U.S.
Department of Justice United States Marshals Service
REQUEST FOR SERVICE ABROAD OF JUDICIAL OR EXTRAJUDICIAL DOCUMENTS PURSUANT TO THE ADDITIONAL PROTOCOL TO THE INTER-AMERICAN CONVENTION ON LETTERS ROGATORY
FORM A
LETTER ROGATORY1 1 REQUESTING JUDICIAL OR OTHER ADJUDICATORY AUTHORITY
Name Address
2 CASE: DOCKET No.:
3 CENTRAL AUTHORITY OF THE STATE OF ORIGIN
Name Address
4 CENTRAL AUTHORITY OF THE STATE OF DESTINATION
Name Address
5 REQUESTING PARTY
Name Address
6 COUNSEL TO THE REQUESTING PARTY
Name Address
PERSON DESIGNATED TO ACT IN CONNECTION WITH THE LETTER ROGATORY
Name Address
Is this person responsible for costs and expenses? YES NO * If not, check in the amount of is attached * Or proof of payment is attached
1 Complete the original and two copies of this form; if A(l) is applicable, attach the original and two copies of the translation of this item in the language of the State of destination. * Delete if inapplicable. -1Form USM-272 Est. 1/89
The Central Authority signing this letter rogatory has the honor to transmit to you in triplicate the documents listed below and, in conformity with the Protocol to the Inter-American Convention on Letters Rogatory: * A. Requests their prompt service on:
The undersigned authority requests that service be carried out in the following manner:
(1) In accordance with the special procedure or additional formalities that are described below, as provided for in the second paragraph of Article 10 of the above-mentioned Convention; or
* *
(2) By service personally on the identified addressee or, in the case of a legal entity, on its authorized agent; or (3) If the person or the authorized agent of the entity to be served is not found, service shall be made in accordance with the law of the State of destination.
* B. Requests the delivery of the documents listed below to the following judicial or administrative authority: Authority:
* C. Requests the Central Authority of the State of destination to return to the Central Authority of the State of origin one copy of the documents listed below and attached to this letter rogatory, and an executed Certificate on the attached Form C.
Done at this
date of
20
Signature and stamp of the judicial or other adjudicatory authority of the State of origin
Signature and stamp of the Central Authority of the State of origin
Title or other identification of each document to be delivered:
(Attach additional pages, if necessary.)
* Delete if inapplicable.
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ANNEX TO THE ADDITIONAL PROTOCOL TO THE INTER-AMERICAN CONVENTION ON LETTERS ROGATORY FORM B
ESSENTIAL INFORMATION FOR THE ADDRESSEE 1 To (Name and address of the person being served)
You are hereby informed that (Brief statement of nature of service)
A copy of the letter rogatory that gives rise to the service or delivery of these documents is attached to this document. This copy also contains essential information for you. Also attached are copies of the complaint or pleading initiating the action in which the letter rogatory was issued, of the documents attached to the complaint or pleading, and of any rulings that ordered the issuance of the letter rogatory.
ADDITIONAL INFORMATION I* FOR SERVICE
A. The document being served on you (original or copy) concerns the following:
B. The remedies sought or the amount in dispute is as follows:
C. By this service, you are requested:
D. * In case of service on you as a defendant you can answer the complaint before the judicial or other adjudicatory authority specified in Form A, Box I (State place, date and hour):
* You are being summoned to appear as:
Complete the original and two copies of this form in the language of the State of origin and two copies in the language of the State of destination. * Delete if inapplicable.
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* If some other action is being requested of the person served, please describe:
E. If you fail to comply, the consequences might be:
F. You are hereby informed that a defense counsel appointed by the Court or the following legal aid societies are available to you at the place where the proceeding is pending. Name: Address: The documents fisted in Part III are being furnished to you so that you may better understand and defend your interests. II * FOR INFORMATION FROM JUDICIAL OR ADMINISTRATIVE AUTHORITY To:
(Name and address of the judicial or administrative authority) You are respectfully requested to furnish the undersigned authority with the following information:
The documents listed in Part III are being furnished to you to facilitate your reply.
* Delete if inapplicable.
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III LIST OF ATTACHED DOCUMENTS
(Attach additional pages if necessary.)
Done at of 20
this
day
Signature and stamp of the judicial or other adjudicatory authority of the State of Origin
Signature and stamp of the Central Authority of the State of Origin
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ANNEX TO THE ADDITIONAL PROTOCOL TO THE INTER-AMERICAN CONVENTION ON LETTERS ROGATORY
FORM C
CERTIFICATE OF EXECUTION1
To:
(Name and address of judicial or other adjudicatory authority that issued the letter rogatory) In conformity with the Additional Protocol to the Inter-American Convention on Letters Rogatory, signed at Montevideo on May 8, 1979, and in accordance with the attached original letter rogatory, the undersigned Central Authority has the honor to certify the following: * A. That one copy of the documents attached to this Certificate has been served or delivered as
follows: Date: At (Address) By one of the following methods authorized by the Convention.
* (1) In accordance with the special procedure or additional formalities that are described below, as provided for in the second paragraph of Article 10 of the above-mentioned Convention, or
* (2) By service personally on the identified addressee or, in the case of a legal entity, on its authorized agent, or * (3) If the person or the authorized agent of the entity to be served was not found, in accordance with the law of the State of destination: (Specify method used)
1 *
Complete the original and one copy in the language of the State of destination. Delete if inapplicable.
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* B. That the documents referred to in the letter rogatory have been delivered to: Identity of person
Relationship to the addressee (Family, business or other)
* C. That the documents attached to the Certificate have not been served or delivered for the *following reason(s):
* D. In conformity with the Protocol, the party requesting execution of the letter rogatory is requested to pay the outstanding balance of costs in the amount indicated in the attached statement. Done at the day of 20
Signature and stamp of Central Authority of the State of destination
Where appropriate, attach originals or copies of any additional documents proving service or delivery, and identify them.
* Delete if inapplicable.
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U.S. Department of Justice United States Marshals Service
SOLICITUD PARA EJECUTAR EN EL EXTRANJERO DOCUMENTOS JUDICIALES O EXTRAJUDICIALES BASADO EN EL PROTOCOLO ADICIONAL A LA CONVENCION INTERAMERICANA SOBRE EXHORTOS O CARTAS ROGATORIAS
EXHORTO O CARTA ROGATORIA 1
ORGANO JURISDICCIONAL REQUIRENTE Nombre Direccion
1
FORMULARIO A
2
EXPEDIENTE
3
AUTORIDAD CENTRAL REQUIRENTE Nombre Direccion
4
AUTORIDAD CENTRAL REQUERIDA Nombre Direccion
5
PARTE SOLICITANTE Nombre Direccion
6
APODERADO DEL SOLICITANTE Nombre Direccion
PERSONA DESIGNADA PARA INTERVENIR EN EL DILIGENCIAMIENTO Nombre Direccion * Esta persona se hara responsable de las NO costas y gastos? SI * En caso contrario, se acompana cheque por la suma de * O se agrega documento que prueba el pago
1 Debe
elaborarse un original y dos copias de este Formulario; en caso de ser aplicable el A (1) debe ser traducido al idioma del Estado requerido y se adjuntaran dos copias. * Tachese si no corresponde. -1-
Form USM-272A (Est. 1/89)
La autoridad que suscribe este exhorto o carta rogatoria tiene el honor de transmitir a usted por triplicado los documentos abajo enumerados, conforme al Protocolo Adicional a la Convencion Interamericana sobre Exhortos o Cartas Rogatorias. * A. Se solicita la pronta notificacion a:
La autoridad que suscribe solicita que la notificacion se practique en la siguiente forma: * (1) De acuerdo con el procedimiento especial o formalidades adicionales, que a continuacion se describen, con fundamento en el segundo parrafo del articulo 10 de la mencionada Convencion;
* *
(2) Mediante notificacion personal a la persona a quien se dirige, o al representante legal de la persona juridica; (3) En caso de no encontrarse la persona natural o el representante legal de la persona juridica que deba ser notificada, se hara la notificacion en la forma prevista por la ley del Estado requerido.
* B. Se solicita que se entregue a la autoridad judicial o administrative que se identifica, los documentos abajo enumerados: Autoridad
* C. Se ruega a la autoridad central requerida devolver a la autoridad central requirente una copia de los documentos adjuntos al presente exhorto o carta rogatoria, abajo enumerados, y un certificado de cumplimiento conforme a lo dispuesto en el Formulario C adjunto. Hecho en el dia de de 20
Firma y sello del organo jurisdiccional requirente
Firma y sello de la autoridad central requirente
Titulo u otra identificacion de cada uno de los documentos que deban ser entregados:
(Agregar hojas en caso necesario) * Tachese si no corresponde.
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ANEXO AL PROTOCOLO ADICIONAL A LA CONVENCION INTERAMERICANA SOBRE EXHORTOS O CARTAS ROGATORIAS
INFORMACION ESENCIAL PARA EL NOTIFICADO 1
FORMULARIO B A (Nombre y direccion del notificado)
Por la presente se le comunica que (explicar brevemente la que se notifica)
A este documento se anexa una copia del exhorto o carta rogatoria que motiva la notificacion o entrega de estes documentos. Esta copia contiene tambien informacion esencial para usted. Asimismo, se adjuntan copias de la demanda o de la peticion con la cual se inici6 el procedimiento en el que se libro el exhorto o carta rogatoria, de los documentos que se han adjuntado a dicha demanda o peticion y de las resoluciones jurisdiccionales que ordenaron el libramiento del exhorto e carta rogatoria. INFORMACION ADICIONAL I* PARA EL CASO DE NOTIFICACION A. El documento que se le entrega consiste en: (original o copia)
B. Las pretensiones o la cuantia del proceso son las siguientes:
C. En esta notificacion se le solicita que:
D. * En caso de citacion al demandado, este puede contestar la demanda ante el organo jurisdiccional indicado en el cuadro 1 del Formulario A (indicar lugar, fecha y hora):
* Usted esta citado para comparecer como:
1 Completar el original y dos copias de este Formulario en el idioma del Estado requirente y dos copias en el idioma del Estado requerido. *Tachese lo que no corresponde.
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En caso de solicitarse, otra cosa del notificado, sirvase describirla:
E. En caso de que usted no compareotere, las consecuencias aplicables podrian ser:
F. Se le informa que existe a su disposici6n la defensoria de oficio, o sociedad de auxilio legal en el lugar del juicio. Nombre: Direccion:
Los documentos enumerades en la parte III se le suministran para su mejor conocimiento y defensa. II* PARA EL CASO DE SOLICITUD DE INFORMACION DEL ORGANO JURISDICCIONAL A:
(Nombre y direccion del organo jurisdiccional) Se le solicita respetuosamente proporcionar al organo que suscribe, la siguiente informacion
Los documentos enumerados en la Parte III se le suministran para facilitar su respuesta.
*Tachese si no corresponde.
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III LISTA DE LOS DOCUMENTOS ANEXOS
(Agregar hojas si fuera necesario)
Hecho en
el dia
de
de 20
Firma y sello del organo jurisdiccional requirente
Firma y sello de la autoridad central requirente
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ANEXO AL PROTOCOLO ADICIONAL A LA CONVENCION INTERAMERICANA SOBRE EXHORTOS 0 CARTAS ROGATORIAS
FORMULARIO C
CERTIFICADO DE CUMPLIMIENIO1 A:
(Identificacion y direccion del organo jurisdiccional que libro el exhorto o carta rogatoria) De conformidad con el Protocolo Adicional a la Convencion Interamericana sobre Exhortos o Cartas Rogatorias, suscrito en Montevideo ei 8 de mayo de 1979, y con el exhorto o carta rogatoria adjunto, la autoridad que suscribe tiene el honor de certificar lo siguiente: * A. Que un ejemplar de los documentos adjuntos al presente Certificado ha sido notificado o entregado como sigue: Fecha: Lugar (direccion): De conformidad con uno de los siguientes metedos autorizados en la Convencion: * (1) De acuerdo con el procedimiento especial o formalidades adicionales que a continuacion se describen, con fundamento en el segundo, parrafo del articulo 10 de la mencionada Convencion
* *
(2) Mediante notificacion personal a la persona a quien se dirige, o al representante legal de una persona juridica, (3) En caso de no haberse encentrado la persona que debio haber sido notificada, se hizo la notificaci6n en la forma prevista por la ley del Estado requerido: (Sirvase describirla)
* Tachese
Original y una copia en el idioma del Estado requerido. si no corresponde.
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* B. Que los documentos indicados en el exhorto o carta rogatoria han sido entregados a: Identidad de la persona
Relacion con el destinatario (familiar, comercial u otra)
* C. Que los documentos no han sido notificados o entregados por los siguientes motivos:
* D. De conformidad con el Protocolo, se solicita al interesado que pague el saldo adeudado cuyo detaille se adjunta. Hecho en el dia de de 20
(Firma y sello de la autoridad central requerida) Cuando corresponda, adjuntar original o copia de cualquier documento adicional necesario para probar que se ha hecho la notificacion o entrega, e identificar el citado documento.
*Tachese si no corresponde.
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