TREATIES AND OTHER INTERNATIONAL ACTS SERIES 17-420

________________________________________________________________________

LAW ENFORCEMENT

Mutual Legal Assistance

Treaty Between the

UNITED STATES OF AMERICA

and ALGERIA

Signed at Algiers April 7, 2010

with

Forms
 NOTE BY THE DEPARTMENT OF STATE

 Pursuant to Public Law 89—497, approved July 8, 1966

(80 Stat. 271; 1 U.S.C. 113)—

“. . .the Treaties and Other International Acts Series issued

under the authority of the Secretary of State shall be competent

evidence . . . of the treaties, international agreements other than

treaties, and proclamations by the President of such treaties and

international agreements other than treaties, as the case may be, 

therein contained, in all the courts of law and equity and of maritime

jurisdiction, and in all the tribunals and public offices of the

United States, and of the several States, without any further proof

or authentication thereof.”
 ALGERIA

 Law Enforcement: Mutual Legal Assistance

Treaty signed at Algiers April 7, 2010;

Transmitted by the President of the United States of America

 to the Senate October 5, 2015 (Treaty Doc. 114-3,

 114th Congress, 1st Session);

Reported favorably by the Senate Committee on Foreign Relations

 June 23, 2016 (Senate Executive Report No. 114-12,

 114

th Congress, 2nd Session);

Advice and consent to ratification by the Senate

 September 15, 2016;

Ratified by the President January 13, 2017;

Exchange of Instruments of Ratification at Algiers

 April 20, 2017;

Entered into force April 20, 2017.

With forms.
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TREATY BETWEEN 


THE GOVERNMENT OF THE UNITED STATES OF AMERICA 


AND 


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' THE GOVERNMENT OF THE PEOPLE'S DEMOCRATIC 


REPUBLIC OF ALGERIA 


ON MUTUAL LEGAL ASSISTANCE IN CRIMINAL MATTERS 


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TREATY BETWEEN 


THE GOVERNMENT OF THE UNITED STATES OF AMERICA 


AND 


THE GOVERNMENT OF THE PEOPLE'S DEMOCRATIC REPUBLIC OF 


ALGERIA 


ON MUTUAL LEGAL ASSISTANCE IN CRIMINAL MATTERS 


TABLE OF CONTENTS 


Article I Scope of Legal Assistance 


Article 2 Central Authorities 


Article 3 Limitations on Legal Assistance 


Article 4 Form and Content of Requests for Legal Assistance 


Article 5 Execution of Requests for Legal Assistance 


Article 6 Costs 


Article 7 Confidentiality and Limitations on Use 


Article 8 Evidence and Testimony in the Territory of the Requested Party 


Article 9 Documents, Records, or Information in the Possession of the 


Public Authorities 


Article 10 Authentication and Admissibility of Evidence 


Article 11 Testimony Before the Competent Authorities of the 


Requesting Party 

Article 12 Temporary Transfer of Persons in Custody 

Article 13 Transit of Persons in Custody 

Article 14 Location or Identification of Persons or Items 

Article 15 Service of Documents 

Article 16 Search and Seizure 

Article 1 7 Return of Items ii 

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Article 18 Assistance in Forfeiture Proceedings 


Article 19 Compatibility with Other Treaties and Arrangements 
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Article 20 Consultation 


Article 21 Ratification 


Article 22 Entry into Force 


Article 23 Amendment and Termination 
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ANNEX 


Form A Certificate ofAuthenticity ofBusiness Records 


Form B Certification of Absence or Nonexistence of Business Records 


Form C Attestation of Authenticity of Official Records 


Form D Attestation ofAbsence or Nonexistence of Official Records 


Form E Attestation with Respect to Seized Items 


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TREATY BETWEEN 


THE GOVERNMENT OF THE UNITED ST ATES OF AMERICA 


AND 


THE GOVERNMENT OF THE PEOPLE'S DEMOCRATIC REPUBLIC OF 


ALGERIA 


ON MUTUAL LEGAL ASSISTANCE IN CRIMINAL MATTERS 


The Government ofthe United States of America and the Government of the 

People's Democratic Republic of Algeria, hereinafter referred to as "the 

Parties"; 

Recognizing the particular importance to provide to each other the widest 


mutual assistance in fighting crime in all its forms; 


Conscious of the need to respect the rights conferred upon every person 


involved in criminal proceedings, as embodied in international instruments on 


human rights; 


Have agreed as follows: 

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Article 1 


Scope of Legal Assistance 


1. The Parties agree to provide the widest measure of mutual legal assistance 

to each other in accordance with the provisions of this Treaty, in connection 

with the repression, investigation, and prosecution of offenses and proceedings 

related to criminal matters, which includes matters within the jurisdiction of the 

judicial authorities of the Requesting Party. 

2. Assistance shall include: 

a) taking the testimony or statements of persons, including by 


videoconference; 


b) providing documents, records, and other evidence; 


c) locating or identifying persons or items; 


d) serving documents; 


e) temporary transfer of persons in custody for testimony or other assistance 


in a criminal proceeding; 


f) executing requests for search and seizure; 


g) assisting in the identification, location, immobilization, forfeiture, and 


recovery of proceeds or instrumentalities of crimes; and 

h) any other form of assistance not prohibited by the laws of the Requested 

Party. 

3. This Treaty is intended solely for mutual legal assistance between the 

Parties. The provisions of this Treaty shall not give rise to a right on the part of 

any private person to obtain, suppress, or exclude any evidence, or to impede 

the execution of any request for assistance. 

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Article 2 


Central Authorities 


1. Each Party shall designate a Central Authority to make and receive requests 

pursuant to this Treaty. 

2. For the United States of America, the Central Authority shall be the 


Attorney General or a person designated by the Attorney General. For the 


People's Democratic Republic of Algeria, the Central Authority shall be the 


Ministry of Justice. 


3. Each Party shall expeditiously notify the other of any change in the 


designation of its Central Authority. 
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4. Requests for legal assistance under this Treaty shall be transmitted directly 

by the Central Authority of the Requesting Party to the Central Authority of the 

Requested Party. 

5. The CentrnJ Authorities shall communicate directly with one another for the 

purposes of this Treaty. 

6. Each Central Authority shall make requests on behalf of competent 


authorities that by law are responsible for investigations, prosecutions, or 


proceedings related to criminal matters. 


Article 3 

Limitations on Legal Assistance l; 

1. 	The Central Authority of the Requested Party may deny legal assistance if: 


a) the request relates to acts which constitute a pure military offense; 


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1; b) the request is not made in conformity with the provisions of this Treaty; 

c) the execution of the request would prejudice the sovereignty, security, 

public order, or other essential interests of the Requested Party; 

d) the conduct that is the subject of the request for assistance would not 

constitute a criminal offense under the laws ofthe Requested Party and the 

execution of a request requires a court warrant or other compulsory measure 

under the laws of the Requested Party. 

2. Assistance shall not be refused solely on the ground of secrecy of banks and 

similar financial institutions, or that the offense is considered to involve fiscal f: I 

matters. 

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3. Before denying assistance pursuant to this Article, the Central Authority of 


the Requested Party shall consult with the Central Authority of the Requesting 


Party to consider whether assistance can be given subject to such conditions as 


the Requested Party may deem necessary. Ifthe Requesting Party accepts 


assistance subject to these conditions, it shall comply with the conditions. 


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4. Ifthe Central Authority of the Requested Party denies assistance pursuant to 

this Article, it shall inform the Central Authority of the Requesting Party of the 

reasons for the denial. ! 

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Article 4 


Form and Content of Requests for Legal Assistance 


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I. A request for legal assistance shall be in writing. In case of emergency, the 


Central Authority of the Requested Party may accept a request under any other 


form that will establish a record ofthe request, and in this case the full written 


request shall be transmitted within a maximum period of ten (I 0) days unless 


the Central Authority of the Requested Party agrees otherwise. 

2. The request shall include the following: 

a) the name of the authority conducting the investigation, prosecution, or 

proceeding to which the request relates; 

b) a description of the offenses to which the request relates, and a statement 

of the relevant laws as well as the applicable sentence; 

c) a description of the assistance requested; I; 

d) a statement of the facts alleged and how the assistance sought relates to 

the underlying investigation, prosecution, or proceeding. 

3. To the extent necessary and possible, a request shall also include: 

a) the identity and location of any person from whom evidence or testimony 

is sought; 

b) the identity and location of a person to be served; 

c) information on the identity and suspected location of a person or item to 

be located; 

d) a precise description of the place or person to be searched and of the items 

to be seized; 

e) a description ofthe manner in which any testimony or statement is to be 

taken and recorded; 

t) a list of questions to be asked to a witness or to an expert; 

g) a description of any particular procedure to be followed in executing the 

request; 

h) any special requirement for confidentiality and the reasons for it; and 

i) any other information that may be brought to the attention of the 

Requested Party to facilitate its execution of the request. 

4. Requests for assistance and supporting documentation shall be in the 

language of the Requested Party unless otherwise agreed. 

5. Ifthe Central Authority of the Requested Party considers that the 

information contained in the request is not sufficient to enable the request to be 

i. executed, that Central Authority may request additional information it 

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considers necessary to enable the request to be fulfilled. 

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Article 5 


Execution of Requests for Legal Assistance 


1. The Central Authority of the Requested Party shall promptly execute the 

request for legal assistance or, when appropriate, shall transmit it to the 

competent authority having jurisdiction to do so. The competent authorities of 

the Requested Party shall do everything in their power to execute the request. 

2. The judicial authorities of the Requested Party shall have authority to issue 

subpoenas, search warrants, or other orders necessary to execute the request. 

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11 	 3. Each Party shall grant to the other Party the most appropriate legal 

representation in all proceedings arising out of a request for legal assistance. 

4. Requests shall be executed in accordance with the internal laws of the 

Requested Party except to the extent that this Treaty provides otherwise. 

Procedures of execution specified in the request shall be followed except to the 

extent that those procedures are prohibited by the laws of the Requested Party. 

Where neither the Treaty nor the request specifies particular procedures, the 

request shall be executed in accordance with appropriate procedures under the 

laws applicable for investigations, prosecutions, or proceedings in the 

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5. Ifthe Central Authority of the Requested Party determines that execution of 

a request would interfere with an ongoing investigation, prosecution, or 

proceeding in that Party, it may postpone execution, or make execution subject 

to conditions determined necessary after consultations with the Central 

Authority of the Requesting Party. Ifthe Requesting Party accepts the 

assistance subject to the conditions, it shall comply with the conditions. 

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6. Ifrequested by the Central Authority of the Requesting Party, the Requested 

Party shall use its best efforts to keep confidential the fact that a request has 

been made, the contents and supporting documentation of a request, any action 

taken pursuant to the request, and the outcome of the execution of a request. If 

the request cannot be executed without breaching the confidentiality requested, 

the Central Authority of the Requested Party shall so inform the Central 

Authority of the Requesting Party, which shall then determine whether the 

request should nevertheless be executed. 

7. The Central Authority of the Requested Party shall respond to reasonable :! 

requests emanating from the Central Authority of the Requesting Party on 

progress toward execution of the request. In all cases, the Central Authority of 

the Requested Party shall promptly inform the Central Authority of the 

Requesting Party of the outcome of the execution of the request. '' 

Article 6 

Costs 

1. The Requested Party shall pay all costs relating to the execution of a request 

for legal assistance except for the following fees, costs, allowances, and 

expenses, which shall be paid by the Requesting Party: : ' 

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a) the fees of experts and witnesses; 


b) the costs of translation, interpretation, and transcription; 


c) costs of utilizing video conference; and : ; 


d) the allowances and expenses related to travel of persons traveling either in 


the territory of the Requested Party for the convenience of the Requesting 

Party or pursuant to Articles 11 and 12 of this Treaty. 

2. Ifduring the execution of a request it becomes apparent that complete 


execution will entail expenses of an extraordinary nature, the Central 


Il~utho~ities shall co~sult to determine the terms and conditions under which 

t ecut10n may contmue. ; J 

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Article 7 


Confidentiality and Limitations on Use 


1. The Central Authority of the Requested Party may request that information 

or evidence furnished under this Treaty be kept confidential or be used only 

subject to terms and conditions it may specify. Ifthe Requesting Party accepts 

the information or evidence subject to such conditions, the Requesting Party 

shall use its best efforts to comply with the conditions. 

2. Unless otherwise specified by the Central Authority of the Requested Party, 

the Requesting Party may use any information or evidence obtained from the 

Requested Party: 

a) for the purpose of its criminal investigations, prosecutions, or 


proceedings; 


b) for preventing an immediate and serious threat to its public security; 

c) in its non-criminal judicial or administrative proceedings directly related 

to criminal investigations, prosecutions, or proceedings; and 

d) for any other purpose, only with the prior consent ofthe Requested Party. 

3. Once made public in any of the situations described in paragraph 2 of this 


Article, information or evidence obtained from the Requested Party may be 


used for any purpose. 


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Article 8 : l 

Evidence and Testimony in the Territory of the Requested Party 

1. A person requested to testify or to produce information, documents, files, or 'i 

other elements of evidence on the territory of the Requested Party shall be I: 

compelled, if necessary. 	 i 

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2. Upon request, the Central Authority of the Requested Party shall furnish 	 I;I: ; 

information in advance about the date and place of the taking of the testimony 

or evidence. i' 

3. The Requested Party may permit the presence of officials and interested 

persons specified in the request during the execution of the request. Where 'I 

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permitted, the competent authority of the Requested Party shall allow such 

persons to pose questions related to the request to be asked of the person giving 

the testimony or evidence. 

4. Ifthe person referred to in paragraph 1 of this Article asserts a claim of 

immunity, incapacity, or privilege under the laws of the Requesting Party, the 

testimony or evidence shall nonetheless be taken and the claim made known to 

the Central Authority of the Requesting Party for resolution by the authorities 

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Article 9 


Documents, Records, or Information in the Possession of the Public 


Authorities 


1. Upon request of the Requesting Party, the Requested Party shall provide the 

' I' Requesting Party with copies of publicly available documents, records, or 	 I 

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information in the possession of the public authorities of the Requested Party. 
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2. The Requested Party may provide copies of any document, record, or 


information in the possession of the public authorities of the Requested Party, 
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but not publicly available, to the same extent and under the same conditions as .1 

would be available to its own law enforcement and judicial authorities. 

Article 10 


Authentication and Admissibility of Evidence 


I. If authenticated in a manner consistent with the laws of the Requesting 


Party or otherwise authenticated in conformity with the provisions of this 
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,, article, documents, ''I• items or evidence produced in response to a request for \: 


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assistance in accordance with this Treaty shall be admissible in evidence in the i ! 


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Requesting Party. . 

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2. Upon request of the Requesting Party, authentication may be made by use 


of: 


a) Form A, B, C, D, or E, appended to this Treaty, and as specified in the 

treaty request; or 

b) a record containing the essential information set out in the referenced 

forms. 

3. The forms referenced in this Article are an integral part of this Treaty. 

Article 11 


Testimony Before the Competent Authorities of the Requesting Party 


1. Ifthe Requesting Party considers that the voluntary appearance of a person 


before the competent authorities of the Requesting Party is necessary for the 


purposes of legal assistance under this present Treaty, it shall so mention in its 


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request. The Requested Party shall inform the person ofthe request and shall 

advise the Requesting Party of the reply given by the person. I: 

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2. The Requesting Party shall indicate the extent to which and the manner of 

the expenses to be paid. A person who agrees to appear may ask that the 

Requesting Party advance money to cover these expenses. This advance may 

be provided through the Embassy or a Consulate ofthe Requesting Party. 

3. Unless otherwise specified in the request, a person voluntarily appearing in 

the territory ofthe Requesting Party in accordance with the provisions ofthis 

Article cannot be prosecuted, detained or subjected to any restriction of '·! i 

personal freedom for acts or convictions prior to the departure ofthe person '' ' 

from the territory ofthe Requested Party. , ! '' 

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i 4. The safe conduct provided for by this Article shall cease ifthe person, being :\ 

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free to leave, has not left the territory ofthe Requesting Party within a period 

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of fifteen (15) consecutive days after being informed that the person's presence ! 

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was no longer necessary or, having left, has returned. 

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Article 12 i: 

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Temporary Transfer of Persons in Custody 

1. A person in the custody ofthe Requested Party whose presence outside of 

the territory ofthe Requested Party is sought for purposes of assistance under 

this Treaty shall be transferred in custody from the Requested Party for that 

purpose ifthe person consents and ifthe Central Authorities of both Parties 

agree. 

2. If, for purposes of legal assistance under this Treaty, the presence of a 

person in the custody ofthe Requesting Party is necessary in the territory ofthe 

Requested Party, that person may be transferred for this purpose from the 

l! territory ofthe Requesting Party to the territory of the Requested Party, '' Ii 

provided that the person consents and the Central Authorities of both Parties 

agree. 

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3. For purposes ofthis Article: 

a) a person in custody shall be transferred according to the conditions 

specified by the sending Party relating to custody or security of the person to 

be transferred; 

b) the receiving Party shall have the authority and the obligation to keep the 

person transferred in custody unless the sending Party authorizes his release; 

c) the receiving Party shall return the person transferred to the sending Party 

as soon as circumstances permit, unless otherwise agreed by both Central 

Authorities, and in any event no later than the date specified by the Central 

Authority of the sending Party as the date of release of the person in custody; 

d) as far as the return of the transferred person is concerned, it is not 

necessary that the sending Party initiates extradition or removal proceedings; 

and 

e) the person transferred shall receive credit for service of the sentence 


imposed in the sending Party for time served in custody of the receiving 


Party. 


Article 13 

Transit of Persons in Custody 

1. Upon the request of the Requesting Party, the Requested Party may 

authorize the transit through its territory of a person held in custody by a third 

State or the Requesting Party whose personal appearance has been requested 

by the Requesting Party for purposes of an investigation, prosecution, or 

proceeding related to a criminal matter. 

2. The Requested Party shall have the authority and the obligation to keep the 

person in custody during transit. 

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justifying such action under the laws of the Requested Party. 

Article 14 

Location or Identification of Persons or Items 

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Upon request of the Requesting Party, the Requested Party shall use its best 

efforts to ascertain the location or identity of persons or items in the territory of 

the Requested Party. 

Article 15 

Service of Documents 

1. The Requested Party shall use its best efforts to effect service of any '' l I 

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document relating, in whole or in part, to any request for assistance made by ' ( 

the Requesting Party under the provisions of this Treaty. !: 

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2. The Requesting Party shall transmit any request for the service of a 

document requiring the appearance of a person before an authority of the 

Requesting Party a reasonable time before the scheduled appearance. 

3. The Requested Party shall return a proof ofservice in the manner specified 

in the request. Ifservice cannot be effected, the Requested Party shall inform 

the Requesting Party without delay and advise of the reasons. 

Article 16 

Search and Seizure 

1. The Requested Party shall execute a request that it search for, seize, and ': 

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transfer any item to the Requesting Party ifthe request includes the information : I 

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2. The Central Authority of the Requested Party may require that the 

Requesting Party agree to terms and conditions deemed necessary to protect i 

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third party interests in the item to be transferred. 

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Article 17 


Return of Items 


The Central Authority of the Requested Party may require that the Central 

Authority of the Requesting Party return any items, including documents and i 

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records, furnished to it in execution of a request under this Treaty. ' 

Article 18 


Assistance in Forfeiture Proceedings 


I. Ifthe Central Authority of one Party becomes aware of proceeds or 

instrumentalities of offenses that are located in the other Party and may be 

forfeitable or otherwise subject to seizure under the laws of that Party, it may 

so inform the Central Authority of the other Party. Ifthat other Party has 

jurisdiction in this regard, it may present this information to its authorities for a 

determination whether any action is appropriate. These authorities shall issue ; ~ 

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their decision in accordance with the laws of their country, and shall, through 'Ii I 

their Central Authority, report to the other Party on the action taken. 

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2. Each Party shall assist the other to the extent permitted by its respective I 

laws in proceedings relating to the forfeiture of the proceeds and 


instrumentalities of offenses and restitution to the victims of crime. This may 


include action to temporarily immobilize the proceeds or instrumentalities 


pending further proceedings. 


I 3. The Party that has custody over proceeds or instrumentalities of offenses 

11 shall dispose ofthem in accordance with its laws. Either Party may transfer all 

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or part of such assets, or the proceeds of their sale, to the other Party, to the 

extent permitted by the transferring Party's laws and upon such terms as it 

deems appropriate. 11 

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Article 19 

Compatibility with Other Treaties and Arrangements 

Assistance and procedures set forth in this Treaty shall not prevent either Party 

from granting assistance to the other Party through the provisions of other 

applicable international agreements, or through the provisions of its national 

laws. The Parties may also provide assistance pursuant to any arrangement, 

agreement, or practice that may be applicable, including the spontaneous 

exchange of information. 

Article 20 

Consultation i) 

The Central Authorities shall consult periodically to promote the most effective j: 

use and application ofthis Treaty. The Central Authorities may also agree on 

such practical measures as may be necessary to facilitate the implementation of 

this Treaty. 

Article 21 

Ratification I 

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This Treaty shall be ratified in accordance with the legal requirements in force : ! 

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in each Party. 

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Article 22 


Entry into Force 


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1. This Treaty shall enter into force upon the exchange of instruments of 1 ! 

ratification. 'i 

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2. This Treaty shall apply to any request presented after the date of its entry 


into force whether the relevant acts or omissions occurred prior to or after that 


date. 


Article 23 I 

Amendment and Termination i' I ' 

1. The Parties may agree to amend this Treaty, provided that the same legal 


procedures required for entry into force are followed. 
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i: 2. Either Party may terminate this Treaty. ; ! 

3. Termination shall take effect six (6) months following the date of i' 

notification of the other Party in writing through the diplomatic channel. : ; 

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4. Requests made prior to this written notice, or received during the six (6) 

months of notification period shall be dealt with in accordance with this Treaty. 

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5. This Treaty remains in force until terminated in accordance with this 

Article. 

IN WITNESS WHEREOF, the undersigned being duly authorized, have signed 

this Treaty. 

Done at Algiers on this seventh day of April, 2010, in two originals, in the 

English and Arabic languages, the two texts being equally authentic. 

FOR THE GOVERNMENT OF 


THE UNITED ST A TES AMERICA: 


Eric H. Holder, Jr. 


Attorney General 


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FOR THE PEOPLE'S DEMOCRATIC ~ '. 


REPUBLIC OF ALGERIA: l;I 1 


,'I, 

Tayeb Belaiz ~ : 

Minister ofJustice, Keeper of the Seals 

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Form A 

CERTIFICATE OF AUTHENTICITY OF BUSINESS RECORDS 

I, the undersigned _____________, attest on penalty of criminal 


(Full Name) 


punishment according to the laws of for intentionally false 


(Name of the Requested Party) 


statement or att.;:station that I am employed by ______________ (Name of Business from which Documents Are Sought) 

and that my official title is __________. I further state that each ofthe 


(Official Title) 


records attached hereto is the original or a duplicate of the original record in the 


custody of the above-named business. ,,' 

I further state that: 

a) such records were made, at or near the time of the occurrence of the 

matters set forth, by (or from information transmitted by) a person with 

knowledge of those matters; 

b) such records were kept in the course of a regularly conducted business 

activity; 

c) the business activity made such records as a regular practice; and 

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I d) if any such record is not the original, it is a duplicate ofthe original. 

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Date and place of signature: -----------­

Signature: ___________________ 

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FormB 


CERTIFICATION OF ABSENCE OR NONEXISTENCE OF 


BUSINESS RECORDS 


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I, the undersigned ______________, attest on penalty of criminal 

(Full Name) 

'' '' ! punishment according to the Jaws of_________,---__ for intentionally 

(Name of the Requested Party) 

false statement or attestation that I am employed by/associated with i' 

_________________ in the position of __________ 

(Name of Business from which Documents Are Sought) (Business Position or Title) 

and by reason ofthat position I am authorized and qualified to make this 

; j attestation. As a result of my employment/association with the above-named i !

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business, I am familiar with the business records it maintains. The business 

maintains records that are: 

a) 	 made, at or near the time of the occurrence of the matters set forth, by (or 

from information transmitted by) a person with knowledge of those 

matters; 

b) kept in the course of a regularly conducted business activity; and 


c) made by the business as a regular practice. 


Among the records so maintained are records of individuals and entities that have 

accounts or otherwise transact business with the above-named business. I have made 

or caused to be made a diligent search of those records. No records have been found 

reflecting any business activity between the business and the following individuals 

and entities: 

Date and place of signature: ---------­

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Signature=----------~~~~~~
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FormC 

ATTESTATION OF AUTHENTICITY OF OFFICIAL RECORDS 

I, the undersigned _______________, attest on penalty of criminal 

(Full Name) , I 

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punishment according to the laws of__________ for intentionally false 

(Name ofthe Requested Party) 

statement or attestation that I am employed by the administration/government of : i 

___________ in the position of_________ and that in that 

(Name ofCountry) (Official Title) 

position I am authorized by the law of the above-named country to attest that the 

documents attached and described below are true and accurate copies of original 

official records which are recorded or filed in/by/at ____________ (Name of Office or Agency) 

which is a government office or agency of__________ 

(Country) 

Description of Documents: 

Date and place of signature: ________ 

Signature: ________________ 

Official Seal 

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FormD 


CERTIFICATION OF ABSENCE OR NONEXISTENCE OF 


OFFICIAL RECORDS 


I, the undersigned , attest on penalty of criminal ------(=F~ul~IN~a-m-e) _____ 

punishment according to the laws of for intentionally false 

(Name of the Requested Party) 

statement or attestation that: 

1. ----~~------ is a government office or agency of 

(Name of Office or Agency) 

__________ and is authorized by law to maintain official 

(Country) : i 

records setting forth matters authorized by law to be reported and recorded or ! ' 

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filed; 

2. Records of the type described below set forth matters authorized 


by law to be reported, recorded, or filed, and such matters regularly 


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are recorded or filed by the above-named public authority; 

3. My position with the above-named public authority is 

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(Official Title) ; l 

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4. In my official capacity I have searched or caused a search to be 

made of the records maintained by that public authority for the 

rcl:ords described below; and ! . 

5. No such records have been found to exist therein. I

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Description of Documents: 'i 

Date and place of signature: --------­

Signature: 

Official Seal 

-----------~--·------·~·-----·--··-~------···

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FormE 

ATTESTATION WITH RESPECT TO SEIZED ITEMS 

I, the undersigned _______________, attest on penalty of criminal 

(Full Name) 'iI' 

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punishment according to the laws of__________ for intentionally false 

(Name of the Requested Party) 

statement or attestation that my position with the Government of________ (Country) 

is ------------­ I received custody ofthe items listed below from 

(Official Title) 

_____________ on _______, at __________ 

(Name of Person) (Date) (Place) 

I relinquished custody of the items listed below to ____________ (Name) i 

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on ______ at _________, in the same condition as when I 

(Date) (Place) 

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if 

received them (or, if different, as noted below). 

Description of Items: '' ! ! 

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Changes in condition while in my custody: i'i I 

Date and place of signature: ---------­

Signature: __________________ 

Official Seal i! 

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