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

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 December 2008 on jurisdiction, applicable law, recognition and enforcement of decisions and cooperation in matters relating to maintenance obligations (1))

IMPORTANT

To be issued by the competent authority in the Member State of origin

To be issued only if the authentic instrument is enforceable in the Member State of origin

Mention only information which is given in the authentic instrument or of which the competent authority has been made aware

1. Date and reference number of the authentic instrument:

The authentic instrument is recognised and enforceable in another Member State without any possibility of opposing its recognition and without the need for a declaration of enforceability (Article 48 of Regulation (EC) No 4/2009).

2. Nature of the authentic instrument

2.1.

Instrument formally drawn up or registered on:

(dd/mm/yyyy)

Agreement concluded or authenticated on:

(dd/mm/yyyy)

2.2. Competent authority:

Member State:

2.2.1. Name:

2.2.2. Address

2.2.2.1. Street and number/PO box:

2.2.2.2. Place and postal code:

(¹) OJ L 7, 10.1.2009, p. 1.

2.2.3. Tel./fax/e-mail

Tel.:

Fax:

E-mail: