Identity and address of the addressee [CIdentity and address of the addressee [Central Authority/additional authority]:

## Identity and address of the addressee \[Central Authority/additional authority\]: | | | --- | IMPORTANT THE ENCLOSED DOCUMENT IS OF A LEGAL NATURE AND MAY AFFECT YOUR RIGHTS AND OBLIGATIONS. THE SUMMARY OF THE DOCUMENT TO BE SERVED WILL GIVE YOU SOME INFORMATION ABOUT ITS NATURE AND PURPOSE. YOU SHOULD HOWEVER READ THE DOCUMENT ITSELF CAREFULLY. IT MAY BE NECESSARY TO SEEK LEGAL ADVICE. IF YOUR FINANCIAL RESOURCES ARE INSUFFICIENT YOU SHOULD SEEK INFORMATION ON THE POSSIBILITY OF OBTAINING LEGAL AID OR ADVICE EITHER IN THE COUNTRY WHERE YOU LIVE OR IN THE COUNTRY WHERE THE DOCUMENT WAS ISSUED. ENQUIRIES ABOUT THE AVAILABILITY OF LEGAL AID OR ADVICE IN THE COUNTRY WHERE THE DOCUMENT WAS ISSUED MAY BE DIRECTED TO: ........................................................................................... SUMMARY OF THE DOCUMENT TO BE SERVED Name and address of the forwarding authority: ......................................... ...................................................................................................................... Particulars of the parties: ............................................................................. ...................................................................................................................... \*\*JUDICIAL DOCUMENT Nature and purpose of the document: .......................................................... ...................................................................................................................... Nature and purpose of the proceedings and, where appropriate, the amount in dispute: .................................................................................................................. ...................................................................................................................... ...................................................................................................................... Date and place for entering appearance: ...................................................... ...................................................................................................................... Court in which proceedings pending/judgment given: .................................. ...................................................................................................................... \*\*Date of judgment (if applicable): ............................................................. Time limits stated in the document: .............................................................. ......................................................................................................................