- Y Diweddaraf sydd Ar Gael (Diwygiedig)
- Gwreiddiol (Fel y’i mabwysiadwyd gan yr UE)
Commission Implementing Regulation (EU) 2017/1966 of 27 October 2017 amending Implementing Regulation (EU) No 1189/2011 as regards the communication of assistance requests and the follow-up to those requests
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This document, established in accordance with ☐ Article 10 of Commission Implementing Regulation (EU) No 1189/2011 accompanies document(s) hereby notified by the competent authority of the following State: [name of requested State].
This notification concerns documents of the competent authorities of the following State: [name of applicant State], which asked for notification assistance, in accordance with ☐ Article 8 of Council Directive 2010/24/EU.
Name:
Address (known or assumed):
Other data relevant to the identification of the addressee:
This notification is intended:
to inform the addressee, about the document(s) to which this document is attached.
to interrupt the period of limitation with regard to the claim(s) mentioned in the notified document(s).
to confirm the addressee, about his/her obligation to pay the amounts mentioned under point D.
Please note that in case of non-payment, the authorities may take enforcement and/or precautionary measures to ensure the recovery of the claim(s). This may cause extra costs charged to the addressee.
You are the addressee of this notification, as you are considered to be:
the principal debtor
a co-debtor
a person other than the (co-)debtor, liable for settlement of the taxes, duties and other measures, or for other claims relating to these taxes, duties and other measures, under the laws in force in the applicant State
a person other than the (co-)debtor, holding assets belonging to, or having debts towards, the (co-)debtor or to any other person liable
a third party which may become affected by enforcement measures concerning other persons
(The following information will appear if the addressee of the notification is a person other than the (co-)debtor, holding assets belonging to, or having debts towards, the (co-)debtor or to any other person liable, or a third party which may become affected by enforcement measures concerning other persons:
The notified documents concern claims relating to taxes and duties, for which the following person(s) is (are) liable as
the principal debtor: [name and address (known or assumed)]
a co-debtor: [name and address (known or assumed)]
a person other than the (co-)debtor, liable for settlement of the taxes, duties and other measures, or for other claims relating to these taxes, duties and other measures, under the laws in force in the applicant State: [name and address (known or assumed)]).
The applicant authority of the applicant State (name of the applicant State) invited the competent authorities of the requested State (name of the requested State) to make this notification before [date]. Please note that this date is not specifically related to any period of limitation.
Office responsible with regard to the attached document(s):
Name:
Address:
Other contact details:
Language(s) in which this office can be contacted:
Further information about ☐ the notified document(s) ☐ and/or the possibility to contest the obligations can be obtained
at the abovementioned office responsible with regard to the attached document(s), and/or
from the following office:
Name:
Address:
Other contact details:
Language(s) in which this office can be contacted:
Document [number]
Reference number:
Date of establishment:
Nature of the notified document:
Tax assessment
Payment order
Decision following an administrative appeal
Other administrative document:
Judgment or order of:
Other judicial document:
Name of the claim(s) concerned (in the language of the applicant State):
Nature of the claim(s) concerned:
customs duties
value added tax
excise duties
tax on income or capital
tax on insurance premiums
inheritance and gift taxes
national taxes and duties on immovable property, other than the abovementioned ones
national taxes and duties on the use or ownership of means of transport
ther taxes and duties levied by or on behalf of the applicant State
taxes and duties levied by or on behalf of territorial or administrative subdivisions of the applicant State, excluding taxes and duties levied by local authorities
taxes and duties levied by or on behalf of local authorities
other tax-based claim
refunds, interventions and other measures forming part of the system of total or partial financing of the European Agricultural Guarantee Fund (EAGF) and the European Agricultural Fund for Rural Development (EAFRD), including sums to be collected in connection with these actions, and levies and other duties provided for under the common organisation of the market for the sugar sector
Amount of the claim(s) concerned:
Principal amount:
Administrative penalties and fines:
Interest up to [date]:
Costs up to [date]:
Fees for certificates and similar documents issued in connection with administrative procedures related to the claim mentioned under point [x]:
Total amount for this (these) claim(s):
The amount mentioned under point [x] should be paid:
before:
within [number] days following the date of this notification
without any further delay
This payment should be made to:
Holder of the bank account:
International Bank Account Number (IBAN):
Bank Identification Code (BIC):
Name of the bank:
Reference to be used for the payment:
The addressee can reply to the document(s) that is (are) hereby notified.
Last day for replying:
Time period for replying:
Name and address of the authority to whom a reply can be sent:
Possibility to contest:
The period to contest the claim or the notified document(s) has already come to its end.
Last day for contesting the claim:
Time period to contest the claim: [number of days] following
the date of this notification.
the establishment of the notified document(s)
another date:
Name and address of the authority where a contestation has to be submitted:
Please note that disputes concerning the claim, the instrument permitting enforcement or any other document originating from the authorities of the applicant State (name of applicant State), fall within the competence of the competent bodies of the applicant State (name of applicant State), in accordance with ☐ Article 14 of Directive 2010/24/EU.
Any such dispute is governed by the procedural and language rules applying in the applicant State (name of applicant State).
Please note that the recovery may begin before the end of the period within which the claim may be contested.
Other information:’
Date of issue:
Reference number:
Date of issue of the original uniform instrument:
Date of revision:
Reason for the revision:
judgment or order of [name of the Court]of [date]
administrative decision of [date]
Reference number:
State where this document is issued: [name of applicant State]
Recovery measures taken by the requested State are based on:
a uniform instrument permitting enforcement, in accordance with ☐ Article 12 of Directive 2010/24/EU.
a revised uniform instrument permitting enforcement, in accordance with ☐ Article 15 of Directive 2010/24/EU (to take account of the decision of the competent body referred to in Article 14(1) of that Directive).
This document is the uniform instrument permitting enforcement (including precautionary measures). It concerns the claim(s) mentioned below, which remain(s) unpaid in the applicant State (name of applicant State). The initial instrument for the enforcement of this/these claim(s) has been notified in so far as required under the national law of the applicant State (name of applicant State).
Disputes concerning the claim(s) fall exclusively within the competence of the competent bodies of the applicant State (name of applicant State), in accordance with ☐ Article 14 of Directive 2010/24/EU. Any such action shall be brought before them in accordance with the procedural and language rules in force in the applicant State (name of applicant State).
Reference:
Nature of the claim(s) concerned:
customs duties
value added tax
excise duties
tax on income or capital
tax on insurance premiums
inheritance and gift taxes
national taxes and duties on immovable property, other than the abovementioned ones
national taxes and duties on the use or ownership of means of transport
other taxes and duties levied by or on behalf of the (applicant) State
taxes and duties levied by or on behalf of territorial or administrative subdivisions of the (applicant) State, excluding taxes and duties levied by local authorities
taxes and duties levied by or on behalf of local authorities
other tax-based claim
refunds, interventions and other measures forming part of the system of total or partial financing of the European Agricultural Guarantee Fund (EAGF) and the European Agricultural Fund for Rural Development (EAFRD), including sums to be collected in connection with these actions, and levies and other duties provided for under the common organisation of the market for the sugar sector
Name of the tax/duty concerned:
Period or date concerned:
Date of establishment of the claim:
Date on which enforcement becomes possible:
Amount of the claim still due:
principal amount:
administrative penalties and fines:
interest till date before the day the request is sent:
costs till date before the day the request is sent:
fees for certificates and similar documents issued in connection with administrative procedures related to the tax/duty concerned:
total amount of this claim:
Date of notification of the initial instrument permitting enforcement in the applicant State: (name of the applicant State):
Date:
No date available
Office responsible for the assessment of the claim:
Name:
Address:
Other contact details:
Language(s) in which this office can be contacted:
Further information concerning the claim or the possibilities for contesting the payment obligation can be obtained from:
the office indicated above
the following office responsible for the Uniform instrument permitting enforcement:
Name:
Address:
Other contact details:
Language(s) in which this office can be contacted:
The following person is mentioned in the national instrument(s) permitting enforcement
☐ natural person
☐ other
Name
Address (known or assumed)
Other data relevant to the identification of the addressee
☐ Legal representative
Name
Address (known or assumed)
Other data relevant to the identification of the addressee
Cause of liability:
principal debtor
a co-debtor
a person other than the (co-)debtor, liable for settlement of the taxes, duties and other measures, or for other claims relating to these taxes, duties and other measures under the laws in force in the applicant State
the following person(s) is (are) also mentioned in the national instrument(s) permitting enforcement:
☐ natural person
☐ other
Name:
Address (known or assumed):
Other data relevant to the identification of the addressee:
☐ Legal representative
Name:
Address (known or assumed):
Other data relevant to the identification of the addressee:
Cause of liability:
principal debtor
a co-debtor
a person other than the (co-)debtor, liable for settlement of the taxes, duties and other measures, or for other claims relating to these taxes, duties and other measures under the laws in force in the applicant State
Other information
in the currency of the applicant State:
in the currency of the requested State:
in EUR:’
a The elements put in Italic are optional. It is suggested to remove subsections that are not selected. | |
b Where this form is transmitted by electronic means, its structure and lay-out may be adapted to the requirements and possibilities of the electronic communication system, provided that the set of data and information contained therein is not substantially altered. | |
Name of the language(s) of this document | |
Declaration specifying reasons and circumstances for a request for precautionary measuresa b | |
based on: | Article 16 of Directive 2010/24/EU … |
This declaration is linked to the request for precautionary measures | |
with the following reference: | Ref. … |
sent by the following applicant State: | |
to the following requested State: |
The following information on specific reasons and circumstances for this request is provided:
The elements put in Italic are optional.
Where this form is transmitted by electronic means, its structure and lay-out may be adapted to the requirements of the electronic communication system, provided that the set of data and information contained therein is not substantially altered.
The elements put in Italic are optional.
Where this form is transmitted by electronic means, its structure and lay-out may be adapted to the requirements and possibilities of the electronic communication system, provided that the set of data and information contained therein is not substantially altered.
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