# Commission Implementing Regulation (EU) 2016/1823 of 10 October 2016 establishing the forms referred to in Regulation (EU) No 655/2014 of the European Parliament and of the Council establishing a European Account Preservation Order procedure to facilitate cross-border debt recovery in civil and commercial matters, Division 7.1

Extent: E+W+S+N.I.

I hereby lodge an application to have the enforcement of the Preservation Order (please tick the relevant box):
☐ limited
☐ modified
☐ terminated
on the grounds that (please tick the relevant box(es) in point 7.1.1. below; where you are requesting the limitation or modification, please also indicate under the relevant box the particular limitation or modification requested):
7.1.1. the Preservation Order has not been enforced in accordance with Regulation (EU) No 655/2014, because:
7.1.1.1. ☐ certain amounts held in the account that was preserved should be exempt from seizure in accordance with Article 31(3) of Regulation (EU) No 655/2014, or amounts exempt from seizure have not or not correctly been taken into account in the implementation of the Preservation Order in accordance with Article 31(2) of that Regulation. Please provide details:
7.1.1.2. ☐ the account preserved is excluded from the scope of Regulation (EU) No 655/2014 (Aricle 2 of the Regulation). Please provide details:
7.1.1.3. ☐ the enforcement of the judgment or court settlement or authentic instrument that the creditor was seeking to secure by means of the order has been refused in the Member State of enforcement;
7.1.1.4. ☐ the enforceability of the judgment the enforcement of which the creditor was seeking to secure by means of the Preservation Order has been suspended in the Member State of origin;
7.1.1.5. ☐ the Preservation Order, the declaration concerning the preservation of funds and/or the other documents referred to in Article 28(5) of Regulation (EU) No 655/2014 were not served on me within 14 days of the preservation of my account(s);
Please indicate an address to which the documents and translations can be sent:
or, alternatively,
☐ please indicate your agreement to collect those documents at the court of the Member State of origin by ticking the box;
7.1.1.6. ☐ the documents served on me in accordance with Article 28 of Regulation (EU) No 655/2014 did not meet the language requirements set out in that Regulation. In particular, Article 49(1) of the Regulation requires that the Preservation Order and the application for the Preservation Order submitted by the creditor to the court should be translated into the official language of the Member State in which the debtor is domiciled or another language which the debtor understands;
If applicable, please indicate another language that you understand:
Please indicate an address to which the documents and translations can be sent:
or, alternatively,
☐ please indicate your agreement to collect those documents at the court of the Member State of origin by ticking the box;
7.1.1.7. ☐ the preserved amounts exceeding the amount of the Preservation Order were not released in accordance with Article 27 of Regulation (EU) No 655/2014. Please provide details:
7.1.1.8. ☐ the claim, the enforcement of which the creditor was seeking to secure by means of the Preservation Order, has been paid in full or in part. Please provide details:
7.1.1.9. ☐ the judgment on the substance of the matter has dismissed the claim, the enforcement of which the creditor was seeking to secure by means of the Preservation Order;
7.1.1.10. ☐ the judgment on the substance of the matter, or the court settlement or authentic instrument, the enforcement of which the creditor was seeking to secure by means of the Preservation Order has been set aside or, as the case may be, annulled. Please provide details:
7.1.1.11. ☐ the enforcement of the Preservation Order is manifestly contrary to the public policy of the Member State of the enforcement. Please provide details:
7.1.1.12. ☐ we (the debtor and the creditor) agreed to settle the claim. In this case, this form has to be signed by both the creditor and the debtor;
7.1.1.13. ☐ the amounts exempted from preservation have to be adjusted. Please provide details:

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Source: https://www.legislation.gov.uk/eur/2016/1823/annex/VII/division/3/division/7/division/7.1 (the official version)
Page: https://openlegislation.uk/eu-regulation-2016-1823/annex-VII/division-3/division-7/division-7.1
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.