1601
Kanunları ve Tercümeleri
ANNEX No. 4
CERTIFICATE
(a) Issuing and executing States:
Issuing State: ............................... ........................................................
Executing State: ......................... .......................................................
(b) Court which issued the confiscation order:
Official name:................................... .......................................................
Address:..............................................................................................................
File reference: ................................. ......................................................
Tel. No: (country code) (area/city code) ..........................................
Fax No (country code) (area/city code) ...............................................
E-mail (when available)........................................
Languages in which it is possible to communicate with the Court………………......... ...............
............................
Contact details for person(s) to contact to obtain additional information for the purpose of
the enforcement of the confiscation order, or, where applicable, for the purpose of coordination
of the execution of a confiscation order transmitted to two or more executing States, or for the
purpose of the transfer to the issuing State of monies or properties obtained from the execution
(name, title/grade, tel., fax, and, when available, E-mail) ..................................
(c) Authority competent for the execution of the confiscation order in the issuing State (if the
authority is different from the Court under point (b)):
Official name:...................................................................................................
Address:.........................................................................................................
Tel. No: (country code) (area/city code).......................................................
Fax No (country code) (area/city code)............................................................
E-mail (when available)..........................................................
Languages in which it is possible to communicate with the authority competent for the exe-
cution ........................
............................................................................................................................
Contact details for person(s) to contact to obtain additional information for the purpose of
the execution of the confiscation order or, where applicable, for the purpose of coordination of
the execution of a confiscation order transmitted to two or more executing States, or for the pur-
pose of the transfer to the issuing State of monies or properties obtained from the execution
(name, title/grade, tel., fax, and, when available, E-mail): ......................................................
(d) Where a central authority has been made responsible for the administrative transmission