S.L. 460.8 Art. 01 / 10 State: MT Name: Telephone: Reference of the file: Name of the official dealing with the request: Language skills: 3 / 10 Final date for notification of Date before which notification addressee; see box B of the Other comments: or for other claims relating to or to any other person 5 / 10 To inform

REQUEST FOR NOTIFICATION

Issue date: 12/05/2025

Based on:

Nature of the claim(s) concerned:

- Malta Name:

Address:

Postcode:

Town:

Telephone:

E-mail:

Reference of the

file:

Name of the official dealing with the request:

2 / 10 State: Name:

Name: Address:

Telephone: Postcode:

Reference of Town: the file: Telephone: Name of the official dealing E-mail: with the request: Reference of the file: Language skills: Name of the official dealing with the request:

these documents in order to avoid problems with the limitation period (if necessary):

is requested (this date will be mentioned in the Uniform Notification Form communicated to the Uniform Notification Form)

4 / 10 other

B. The addressee of the notification is considered to be the principal debtor a co-debtor a person other than the (co-)debtor, liable for settlement of the taxes, duties and other measures, these taxes, duties and other measures under the laws in force in the applicant State a person other than the (co-)debtor, holding assets belonging to, or having debts towards, the (co-)debtor liable a third party which may become affected by enforcement measures concerning other persons about the document(s) to which this information document is attached.

limitation with regard to the claim(s) mentioned in the notified document(s).

his/her obligation to pay the amounts mentioned under point D.

regard to the attached document(s)

office can be

(please note that if the directive is selected, both should normally be selected)

contest the obligations above.

6 / 10 A. Reference number

Reference number:

Date of establishment: __/__/____

B. Nature of the notified document

Tax assessment.

Payment order.

Decision following an administrative appeal.

Other administrative document

Judgment/order of

Other judicial document

C. Name of the claim(s) concerned

D. Nature of the claim(s) concerned

E. Amount of the claim(s) concerned, in EUR

Principal amount:

Administrative penalties and fines:

Interest up to:

Costs up to:

Fees for certificates and similar documents issued in connection with administrative procedures related to the tax/ duty mentioned under point D:

Total amount for this (these) claim(s):

F. The total amount of the claim should be paid before within days following the date of this notification. without any further delay.

This payment should be made to:

used for the to the document(s) that is (are) notified. replying replying of the authority to whom a reply can be sent contest the claim or the notified document(s) has already come to its end. contesting the claim: contest the claim:

informed that the enforcement may start before the end of the contestation period.

will appear in the UNF)

8 / 10 acknowledge receipt of the request.