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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

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¦                            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.                                    ¦
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Reverse of the request
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¦                          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.                                    ¦
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¦             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.                                   ¦
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Источник - Конвенция о вручении за границей судебных и внесудебных документов по гражданским или торговым делам от 15.11.1965

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