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Council Regulation (EC) No 4/2009Show full title

Council Regulation (EC) No 4/2009 of 18 December 2008 on jurisdiction, applicable law, recognition and enforcement of decisions and cooperation in matters relating to maintenance obligations

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5.2.Maintenance claim(1)

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

(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
Due date(dd/mm/yyyy)Amount
5.2.1.4.
Sum to be paid regularly
  • Once a week

  • Once a month

  • Other (state frequency): …

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

Amount: …

Form of payment: …

5.2.1.6.
Interest (if specified in the decision/court settlement)

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

(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
Due date(dd/mm/yyyy)Amount
5.2.2.4.
Sum to be paid regularly
  • Once a week

  • Once a month

  • Other (state frequency): …

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

Amount: …

Form of payment: …

5.2.2.6.
Interest (if specified in the decision/court settlement)

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

(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
Due date(dd/mm/yyyy)Amount
5.2.3.4.
Sum to be paid regularly
  • Once a week

  • Once a month

  • Other (state frequency): …

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

Amount: …

Form of payment: …

5.2.3.6.
Interest (if specified in the decision/court settlement)

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): …

(1)

If the decision/court settlement concerns more than three maintenance claims, attach an additional sheet

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