ANNEX IISupplementary provisions
ANNEX II Text of image Request to the claimant to complete and/or rectify an application for a European order for payment Form B Article 9 (1) of Regulation (EC) No 1896/2006 of the European Parliament and of the Council creating a European order for payment procedure 1. Court Court Address Postal code City Country Case number Done at Date (day/month/year) Signature and/or stamp 2. Parties and their representatives Codes: 01 Claimant 03 Claimant's representative * 05 Claimant's legally authorised representative ** 02 Defendant 04 Defendant's representative * 06 Defendant's legally authorised representative ** Code Surname, first name/Name of company or organisation Identification code (if applicable) Address Postal code City Country Phone *** Fax *** e-Mail *** Occupation*** Other details *** Code Surname, first name/Name of company or organisation Identification code (if applicable) Address Postal code City Country Phone *** Fax *** e-Mail *** Occupation*** Other details *** Code Surname, first name/Name of company or organisation Identification code (if applicable) Address Postal code City Country Phone *** Fax *** e-Mail *** Occupation*** Other details *** Code Surname, first name/Name of company or organisation Identification code (if applicable) Address Postal code City Country Phone *** Fax *** e-Mail *** Occupation*** Other details *** * e.g. lawyer ** e.g. parent, guardian, managing director *** optional Text of image Following the examination of your application for a European order for payment, please complete and/or rectify the attached application as indicated below as soon as possible and in any event by ______/______/______ Your initial application should be completed and/or rectified in the language or in one of the languages accepted by the court seised. The court will reject the application, under the conditions provided for in the Regulation, if you fail to complete and/or rectify the application within the time limit set out above. Your application has not been filled in in the correct language. Please fill it in in one of the following languages: 01 Czech 02 German 03 Estonian 04 Spanish 05 Greek 06 French 07 Italian 08 Latvian 09 Lithuanian 10 Hungarian 11 Maltese 12 Dutch 13 Polish 14 Portuguese 15 Slovak 16 Slovene 17 Finnish 18 Swedish 19 English 20 other (please specify) Language code Language specification (only for code 20) The following items must be completed and/or rectified: Codes: 01 Parties and their representatives 02 Grounds of jurisdiction 03 Cross border nature of the case 04 Bank details 05 Principal 06 Interest 07 Contractual penalties 08 Costs 09 Evidence 10 Additional statements 11 Signature Code Please specify Code Please specify Code Please specify Code Please specify Code Please specify