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In this act Annex III of 6

ANNEX III

Financial servicesLevel 2RTSPSD2In forceVerifiedOfficial source

Notification of intention to carry out an on-site inspection in the host Member State

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, I intend to carry out an on-site inspection in your country, as detailed below.

Information on the payment institution to be inspected:

...

...

...

...

Information on the scope of and plan for the on-site inspection, if possible:

...

...

...

...

Planned dates of the on-site inspection:

...

...

Yours sincerely,

[signature]