Образец запроса и подтверждения о вручении за границей судебных или внесудебных документов в форме свидетельства (англ.)
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Annex to the Convention
FORMS
------------------------------------------------------------------ ¦ REQUEST ¦ ¦ FOR SERVICE ABROAD OF JUDICIAL OR EXTRAJUDICIAL DOCUMENTS ¦ ¦ --------------------------------------------------------- ¦ ¦ Convention on the Service Abroad of Judicial and Extrajudicial¦ ¦ Documents in Civil or Commercial Matters, ¦ ¦ signed at The Hague, ____________ 196 . ¦ ¦ ¦ ¦-------------------------------- -------------------------------¦ ¦¦ Identity and address ¦ ¦ Address of receiving ¦¦ ¦¦ of the applicant ¦ ¦ authority ¦¦ ¦¦ ¦ ¦ ¦¦ ¦¦ ¦ ¦ ¦¦ ¦¦ ¦ ¦ ¦¦ ¦¦ ¦ ¦ ¦¦ ¦-------------------------------- -------------------------------¦ ¦ ¦ ¦The undersigned applicant has the honour to transmit - in¦ ¦duplicate - the documents listed below and, in conformity with¦ ¦Article 5 of the above-mentioned Convention, requests prompt¦ ¦service of one copy thereof on the addressee, i.e, ¦ ¦ (identity and address) _____________________________________¦ ¦ ____________________________________________________________¦ ¦a) in accordance with the provisions of sub-paragraph (a) of the¦ ¦ first paragraph of Article 5 of the Convention 1 . ¦ ¦b) in accordance with the following particular method¦ ¦ (sub-paragraph (b) of the first paragraph of Article 5) 1 : ¦ ¦ _____________________________________________________________¦ ¦ _____________________________________________________________¦ ¦ _____________________________________________________________¦ ¦c) by delivery to the addressee, if he accepts it voluntarily¦ ¦ (second paragraph of Article 5) 1 . ¦ ¦ ¦ ¦The authority is requested to return or to have returned to the¦ ¦applicant a copy of the documents - and of the annexes 1 -¦ ¦with a certificate as provided on the reverse side. ¦ ¦ ¦ ¦List of documents. ¦ ¦_____________________________________ ¦ ¦_____________________________________ ¦ ¦_____________________________________ ¦ ¦_____________________________________ ¦ ¦_____________________________________ ¦ ¦_____________________________________ ¦ ¦_____________________________________ Done at_______, the______¦ ¦_____________________________________ Signature and/or stamp. ¦ ¦ ¦ ¦ ¦ ¦ 1 Delete if inappropriate. ¦ ------------------------------------------------------------------ Reverse of the request ------------------------------------------------------------------ ¦ CERTIFICATE ¦ ¦ ----------- ¦ ¦The undersigned authority has the honour to certify, in ¦ ¦conformity with Article 6 of the Convention, ¦ ¦1) that the document has been served 1 ¦ ¦ - the (date________________________________________________ ¦ ¦ - at (place, street, number)________________________________¦ ¦ ______________________________________________________¦ ¦ - in one of the following methods authorised by Article 5: ¦ ¦ a) in accordance with the provisions of sub-paragraph (a) of¦ ¦ the first paragraph of Article 5 of the Convention 1 . ¦ ¦ b) in accordance with the following particular method 1 :__¦ ¦ ______________________________________________________¦ ¦ c) by delivery to the addressee, who accepted it¦ ¦ voluntarily 1 . ¦ ¦ The documents referred to in the request have been delivered¦ ¦ to: ¦ ¦ - (identity and description of person)______________________¦ ¦ ______________________________________________________¦ ¦ - relationship to the addressee (family, business or other):¦ ¦ ______________________________________________________¦ ¦ ¦ ¦2) that the document has not been served, by reason of the ¦ ¦ following facts 1 : ¦ ¦ ______________________________________________________¦ ¦ ______________________________________________________¦ ¦ ______________________________________________________¦ ¦ ¦ ¦In conformity with the second paragraph of Article 12 of the¦ ¦Convention, the applicant is requested to pay or reimburse the¦ ¦expenses detailed in the attached statement 1 . ¦ ¦ ¦ ¦Annexes ¦ ¦ ¦ ¦Documents returned:_________________ ¦ ¦____________________________________ ¦ ¦____________________________________ ¦ ¦ Done at_______, the______¦ ¦In appropriate cases, documents ¦ ¦establishing the service: ¦ ¦____________________________________ Signature and/or stamp. ¦ ¦____________________________________ ¦ ¦____________________________________ ¦ ¦ ¦ ¦ ¦ ¦ 1 Delete if inappropriate. ¦ ------------------------------------------------------------------ ------------------------------------------------------------------ ¦ SUMMARY OF THE DOCUMENT TO BE SERVED ¦ ¦ ------------------------------------ ¦ ¦ Convention on the service abroad of judicial and extrajudicial ¦ ¦ documents in civil or commercial matters, signed at ¦ ¦ The Hague, the _______________ 196 . ¦ ¦ ¦ ¦ (article 5, fourth paragraph) ¦ ¦ ¦ ¦Name and address of the requesting authority:__________________ ¦ ¦ __________________ ¦ ¦ __________________ ¦ ¦ ¦ ¦Particulars of the parties 1 :________________________________ ¦ ¦ ________________________________ ¦ ¦ ________________________________ ¦ ¦ ¦ ¦ ¦ ¦ JUDICIAL DOCUMENT 2 ¦ ¦ ¦ ¦Nature and purpose of the document:____________________________ ¦ ¦ _________________________________________ ¦ ¦ _________________________________________ ¦ ¦Nature and purpose of the proceedings and, where appropriate, ¦ ¦the amount in dispute:_________________________________________ ¦ ¦ _________________________________________ ¦ ¦ _________________________________________ ¦ ¦Date and place for entering appearance 2 :___________________ ¦ ¦ _________________________________________ ¦ ¦Court which has given judgment 2 :___________________________ ¦ ¦ _________________________________________ ¦ ¦Date of judgment 2 :_________________________________________ ¦ ¦Time-limits stated in the document 2 :_______________________ ¦ ¦ _________________________________________ ¦ ¦ ¦ ¦ EXTRAJUDICIAL DOCUMENT 2 ¦ ¦ ¦ ¦Nature and purpose of the document:____________________________ ¦ ¦ _________________________________________ ¦ ¦ _________________________________________ ¦ ¦Time-limits stated in the document 2 :_______________________ ¦ ¦ _________________________________________ ¦ ¦ _________________________________________ ¦ ¦ ¦ ¦ ¦ ¦ 1 If appropriate, identity and address of the person ¦ ¦ interested in the transmission of the document. ¦ ¦ 2 Delete if inappropriate. ¦ ------------------------------------------------------------------
Источник - Конвенция о вручении за границей судебных и внесудебных документов по гражданским или торговым делам от 15.11.1965
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