Regulation (EU) No 1215/2012 - Certificate concerning an authentic instrument/court settlement in civil and commercial matters

ANNEX II

ANNEX II

CERTIFICATE CONCERNING AN AUTHENTIC INSTRUMENT/COURT SETTLEMENT⁽¹⁾1N CIVIL AND COMMERCIAL MATTERS

Article 60 of Regulation (EU) No 1215/2012 of the European Parliament and of the Council on jurisdiction and the recognition and enforcement of judgments in civil and commercial matters

1. COURT OR COMPETENT AUTHORITY ISSUING THE CERTIFICATE

Member State

1.1. Name

1.2. Address:

1.2.1. Street and number/PO box

1.2.2. Place and postal code

1.3. Telephone

1.4. Fax

1.5. E-mail (if available)

2. AUTHENTIC INSTRUMENT

2.1. Authority which has drawn up the authentic instrument (if different from the authority issuing the certificate)

2.1.1. Name and designation of authority

2.1.2. Address

2.2. Date (dd/mm/yyyy) on which the authentic instrument was drawn up by the authority referred to in point 2.1:

2.3. Reference number of the authentic instrument (if applicable):

2.4. Date (dd/mm/yyyy) on which the authentic instrument was registered in the Member State of origin (to be filled only if the date of registration determines the legal effect of the instrument and this date is different from the date indicated in point 2.2):

2.4.1. Reference number in the register (if applicable):

3. COURT SETTLEMENT

3.1. Court which approved the court settlement or before which the court settlement was concluded (if different from the court issuing the certificate)

3.1.1. Name of the court:

3.1.2. Address:

3.2. Date (dd/mm/yyyy) of the court settlement:

3.3. Reference number of the court settlement:

4. PARTIES TO THE AUTHENTIC INSTRUMENT/COURT SETTLEMENT

4.1. Name(s) of creditor(s)(surname and given name(s)/name of company or organisation) (²)

4.1.1. Indication number (if applicable and if available):

4.1.2. Date (dd/mm/yyyy) and place of birth or if legal person of incorporation/formation/registration (if relevant and if available):

4.2. Name(s) of debtor(s)(surname and given name(s)/name of company or organisation)(³)

4.2.1. Indication number (if applicable and if available):

4.2.2. Date (dd/mm/yyyy) and place of birth or if legal person of incorporation/formation/registration (if relevant and if available):

4.3. Name of other parties if any (surname and given name(s)/name of company or organisation)(⁴)

4.3.1. Indication number (if applicable and if available):

4.3.2. Date (dd/mm/yyyy) and place of birth or , if legal person ,of incorporation/formation/registration (if relevant and if available):