ANNEX IV
Notification of an infringement or suspected infringement
Reference number: FROM: | Date: TO: |
Member State: | Member State: |
Competent authority: | Competent authority: |
Address: | Address: |
Name: | Name: |
Telephone: | Telephone: |
Email: | Email: |
Dear [name]
Under Article 29 of Directive (EU) 2015/2366 on payment services in the internal market, please find below information on [an infringement/a suspected infringement].
[Please provide all indispensable information on the infringement/suspected infringement, which must include the type of infringement and any action taken by your competent authority, including any precautionary measures or penalties]
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[Please provide any other information on the infringement/suspected infringement that could be of interest and benefit to the notified competent authority]
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[Please add any further comments on the confidentiality and potential use of the information provided]
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Yours sincerely,
[signature]