Form of payment: …
…
…
Interest due as from: … (dd/mm/yyyy)
…
…
…
…
The decision/court settlement provides that
… (surname and given name(s))
must pay the sum of …
to … (surname and given name(s)).
If the decision/court settlement concerns more than three maintenance claims, attach an additional sheet.
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