Образец запроса и подтверждения о вручении за границей судебных или внесудебных документов в форме свидетельства (англ.)
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