ANNEX II - European Account Preservation Order

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Annex II

European Account Preservation Order — Part A

(Article 19(1) of Regulation (EU) No 655/2014 of the European Parliament and of the Council of 15 May 2014 establishing a European Account Preservation Order procedure to facilitate cross-border debt recovery in civil and commercial matters)

Country codes

Whenever you refer to a Member State in filling in this form, please use the following country codes:

AT Austria	EL Greece	IT Italy	PT Portugal
BE Belgium	ES Spain	LT Lithuania	RO Romania
BG Bulgaria	FI Finland	LU Luxembourg	SE Sweden
CY Cyprus	FR France	LV Latvia	SI Slovenia
CZ Czechia	HR Croatia	MT Malta	SK Slovakia
DE Germany	HU Hungary	NL Netherlands
EE Estonia	IE Ireland	PL Poland

NB: This part of the form is to be transmitted to the bank(s), the debtor and the creditor.

Where the European Account Preservation Order (‘the Preservation Order’) concerns accounts in more than one bank, a separate copy of Part A of the Preservation Order should be filled in for each bank. In that case, in the copies of Part A of the Preservation Order to be provided to the debtor and the creditor, the details of all the banks concerned should be given in section 5.

1. Court of origin

Member State:

1.1. Name:

1.2. Address

1.2.1. Street and number/ PO box:

1.2.2. Place and postcode:

1.2.3. Member State (please indicate the country code):

1.3. Telephone:

1.4. Fax:

1.5. Email:

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