Division Identification of the person(s) concerned in the national instrument(s) permitting enforcementF1

1. a))

   The following person is mentioned in the national instrument(s) permitting enforcement

   □ natural person

   □ other

   • Name

   • Address (known or assumed)

   • Other data relevant to the identification of the addressee

   □ Legal representative

   • Name

   • Address (known or assumed)

   • Other data relevant to the identification of the addressee

   Cause of liability:

   1. □

      principal debtor

   2. □

      a co-debtor

   3. □

      a person other than the (co-)debtor, liable for settlement of the taxes, duties and other measures, or for other claims relating to these taxes, duties and other measures under the laws in force in the applicant State

2. b))

   the following person(s) is (are) also mentioned in the national instrument(s) permitting enforcement:

   □ natural person

   □ other

   • Name:

   • Address (known or assumed):

   • Other data relevant to the identification of the addressee:

   □ Legal representative

   • Name:

   • Address (known or assumed):

   • Other data relevant to the identification of the addressee:

   Cause of liability:

   1. □

      principal debtor

   2. □

      a co-debtor

   3. □

      a person other than the (co-)debtor, liable for settlement of the taxes, duties and other measures, or for other claims relating to these taxes, duties and other measures under the laws in force in the applicant State

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