Circuit Court Forms

FORM 19B

O. 35A, r. 7(3)

[Title as in the proceedings]

Regulation (EC) No 805/2004

CERTIFICATE OF *RECTIFICATION / *WITHDRAWAL OF A EUROPEAN ENFORCEMENT ORDER CERTIFICATE (Article 10(3))

TAKE NOTICE that on application made to this Court on the …. day of ……. 200….

THE FOLLOWING EUROPEAN ENFORCEMENT ORDER CERTIFICATE

1. Member State of origin: IRELAND (IE)

2. Court/Authority issuing the certificate:

2.1 Name: *Circuit Court, ……………. Circuit, County of ……………/*County Registrar for the County of ………………..

2.2 Address: ………………………., Ireland

2.3 Tel/fax/e-mail:

3. If different, Court/Authority issuing the judgment:

3.1 Name: ……………………………..

3.2 Address: ………………., Ireland

3.3 Tel/fax/e-mail:

4. Judgment:

4.1 Date:

4.2 Reference number (record number):

4.3 Parties:

4.3.1 Name and address of creditor(s):

4.3.2 Name and address of debtor(s):

HAS BEEN

*5. RECTIFIED as due to a material error there is the following discrepancy between the European Enforcement Order Certificate and the underlying judgment:

*6. WITHDRAWN because:

6.1 *the certified judgment was related to a consumer contract but was given in a Member State where the consumer is not domiciled within the meaning of Article 59 of Regulation (EC) No. 44/2001 *

6.2 *the European Enforcement Order Certificate was clearly wrongly granted for another reason: *

and the original of the said European Enforcement Order Certificate (and every duplicate thereof) has not been lodged with this Court.

Done at the [insert address of the Office concerned] on the …….. day of …………… 200….

Signed………………………………..

County Registrar for the County of

Circuit Court

(seal)

*delete where appropriate

Form 19B inserted by S.I. 1 of 2006, effective 7February 2006.