1 Start 2 Step 2 3 Step 3 4 Step 4 5 Step 5 6 Complete ANNEX IX CERTIFICATE CONCERNING AN AUTHENTIC INSTRUMENT OR AGREEMENT IN MATTERS OF PARENTAL RESPONSIBILITY (Point (b) of Article 66(1) of Council Regulation (EU) 2019/1111 (1)) IMPORTANTTo be issued, upon application by a party, only if the Member State which empowered the public authority or other authority to formally draw up or register the authentic instrument or register the agreement had jurisdiction under Section 2 of Chapter II of the Regulation, as indicated in point 2, and the authentic instrument or agreement has binding legal effect in that Member State, as indicated in point 12.5 or 13.4. The certificate must not be issued if there are indications that the content of the authentic instrument or agreement is against the best interests of the child. 1. MEMBER STATE OF ORIGIN* * - Select -BelgiumBulgariaCzechiaGermanyEstoniaIrelandGreeceSpainFranceCroatiaItalyCyprusLatviaLithuaniaLuxembourgHungaryMaltaNetherlandsAustriaPolandPortugalRomaniaSloveniaSlovakiaFinlandSweden 1. MEMBER STATE OF ORIGIN* (2) List of options for 1. MEMBER STATE OF ORIGIN<span style="color:#e74c3c;">*</span> (<sup>2</sup>) Belgium Bulgaria Czechia Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden 2. THE MEMBER STATE OF ORIGIN HAD JURISDICTION UNDER SECTION 2 OF CHAPTER II OF THE REGULATION* List of options for <none> 2.1. Yes 3. COURT OR COMPETENT AUTHORITY ISSUING THE CERTIFICATE* 3.1. Name: * 3.2. Address * 3.3. Tel./fax/e-mail* Tel. email Fax 4. NATURE OF THE DOCUMENT * List of options for 4. NATURE OF THE DOCUMENT 4.1. Authentic instrument (then please fill in point 12) 4.2. Agreement (then please fill in point 13) Upload file Leave this field blank Download the blank form Save draft Load draft Next Page >