http://www.legislation.gov.uk/id/eur/2009/4

ANNEX I EXTRACT FROM A DECISION/COURT SETTLEMENT IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS NOT SUBJECT TO PROCEEDINGS FOR RECOGNITION OR A DECLARATION OF ENFORCEABILITY

(Articles 20 and 48 of Council Regulation (EC) No 4/2009...

IMPORTANT

1.NATURE OF THE DOCUMENT

2.COURT OF ORIGIN

2.1.Name: …

2.2.Address:

2.3.Telephone/Fax/E-mail: …

3.CLAIMANT(S)

3.1.Person A

3.1.1.Surname and given name(s): …

3.1.2.Date (dd/mm/yyyy) and place of birth: …

3.1.3.Identity number or social security number: …

3.1.4.Address:

3.1.5.Has benefited from

3.1.5.1.legal aid:

3.1.5.2.exemption from costs and expenses:

3.1.5.3.free proceedings before an administrative authority listed in Annex X...

3.2.Person B

3.2.1.Surname and given name(s): …

3.2.2.Date (dd/mm/yyyy) and place of birth: …

3.2.3.Identity number or social security number: …

3.2.4.Address:

3.2.5.Has benefited from

3.2.5.1.legal aid:

3.2.5.2.exemption from costs and expenses:

3.2.5.3.free proceedings before an administrative authority listed in Annex X...

3.3.Person C

3.3.1.Surname and given name(s): …

3.3.2.Date (dd/mm/yyyy) and place of birth: …

3.3.3.Identity number or social security number: …

3.3.4.Address:

3.3.5.Has benefited from

3.3.5.1.legal aid:

3.3.5.2.exemption from costs and expenses:

3.3.5.3.free proceedings before an administrative authority listed in Annex X...

4.DEFENDANT(S)

4.1.Person A

4.1.1.Surname and given name(s): …

4.1.2.Date (dd/mm/yyyy) and place of birth: …

4.1.3.Identity number or social security number: …

4.1.4.Address:

4.1.5.Has benefited from

4.1.5.1.legal aid:

4.1.5.2.exemption from costs and expenses:

4.1.5.3.free proceedings before an administrative authority listed in Annex X...

4.2.Person B

4.2.1.Surname and given name(s): …

4.2.2.Date (dd/mm/yyyy) and place of birth: …

4.2.3.Identity number or social security number: …

4.2.4.Address:

4.2.5.Has benefited from

4.2.5.1.legal aid:

4.2.5.2.exemption from costs and expenses:

4.2.5.3.free proceedings before an administrative authority listed in Annex X...

4.3.Person C

4.3.1.Surname and given name(s): …

4.3.2.Date (dd/mm/yyyy) and place of birth: …

4.3.3.Identity number or social security number: …

4.3.4.Address:

4.3.5.Has benefited from

4.3.5.1.legal aid:

4.3.5.2.exemption from costs and expenses:

4.3.5.3.free proceedings before an administrative authority listed in Annex X...

5.TERMS OF THE DECISION/COURT SETTLEMENT

5.1.Currency

5.2.Maintenance claim

5.2.1.Maintenance claim A

5.2.1.1.The maintenance is to be paid

5.2.1.2. Amount to be paid in one sum

5.2.1.3. Amount to be paid in instalments

5.2.1.4. Sum to be paid regularly

5.2.1.5. Amount due retroactively

5.2.1.6. Interest (if specified in the decision/court settlement)

5.2.1.7. Payment in kind (please specify): …

5.2.1.8. Other form of payment (please specify): …

5.2.2.Maintenance claim B

5.2.2.1.The maintenance is to be paid

5.2.2.2. Amount to be paid in one sum

5.2.2.3. Amount to be paid in instalments

5.2.2.4. Sum to be paid regularly

5.2.2.5. Amount due retroactively

5.2.2.6. Interest (if specified in the decision/court settlement)

5.2.2.7. Payment in kind (please specify): …

5.2.2.8. Other form of payment (please specify): …

5.2.3.Maintenance claim C

5.2.3.1.The maintenance is to be paid

5.2.3.2. Amount to be paid in one sum

5.2.3.3. Amount to be paid in instalments

5.2.3.4. Sum to be paid regularly

5.2.3.5. Amount due retroactively

5.2.3.6. Interest (if specified in the decision/court settlement)

5.2.3.7. Payment in kind (please specify): …

5.2.3.8. Other form of payment (please specify): …

5.3.Costs and expenses

If additional pages have been attached, state the number of...

Done at: … on: … (dd/mm/yyyy)

Signature and/or stamp of the court of origin:

…

ANNEX II EXTRACT FROM A DECISION/COURT SETTLEMENT IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS SUBJECT TO PROCEEDINGS FOR RECOGNITION AND A DECLARATION OF ENFORCEABILITY

(Articles 28 and 75(2) of Council Regulation (EC) No 4/2009...

IMPORTANT

1.NATURE OF THE DOCUMENT

2.COURT OF ORIGIN

2.1.Name: …

2.2.Address:

2.3.Telephone/Fax/E-mail: …

3.CLAIMANT(S)

3.1.Person A

3.1.1.Surname and given name(s): …

3.1.2.Date (dd/mm/yyyy) and place of birth: …

3.1.3.Identity number or social security number: …

3.1.4.Address:

3.1.5.Has benefited from

3.1.5.1.legal aid:

3.1.5.2.exemption from costs and expenses:

3.1.5.3.free proceedings before an administrative authority listed in Annex X...

3.2.Person B

3.2.1.Surname and given name(s): …

3.2.2.Date (dd/mm/yyyy) and place of birth: …

3.2.3.Identity number or social security number: …

3.2.4.Address:

3.2.5.Has benefited from

3.2.5.1.legal aid:

3.2.5.2.exemption from costs and expenses:

3.2.5.3.free proceedings before an administrative authority listed in Annex X...

3.3.Person C

3.3.1.Surname and given name(s): …

3.3.2.Date (dd/mm/yyyy) and place of birth: …

3.3.3.Identity number or social security number: …

3.3.4.Address:

3.3.5.Has benefited from

3.3.5.1.legal aid:

3.3.5.2.exemption from costs and expenses:

3.3.5.3.free proceedings before an administrative authority listed in Annex X...

4.DEFENDANT(S)

4.1.Person A

4.1.1.Surname and given name(s): …

4.1.2.Date (dd/mm/yyyy) and place of birth: …

4.1.3.Identity number or social security number: …

4.1.4.Address:

4.1.5.Has benefited from

4.1.5.1.legal aid:

4.1.5.2.exemption from costs and expenses:

4.1.5.3.free proceedings before an administrative authority listed in Annex X...

4.2.Person B

4.2.1.Surname and given name(s): …

4.2.2.Date (dd/mm/yyyy) and place of birth: …

4.2.3.Identity number or social security number: …

4.2.4.Address:

4.2.5.Has benefited from

4.2.5.1.legal aid:

4.2.5.2.exemption from costs and expenses:

4.2.5.3.free proceedings before an administrative authority listed in Annex X...

4.3.Person C

4.3.1.Surname and given name(s): …

4.3.2.Date (dd/mm/yyyy) and place of birth: …

4.3.3.Identity number or social security number: …

4.3.4.Address:

4.3.5.Has benefited from

4.3.5.1.legal aid:

4.3.5.2.exemption from costs and expenses:

4.3.5.3.free proceedings before an administrative authority listed in Annex X...

5.TERMS OF THE DECISION/COURT SETTLEMENT

5.1.Currency

5.2.Maintenance claim

5.2.1.Maintenance claim A

5.2.1.1.The maintenance is to be paid

5.2.1.2. Amount to be paid in one sum

5.2.1.3. Amount to be paid in instalments

5.2.1.4. Sum to be paid regularly

5.2.1.5. Amount due retroactively

5.2.1.6. Interest (if specified in the decision/court settlement)

5.2.1.7. Payment in kind (please specify): …

5.2.1.8. Other form of payment (please specify): …

5.2.2.Maintenance claim B

5.2.2.1.The maintenance is to be paid

5.2.2.2. Amount to be paid in one sum

5.2.2.3. Amount to be paid in instalments

5.2.2.4. Sum to be paid regularly

5.2.2.5. Amount due retroactively

5.2.2.6. Interest (if specified in the decision/court settlement)

5.2.2.7. Payment in kind (please specify): …

5.2.2.8. Other form of payment (please specify): …

5.2.3.Maintenance claim C

5.2.3.1.The maintenance is to be paid

5.2.3.2. Amount to be paid in one sum

5.2.3.3. Amount to be paid in instalments

5.2.3.4. Sum to be paid regularly

5.2.3.5. Amount due retroactively

5.2.3.6. Interest (if specified in the decision/court settlement)

5.2.3.7. Payment in kind (please specify): …

5.2.3.8. Other form of payment (please specify): …

5.3.Costs and expenses

If additional pages have been attached, state the number of...

Done at: … on: … (dd/mm/yyyy)

Signature and/or stamp of the court of origin:

…

ANNEX III EXTRACT FROM AN AUTHENTIC INSTRUMENT IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS NOT SUBJECT TO PROCEEDINGS FOR RECOGNITION OR A DECLARATION OF ENFORCEABILITY

(Article 48 of Council Regulation (EC) No 4/2009 of 18...

IMPORTANT

1.DATE AND REFERENCE NUMBER OF THE AUTHENTIC INSTRUMENT: …

2.NATURE OF THE AUTHENTIC INSTRUMENT

2.1.Instrument formally drawn up or registered on: … (dd/mm/yyyy)

2.2.Competent authority:

3.CREDITOR(S)

3.1.Person A

3.1.1.Surname and given name(s): …

3.1.2.Date (dd/mm/yyyy) and place of birth: …

3.1.3.Identity number or social security number: …

3.1.4.Address:

3.2.Person B

3.2.1.Surname and given name(s): …

3.2.2.Date (dd/mm/yyyy) and place of birth: …

3.2.3.Identity number or social security number: …

3.2.4.Address:

3.3.Person C

3.3.1.Surname and given name(s): …

3.3.2.Date (dd/mm/yyyy) and place of birth: …

3.3.3.Identity number or social security number: …

3.3.4.Address:

4.DEBTOR(S)

4.1.Person A

4.1.1.Surname and given name(s): …

4.1.2.Date (dd/mm/yyyy) and place of birth: …

4.1.3.Identity number or social security number: …

4.1.4.Address:

4.2.Person B

4.2.1.Surname and given name(s): …

4.2.2.Date (dd/mm/yyyy) and place of birth: …

4.2.3.Identity number or social security number: …

4.2.4.Address:

4.3.Person C

4.3.1.Surname and given name(s): …

4.3.2.Date (dd/mm/yyyy) and place of birth: …

4.3.3.Identity number or social security number: …

4.3.4.Address:

5.CONTENTS OF THE AUTHENTIC INSTRUMENT

5.1.Currency

5.2.Maintenance claim

5.2.1.Maintenance claim A

5.2.1.1.The maintenance is to be paid

5.2.1.2. Amount to be paid in one sum

5.2.1.3. Amount to be paid in instalments

5.2.1.4. Sum to be paid regularly

5.2.1.5. Amount due retroactively

5.2.1.6. Interest (if specified in the authentic instrument)

5.2.1.7. Payment in kind (please specify): …

5.2.1.8. Other form of payment (please specify): …

5.2.2.Maintenance claim B

5.2.2.1.The maintenance is to be paid

5.2.2.2. Amount to be paid in one sum

5.2.2.3. Amount to be paid in instalments

5.2.2.4. Sum to be paid regularly

5.2.2.5. Amount due retroactively

5.2.2.6. Interest (if specified in the authentic instrument)

5.2.2.7. Payment in kind (please specify): …

5.2.2.8. Other form of payment (please specify): …

5.2.3.Maintenance claim C

5.2.3.1.The maintenance is to be paid

5.2.3.2. Amount to be paid in one sum

5.2.3.3. Amount to be paid in instalments

5.2.3.4. Sum to be paid regularly

5.2.3.5. Amount due retroactively

5.2.3.6. Interest (if specified in the authentic instrument)

5.2.3.7. Payment in kind (please specify): …

5.2.3.8. Other form of payment (please specify): …

5.3.Costs

If additional pages have been attached, state the number of...

Done at: … on: … (dd/mm/yyyy)

Signature and/or stamp of the competent authority:

…

ANNEX IV EXTRACT FROM AN AUTHENTIC INSTRUMENT IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS SUBJECT TO PROCEEDINGS FOR RECOGNITION AND A DECLARATION OF ENFORCEABILITY

(Articles 48 and 75(2) of Council Regulation (EC) No 4/2009...

IMPORTANT

1.DATE AND REFERENCE NUMBER OF THE AUTHENTIC INSTRUMENT: …

2.NATURE OF THE AUTHENTIC INSTRUMENT

2.1. Instrument formally drawn up or registered on: … (dd/mm/yyyy)...

2.2.Competent authority:

3.CREDITOR(S)

3.1.Person A

3.1.1.Surname and given name(s): …

3.1.2.Date (dd/mm/yyyy) and place of birth: …

3.1.3.Identity number or social security number: …

3.1.4.Address:

3.2.Person B

3.2.1.Surname and given name(s): …

3.2.2.Date (dd/mm/yyyy) and place of birth: …

3.2.3.Identity number or social security number: …

3.2.4.Address:

3.3.Person C

3.3.1.Surname and given name(s): …

3.3.2.Date (dd/mm/yyyy) and place of birth: …

3.3.3.Identity number or social security number: …

3.3.4.Address:

4.DEBTOR(S)

4.1.Person A

4.1.1.Surname and given name(s): …

4.1.2.Date (dd/mm/yyyy) and place of birth: …

4.1.3.Identity number or social security number: …

4.1.4.Address:

4.2.Person B

4.2.1.Surname and given name(s): …

4.2.2.Date (dd/mm/yyyy) and place of birth: …

4.2.3.Identity number or social security number: …

4.2.4.Address:

4.3.Person C

4.3.1.Surname and given name(s): …

4.3.2.Date (dd/mm/yyyy) and place of birth: …

4.3.3.Identity number or social security number: …

4.3.4.Address:

5.CONTENTS OF THE AUTHENTIC INSTRUMENT

5.1.Currency

5.2.Maintenance claim

5.2.1.Maintenance claim A

5.2.1.1.The maintenance is to be paid

5.2.1.2. Amount to be paid in one sum

5.2.1.3. Amount to be paid in instalments

5.2.1.4. Sum to be paid regularly

5.2.1.5. Amount due retroactively

5.2.1.6. Interest (if specified in the authentic instrument)

5.2.1.7. Payment in kind (please specify): …

5.2.1.8. Other form of payment (please specify): …

5.2.2.Maintenance claim B

5.2.2.1.The maintenance is to be paid

5.2.2.2. Amount to be paid in one sum

5.2.2.3. Amount to be paid in instalments

5.2.2.4. Sum to be paid regularly

5.2.2.5. Amount due retroactively

5.2.2.6. Interest (if specified in the authentic instrument)

5.2.2.7. Payment in kind (please specify): …

5.2.2.8. Other form of payment (please specify): …

5.2.3.Maintenance claim C

5.2.3.1.The maintenance is to be paid

5.2.3.2. Amount to be paid in one sum

5.2.3.3. Amount to be paid in instalments

5.2.3.4. Sum to be paid regularly

5.2.3.5. Amount due retroactively

5.2.3.6. Interest (if specified in the authentic instrument)

5.2.3.7. Payment in kind (please specify): …

5.2.3.8. Other form of payment (please specify): …

5.3.Costs

If additional pages have been attached, state the number of...

Done at: … on: … (dd/mm/yyyy)

Signature and/or stamp of the competent authority:

…

ANNEX V

REQUEST FOR SPECIFIC MEASURES

PART ATo be completed by the requesting Central Authority

1.REQUESTING CENTRAL AUTHORITY

1.6.Reference number: …

1.7.Person responsible for following up the request:

2.REQUESTED CENTRAL AUTHORITY

2.1.Name: …

2.2.Address:

3.REQUEST

3.1.The purpose of the specific measure requested is to:

3.2.Grounds for the request:

3.3.The information requested relates to:

3.3.1. the following debtor

3.3.1.1.Surname and given name(s): …

3.3.1.2.Date (dd/mm/yyyy) and place of birth : …

3.3.1.3.Last known address: …

3.3.1.4.Identity number or social security number : …

3.3.1.5.Any other information which may be useful :

3.3.2. the following creditor

3.3.2.1.Surname and given name(s): …

3.3.2.2.Date (dd/mm/yyyy) and place of birth : …

3.3.2.3.Last known address: …

3.3.2.4.Identity number or social security number : …

3.3.2.5.Any other information which may be useful :

3.4.Information requested

3.4.1. Current address of the debtor/creditor

3.4.2. Income of the debtor/creditor

3.4.3. Assets of the debtor/creditor, including the location of the...

PART BTo be completed by the requested Central Authority

4.REFERENCE NUMBER OF THE REQUESTED CENTRAL AUTHORITY:

5.PERSON RESPONSIBLE FOR FOLLOWING UP THE REQUEST: …

5.1.Surname and given name(s): …

5.2.Telephone: …

5.3.Fax …

5.4.E-mail: …

6.MEASURES TAKEN AND RESULTS OBTAINED

7.INFORMATION COLLECTED:

7.1.Without recourse to Articles 61, 62 and 63 of Regulation...

7.1.1.Debtor’s/creditor’s address:

7.1.2.Debtor’s/creditor’s revenue:

7.1.3.Debtor’s/creditor’s assets:

7.2.Pursuant to Articles 61, 62 and 63 of Regulation (EC)...

7.2.1.Debtor’s/creditor’s address:

7.2.2.Existence of debtor’s income:

7.2.3.Existence of debtor’s assets:

IMPORTANT

8.INABILITY TO COMMUNICATE THE REQUESTED INFORMATION

ANNEX VI APPLICATION FORM WITH A VIEW TO THE RECOGNITION, DECLARATION OF ENFORCEABILITY OR ENFORCEMENT OF A DECISION IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS

(Articles 56 and 57 of Council Regulation (EC) No 4/2009...

PART ATo be completed by the requesting Central Authority

1.APPLICATION

2.REQUESTING CENTRAL AUTHORITY

2.6.Reference number of the application: …

2.7.Person responsible for following up the application:

3.REQUESTED CENTRAL AUTHORITY

3.1.Name: …

3.2.Address:

4.DOCUMENTS ATTACHED TO THE APPLICATION IN THE CASE OF A...

5.DOCUMENTS ATTACHED TO THE APPLICATION IN THE CASE OF A...

PART BTo be completed by the applicant or, as appropriate, by...

6.APPLICATION

6.1. Application for recognition or for recognition and declaration of...

6.2. Application for enforcement of a decision given or recognised...

7.DECISION

7.1.Date and reference number: …

7.2.Name of the court of origin: …

8.APPLICANT

8.1.Natural person

8.1.1.Surname and given name(s): …

8.1.2.Date (dd/mm/yyyy) and place of birth: …

8.1.3.Identity number or social security number : …

8.1.4.Nationality: …

8.1.5.Occupation: …

8.1.6.Civil status: …

8.1.7.Address:

8.1.7.1.Street and number/PO box: …

8.1.7.2.Place and postal code: …

8.1.7.3.Member State

8.1.8.Telephone/E-mail: …

8.1.9.Has benefited from:

8.1.10.If applicable, surname, given name(s) and contact details of the...

8.2.Public body:

8.2.1.Name: …

8.2.2.Address:

8.2.3.Telephone/Fax/E-mail: …

8.2.4.Name of the person representing the body in the proceedings...

8.2.5.Person responsible for following up the application:

9.DEFENDANT

9.1.Surname and given name(s): …

9.2.Date (dd/mm/yyyy) and place of birth : …

9.3.Identity number or social security number : …

9.7.1.Street and number/PO box: …

9.7.2.Place and postal code: …

9.7.3.Member State

10.ANY OTHER INFORMATION THAT MAY HELP LOCATE THE DEFENDANT: …...

11.PERSON(S) FOR WHOM MAINTENANCE IS SOUGHT OR OWED

11.1. The person is the same as the applicant named...

11.2. The person is the same as the defendant named...

11.3. The applicant  The defendant

11.3.1.Person A

11.3.1.1.Surname and given name(s): …

11.3.1.2.Date (dd/mm/yyyy) and place of birth: …

11.3.1.3.Identity number or social security number : …

11.3.1.4.Nationality : …

11.3.1.5.Occupation : …

11.3.1.6.Civil status : …

11.3.2.Person B

11.3.2.1.Surname and given name(s): …

11.3.2.2.Date (dd/mm/yyyy) and place of birth: …

11.3.2.3.Identity number or social security number : …

11.3.2.4.Nationality : …

11.3.2.5.Occupation : …

11.3.2.6.Civil status : …

11.3.3.Person C

11.3.3.1.Surname and given name(s): …

11.3.3.2.Date (dd/mm/yyyy) and place of birth: …

11.3.3.3.Identity number or social security number : …

11.3.3.4.Nationality : …

11.3.3.5.Occupation : …

11.3.3.6.Civil status : …

12.DEBTOR

12.1. The person is the same as the applicant named...

12.2. The person is the same as the defendant named...

12.3. The applicant  The defendant

13.INFORMATION REGARDING PAYMENT, IF THE APPLICATION IS MADE BY THE...

13.1.Payment by electronic means

13.1.1.Name of bank: …

13.1.2.BIC or other relevant bank code: …

13.1.3.Account holder: …

13.1.4.International Bank Account Number (IBAN): …

13.2.Payment by cheque

13.2.1.Cheque payable to: …

13.2.2.Cheque to be sent to

13.2.2.1.Surname and given name(s): …

13.2.2.2.Address:

14.ADDITIONAL INFORMATION (WHERE APPLICABLE):

ANNEX VII APPLICATION FORM TO OBTAIN OR HAVE MODIFIED A DECISION IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS

(Articles 56 and 57 of Council Regulation (EC) No 4/2009...

PART ATo be completed by the requesting Central Authority

1.APPLICATION

2.REQUESTING CENTRAL AUTHORITY

2.6.Reference number of the application: …

2.7.Person responsible for following up the application:

3.REQUESTED CENTRAL AUTHORITY

3.1.Name: …

3.2.Address:

4.DOCUMENTS ATTACHED TO THE APPLICATION, AS APPROPRIATE

PART BTo be completed by the applicant or, as appropriate, by...

5.APPLICATION

5.1. Application to obtain a decision

5.1.1. Parentage has not been established

5.1.2. No decision exists

5.1.3. Recognition and a declaration of enforceability of an existing...

5.1.4. Amount requested:

5.2. Application for modification of a decision

5.2.1. The decision was given in the requested Member State...

5.2.2. The decision was given in a State other than...

5.2.3.Date (dd/mm/yyyy) and reference number of the decision: …

5.2.4.Name of the court of origin: …

5.2.5.Changes in circumstances which have occurred:

5.2.6.Modification(s) requested:

6.APPLICANT

6.1.Surname and given name(s): …

6.2.Address:

6.2.1.Street and number/PO box: …

6.2.2.Place and postal code: …

6.2.3.Member State

6.3.Telephone/E-mail: …

6.4.Date (dd/mm/yyyy) and place of birth: …

6.5.Identity number or social security number : …

6.6.Nationality: …

6.7.Occupation: …

6.8.Civil status: …

6.9.If applicable, surname, given name(s) and contact details of the...

7.DEFENDANT

7.1.Surname and given name(s): …

7.2.Address :

7.3.Date (dd/mm/yyyy) and place of birth : …

7.4.Identity number or social security number : …

7.5.Nationality : …

7.6.Occupation : …

7.7.Civil status : …

8.ANY OTHER INFORMATION THAT MAY HELP LOCATE THE DEFENDANT:

9.PERSON(S) FOR WHOM MAINTENANCE IS SOUGHT OR OWED

9.1. The person is the same as the applicant named...

9.2. The person is the same as the defendant named...

9.3. The applicant  The defendant

9.3.1.Person A

9.3.1.1.Surname and given name(s): …

9.3.1.2.Date (dd/mm/yyyy) and place of birth: …

9.3.1.3.Identity number or social security number : …

9.3.1.4.Nationality : …

9.3.1.5.Occupation : …

9.3.1.6.Civil status : …

9.3.1.7.Maintenance is on the basis of the following relationship:

9.3.2.Person B

9.3.2.1.Surname and given name(s): …

9.3.2.2.Date (dd/mm/yyyy) and place of birth: …

9.3.2.3.Identity number or social security number : …

9.3.2.4.Nationality : …

9.3.2.5.Occupation : …

9.3.2.6.Civil status : …

9.3.2.7.Maintenance is on the basis of the following relationship:

9.3.3.Person C

9.3.3.1.Surname and given name(s): …

9.3.3.2.Date (dd/mm/yyyy) and place of birth: …

9.3.3.3.Identity number or social security number : …

9.3.3.4.Nationality : …

9.3.3.5.Occupation : …

9.3.3.6.Civil status : …

9.3.3.7.Maintenance is on the basis of the following relationship:

10.DEBTOR

10.1. The person is the same as the applicant named...

10.2. The person is the same as the defendant named...

10.3. The applicant  The defendant

11.INFORMATION ON THE FINANCIAL SITUATION OF THE PERSONS CONCERNED BY...

11.1.Currency

11.2.The person(s) for whom maintenance is sought or owed and...

11.2.1.Gross income

11.2.2.Expenses and charges

11.2.3.Other assets

11.3.The debtor

11.3.1.Gross income

11.3.2.Expenses and charges

11.3.3.Other assets

12.INFORMATION REGARDING PAYMENT, IF THE APPLICATION IS MADE BY THE...

12.1.Payment by electronic means

12.1.1.Name of bank: …

12.1.2.BIC or other relevant bank code: …

12.1.3.Account holder: …

12.1.4.International Bank Account Number (IBAN): …

12.2.Payment by cheque

12.2.1.Cheque payable to: …

12.2.2.Cheque to be sent to

12.2.2.1.Surname and given name(s): …

12.2.2.2.Address:

13.ADDITIONAL INFORMATION (WHERE APPLICABLE):

ANNEX VIII

ACKNOWLEDGEMENT OF RECEIPT OF AN APPLICATION

1.Requesting Central Authority

1.1.Reference number of the requesting Central Authority: …

1.2.Surname and given name(s) of the person responsible for following...

2.Requested Central Authority

2.1.Reference number of the requested Central Authority: …

2.2.Person responsible for following up the application:

2.2.1.Surname and given name(s): …

2.2.2.Telephone: …

2.2.3.Fax: …

2.2.4.E-mail: …

3.Date received: … (dd/mm/yyyy)

4.Initial steps which have been or will be taken to...

5. Further necessary documents or information (please specify)

Further necessary documents or information (please specify)

ANNEX IX

NOTIFICATION OF REFUSAL OR OF DECISION NO LONGER TO PROCESS...

1.Requesting Central Authority

1.1.Reference number of the requesting Central Authority: …

1.2.Surname and given name(s) of the person responsible for following...

2.Requested Central Authority

2.1.Reference number of the requested Central Authority: …

2.2.Person responsible for following up the application:

2.2.1.Surname and given name(s): …

2.2.2.Telephone: …

2.2.3.Fax: …

2.2.4.E-mail: …

3. The requested Central Authority refuses to process the application...

The requested Central Authority refuses to process the application because...

4. The requested Central Authority is no longer processing the...

The requested Central Authority is no longer processing the application...

ANNEX X

The administrative authorities referred to in Article 2(2) of Regulation...

in Latvia, the Maintenance Guarantee Fund ( ‘ Uzturlīdzekļu Garantiju...

ANNEX XI

The competent authorities referred to in Article 47(3) of Regulation...

in Finland, the Legal Aid Office ( ‘ Oikeusaputoimisto/Rättshjälpsbyrå ’...

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 (revoked)

F1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .