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ANNEX IIIU.K.

3.Creditor(s)(1) U.K.

3.1.Person AU.K.

3.1.1.Surname and given name(s): …U.K.
3.1.2.Date (dd/mm/yyyy) and place of birth: …U.K.
3.1.3.Identity number or social security number: …U.K.
3.1.4.

Address:U.K.

3.1.4.1.Street and number/PO box: …U.K.
3.1.4.2.Place and postal code: …U.K.
3.1.4.3.Country: …U.K.

3.2.Person BU.K.

3.2.1.Surname and given name(s): …U.K.
3.2.2.Date (dd/mm/yyyy) and place of birth: …U.K.
3.2.3.Identity number or social security number: …U.K.
3.2.4.

Address:U.K.

3.2.4.1.Street and number/PO box: …U.K.
3.2.4.2.Place and postal code: …U.K.
3.2.4.3.Country: …U.K.

3.3.Person CU.K.

3.3.1.Surname and given name(s): …U.K.
3.3.2.Date (dd/mm/yyyy) and place of birth: …U.K.
3.3.3.Identity number or social security number: …U.K.
3.3.4.

Address:U.K.

3.3.4.1.Street and number/PO box: …U.K.
3.3.4.2.Place and postal code: …U.K.
3.3.4.3.Country: …U.K.
(1)

If the authentic instrument concerns more than three creditors or three debtors, attach an additional sheet.