Circuit Court Forms

FORM 40F

O. 61A, r. 4

AN CHÚIRT CHUARDA

THE CIRCUIT COURT

             CIRCUIT                                                                                COUNTY OF

In the matter of Article 13(1)(d) of the Convention on Choice of Court Agreements done at The Hague on the 30th day of June 2005 and approved on behalf of the European Union pursuant to Council Decision 2014/887/EU

And in the matter of the Choice of Court (Hague Convention) Act 2015

Between AB,

Plaintiff

and CD

Defendant

I certify that the order of the court in the above proceedings made on the ..... day of ....... 20 .... a certified copy of which is appended to this certificate:

(a) is not the subject of an appeal which remains to be determined, and

(b) is not the subject of a stay which remains unexpired, and

(c) *has effect *is enforceable in this State.

Dated

Signed

County Registrar

For the Court

*Delete where inapplicable