ANNEX IVSupplementary provisions
ANNEX IV Text of image CERTIFICATE OF LACK OR LIMITATION OF ENFORCEABILITY (Article 6(2)) 1. Member State of origin: Belgium Czech Republic Germany Estonia Greece Spain France Ireland Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Slovakia Slovenia Finland Sweden United Kingdom 2. Court/Authority issuing the certificate 2.1. Name: 2.2. Address 2.3. Tel./fax/e-mail: 3. If different, Court/Authority issuing the judgment/Court settlement/Authentic instrument (*) 3.1. Name: 3.2. Address: 3.3. Tel./fax/e-mail: 4. Judgment/Court settlement/ Authentic instrument (*) 4.1. Date: 4.2. Reference number: 4.3. The parties 4.3.1. Name and address of creditor(s): 4.3.2. Name and address of debtor(s): 5. This judgment/Court settlement/Authentic instrument (*) was certified as a European Enforcement Order but 5.1. the judgment/Court settlement/Authentic instrument (*) is no longer enforceable 5.2. Enforcement is temporarily 5.2.1. stayed 5.2.2. limited to protective measures 5.2.3. conditional upon the provision of a security which is still outstanding 5.2.3.1. Amount of the security: 5.2.3.2. Currency: Euro Pound sterling Maltese lira Slovenian tolar other (explain) Cyprus pound Hungarian forint Polish zloty Czech koruna Lithuanian litas Swedish kronor Estonian kroon Latvian lats Slovak koruna 5.2.4. Other (explain) Done at Date Signature and/or stamp (*) Delete as appropriate.