ANNEX IIISupplementary provisions
ANNEX III Text of image ATTESTATION CONCERNING a court settlement in a matter of PROPERTY CONSEQUENCES OFREGISTERED PARTNERSHIPS (Article 60(2) of Council Regulation (EU) 2016/1104 implementing enhanced cooperation inthe area of jurisdiction, applicable law and the recognition and enforcement of decisions inmatters of property consequences of registered partnerships (1)) 1. Member State of origin (*) Belgium Bulgaria Czech Republic Germany Greece Spain France Croatia Italy Cyprus Luxembourg Malta Netherlands Austria Portugal Slovenia Finland Sweden 2. Court which approved the court settlement or before which the court settlement was concluded and issuing the attestation 2.1. Name and designation of court (2) (*): 2.2. Address 2.2.1. Street and number/PO box (*): 2.2.2. Place and postcode (*): 2.3. Telephone (*): 2.4. Fax 2.5. Email: 2.6. Other relevant information (please specify): 3. Court settlement 3.1. Date (dd/mm/yyyy) of the court settlement (*): 3.2. Reference number of court settlement (*): (1) OJ L 183, 8.7.2016., p. 30. (*) Mandatory information. (2) In accordance with Article 3(2) of Council Regulation (EU) 2016/1104, the term ‘court’ includes under certain conditions, in addition to judicial authorities, other authorities and legal professionals with competence in matters of property consequences of registered partnerships which exercise judicial functions or act pursuant to a delegation of power by a judicial authority or act under the control of a judicial authority. The list of these other authorities and legal professionals is published in the Official Journal of the European Union. Text of image 3.3. Parties to the court settlement (1) 3.3.1. Party A 3.3.1.1. Surname and given name(s) (*): 3.3.1.2. Date (dd/mm/yyyy) and place of birth: 3.3.1.3. Identification number (2) 3.3.1.3.1. Identity number: 3.3.1.3.2. Social security number: 3.3.1.3.3. Other (please specify): 3.3.1.4. Address 3.3.1.4.1. Street and number/PO box: 3.3.1.4.2. Place and postcode: 3.3.1.4.3. Country Belgium Bulgaria Czech Republic Germany Greece Spain France Croatia Italy Cyprus Luxembourg Malta Netherlands Austria Portugal Slovenia Finland Sweden Other (please specify ISO-code): 3.3.1.5. Email: 3.3.1.6. Role in the proceedings (*) 3.3.1.6.1. Claimant 3.3.1.6.2. Defendant 3.3.1.6.3. Other (please specify): 3.3.2. Party B 3.3.2.1. Surname and given name(s) (*): 3.3.2.2. Date (dd/mm/yyyy) and place of birth: 3.3.2.3. Identification number (2) (1) If the court settlement concerns more than two parties, please attach an additional sheet. (*) Mandatory information. (2) Please indicate the most relevant number if applicable. Text of image 3.3.2.3.1. Identity number: 3.3.2.3.2. Social security number: 3.3.2.3.3. Other (please specify): 3.3.2.4. Address 3.3.2.4.1. Street and number/PO box: 3.3.2.4.2. Place and postcode: 3.3.2.4.3. Country Belgium Bulgaria Czech Republic Germany Greece Spain France Croatia Italy Cyprus Luxembourg Malta Netherlands Austria Portugal Slovenia Finland Sweden Other (please specify ISO-code): 3.3.2.5. Email: 3.3.2.6. Role in the proceedings (*) 3.3.2.6.1. Claimant 3.3.2.6.2. Defendant 3.3.2.6.3. Other (please specify): 4. Enforceability of the court settlement 4.1. Is the court settlement enforceable in the Member State of origin without any further conditions having to be met? (*) 4.1.1. Yes (please specify the enforceable obligation(s)): 4.1.2. Yes, but limited to part(s) of the court settlement (please specify the enforceable obligation(s)): 4.2. The obligation is enforceable against the following person(s) (*) (*) Mandatory information. Text of image 4.2.1. Party A 4.2.2. Party B 4.2.3. Other (please specify): 5. Interest 5.1. Is recovery of interest sought? (*) 5.1.1. Yes 5.1.2. No 5.2. If YES under point 5.1.1. (*) 5.2.1. Interest 5.2.1.1. Not specified in the court settlement 5.2.1.2. Yes, specified in the court settlement as follows: 5.2.1.2.1. Interest due from: (date (dd/mm/yyyy) or event) to: (date (dd/mm/yyyy) or event) (1) 5.2.1.2.2. Final amount: 5.2.1.2.3. Method to calculate the interest 5.2.1.2.3.1. Rate: % 5.2.1.2.3.2. Rate: % over reference rate (ECB/reference rate of national central bank: ) in force on: (date (dd/mm/yyyy) or event) 5.2.2. Statutory interest to be calculated in accordance with (specify relevant statute): 5.2.2.1. Interest due from: (date (dd/mm/yyyy) or event) to: (date (dd/mm/yyyy) or event) (1) 5.2.2.2. Method to calculate the interest 5.2.2.2.1. Rate: % 5.2.2.2.2. Rate: % over reference rate (ECB/reference rate of national central bank: ) in force on: (date (dd/mm/yyyy) or event) (*) Mandatory information. (1) Add the number of periods necessary if more than one period. Text of image 5.2.3. Capitalisation of interest (please specify): 5.2.4. Currency euro (EUR) lev (BGN) Czech koruna (CZK) kuna (HRK) krona (SEK) Other (please specify (ISO code)): If additional sheets have been added, state the total number of pages (*) Done at (*): on (*): (dd/mm/yyyy) Signature and/or stamp of the court or competent authority issuing the attestation (*): (*) Mandatory information.