F1ANNEX IIEXTRACT FROM A DECISION/COURT SETTLEMENT IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS SUBJECT TO PROCEEDINGS FOR RECOGNITION AND A DECLARATION OF ENFORCEABILITY

Annotations:

5.TERMS OF THE DECISION/COURT SETTLEMENT

5.2.Maintenance claim36

5.2.1.Maintenance claim A

5.2.1.1.

The maintenance is to be paid

by … (surname and given name(s))

to … (surname and given name(s) of the person to whom the sum must actually be paid)

Person for whom maintenance is owed:

… (surname and given name(s))

5.2.1.2.

 Amount to be paid in one sum

Period covered, where applicable:

(from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event)

Due date: … (dd/mm/yyyy)

Amount: …

5.2.1.3.

 Amount to be paid in instalments

Maturity date(dd/mm/yyyy)

Amount

5.2.1.4.

 Sum to be paid regularly

Once a week

Once a month

Other (state frequency): …

Amount: …

From: … (dd/mm/yyyy)

Due day/date: …

 If applicable, until (date (dd/mm/yyyy) or event):

If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated:

Indexation applicable as from: … (dd/mm/yyyy)

5.2.1.5.

 Amount due retroactively

Period covered: … ((dd/mm/yyyy) to (dd/mm/yyyy))

Amount: …

Form of payment: …

5.2.1.6.

 Interest (if specified in the decision/court settlement)

If the maintenance claim is subject to interest, please indicate the rate: …

Interest due as from: … (dd/mm/yyyy)

5.2.1.7.

 Payment in kind (please specify): …

5.2.1.8.

 Other form of payment (please specify): …

5.2.2.Maintenance claim B

5.2.2.1.

The maintenance is to be paid

by … (surname and given name(s))

to … (surname and given name(s) of the person to whom the sum must actually be paid)

Person for whom maintenance is owed:

… (surname and given name(s))

5.2.2.2.

 Amount to be paid in one sum

Period covered, where applicable:

(from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event)

Due date: … (dd/mm/yyyy)

Amount: …

5.2.2.3.

 Amount to be paid in instalments

Maturity date(dd/mm/yyyy)

Amount

5.2.2.4.

 Sum to be paid regularly

Once a week

Once a month

Other (state frequency): …

Amount: …

From: … (dd/mm/yyyy)

Due day/date: …

 If applicable, until (date (dd/mm/yyyy) or event):

If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: …

Indexation applicable as from: … (dd/mm/yyyy)

5.2.2.5.

 Amount due retroactively

Period covered: … ((dd/mm/yyyy) to (dd/mm/yyyy))

Amount: …

Form of payment: …

5.2.2.6.

 Interest (if specified in the decision/court settlement)

If the maintenance claim is subject to interest, please indicate the rate: …

Interest due as from: … (dd/mm/yyyy)

5.2.2.7.

 Payment in kind (please specify): …

5.2.2.8.

 Other form of payment (please specify): …

5.2.3.Maintenance claim C

5.2.3.1.

The maintenance is to be paid

by … (surname and given name(s))

to … (surname and given name(s) of the person to whom the sum must actually be paid)

Person for whom maintenance is owed:

… (surname and given name(s))

5.2.3.2.

 Amount to be paid in one sum

Period covered, where applicable:

(from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event)

Due date: … (dd/mm/yyyy)

Amount: …

5.2.3.3.

 Amount to be paid in instalments

Maturity date(dd/mm/yyyy)

Amount

5.2.3.4.

 Sum to be paid regularly

Once a week

Once a month

Other (state frequency): …

Amount: …

From: … (dd/mm/yyyy)

Due day/date: …

 If applicable, until (date (dd/mm/yyyy) or event):

If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: …

Indexation applicable as from: … (dd/mm/yyyy)

5.2.3.5.

 Amount due retroactively

Period covered: … ((dd/mm/yyyy) to (dd/mm/yyyy))

Amount: …

Form of payment: …

5.2.3.6.

 Interest (if specified in the decision/court settlement)

If the maintenance claim is subject to interest, please indicate the rate: …

Interest due as from: … (dd/mm/yyyy)

5.2.3.7.

 Payment in kind (please specify): …

5.2.3.8.

 Other form of payment (please specify): …