Annex I - Application for a European Account Preservation Order

• Date: 01 November 2022

Annex I

Application for a European Account Preservation Order

(Article 8(1) of Regulation (EU) No 655/2014 of the European Parliament and of the Council of 15 May 2014

establishing a European Account Preservation Order procedure to facilitate cross-border debt recovery in civil and

commercial matters)

To be filled in by the court

Case number:

(dd/mm/yyyy)Received by the court on:

IMPORTANT INFORMATION

PLEASE READ THE GUIDELINES AT THE BEGINNING OF EACH SECTION — THEY WILL HELP YOU TO FILL IN THIS FORM

Language

Fill in this form in the language of the court of the Member State to which you are sending your application. Please note that the form is

available in 23 official languages of the European Union on the website of the European e-Justice Portal at https://e-

justice.europa.eu/content_european_account_preservation_order-378-en.do and it can also be filled in online. The language version with

which you are familiar may help you in fillingin the form in the required language of the court of the Member State concerned. On the website

of the European e-Justice Portal you can also find information as to whether a given Member State has indicated that it will accept

documents addressed to the court in another official language of the European Union (Article 50(1)(o) of Regulation (EU) No 655/2014).

Supporting documents

The application form must be accompanied by all relevant supporting documents. If you have already obtained a judgment, court settlement

or authentic instrument, please attach a copy of that judgment, court settlement or authentic instrument which satisfies the conditions

necessary to establish its authenticity.

Country codes

Whenever you refer to a Member State in filling in this form, please use the following country codes:

Austria

AT Greece

EL Italy

IT Portugal

PT

Belgium

BE Spain

ES Lithuania

LT Romania

RO

Bulgaria

BG Finland

FI Luxembourg

LU Sweden

SE

Cyprus

CY France

FR Latvia

LV Slovenia

SI

Czechia

CZ Croatia

HR Malta

MT Slovakia

SK

Germany

DE Hungary

HU Netherlands

NL

Estonia

EE Ireland

IE Poland

PL

Where this form provides for adding free text, and when filling in the form on paper, please use additional sheets if necessary and number

each page.

1. Court

Please note that you can only apply for a European Account Preservation Order (‘the Preservation Order’) if the court is located in a Member

State to which Regulation (EU) No 655/2014 applies. This is currently not the case for Denmark and the United Kingdom.

In this field you should identify the court with which you want to lodge your application for a Preservation Order. When deciding which court to

choose, you need to consider the grounds for the court's jurisdiction

If you have not yet obtained a judgment, court settlement or authentic instrument that requires the debtor to pay your claim,

1 14 Generated by the European e-Justice Portal