Form E - European Order for Payment
Requerimiento europeo de pago
Formulario EArtículo 12.1 del Reglamento (CE) nº 1806/2006 del Parlamento Europeo y del Consejo
por el que se establece un proceso monitorio europeo
1. Órgano jurisdiccional
Órgano jurisdiccional
Dirección
Código postalPoblaciónPaís
Número de asunto
LugarFecha (día/mes/año)
Firma y/o sello
2. Partes y representantes de las mismas
Códigos:01 Demandante03 Representante del demandante *05 Representante legal del demandante **
02 Demandado04 Representante del demandado *06 Representante legal del demandado **
Código Razón o denominación socialCódigo de identificación (si procede)
Apellidos Nombre
DirecciónCódigo postalPoblaciónPaís
Teléfono ***Fax ***E-mail ***
Profesión ***Otros datos ***
Código Razón o denominación socialCódigo de identificación (si procede)
Apellidos Nombre
DirecciónCódigo postalPoblaciónPaís
Teléfono ***Fax ***E-mail ***
Profesión ***Otros datos ***
Código Razón o denominación socialCódigo de identificación (si procede)
Apellidos Nombre
DirecciónCódigo postalPoblaciónPaís
Teléfono ***Fax ***E-mail ***
Profesión ***Otros datos ***
1 3Generado por el Portal Europeo de Justicia e-Justice
Union Europea
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