Form 5—Response to applicationForm 5—Response to application

Form 5—Response to application

(insert heading for document in accordance with Form 1)

Response to application for order under section 111CN*/ section 111CW*/regulation 15*/the Convention* in a State court

IN RESPONSE TO the application made by (insert forename(s) and surname(s)) filed in the (insert name of court) on (insert date of filing of application), a copy*/notice* of which was given to me*/us* on (insert date on which copy, or notice, of the application was given to the respondent(s)), I*/WE*, (insert forename(s) and surname(s) of respondent(s)) state as follows:

(insert brief statement of matters in support of the court making an order other than the order sought in the application)

DATED (insert date)

(signature(s)—respondent(s))

(name—respondent(s))

(title/position)

Title/position of respondent(s)

Affidavit

(insert affidavit—Form 2)

___________________________________________________________

* omit if inapplicable