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

Annex IV

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

(Article 48 and Article 75(2) 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))

(Article 48 and Article 75(2) 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])

OJ L 7, 10.1.2009, p. 1. (link)

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:

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.
(*) If the authentic instrument concerns more than three creditors or three debtors, attach an additional sheet.

2.2.3. Tel./fax/e-mail

Tel.:

Fax:

E-mail: