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In this act Annex II of 4

ANNEX II

Financial servicesLevel 2ITSMiFID IIIn forceOfficial source

Form for the acknowledgement of receipt

Figure printed as an image in the official text — Annex II

Acknowledgement of receipt Reference number: Date: FROM: Member State: Requested Authority: Address: (Contact details of the contact point) Name: Telephone: Email: TO: Member State: Requesting Authority: Legal address: (Contact details of the contact point) Name: Telephone: Email: Dear [insert appropriate name] Following your request [insert reference to request] we hereby acknowledge receipt of your request for cooperation or request for information on [insert date]. Estimated date of response: Yours sincerely, [signature]