Application for
registration in name of
an Agricultural Society
HM Land Registry
• Please complete the white boxes in typescript or BLOCK LETTERS using
black ink that will not smear. No covering letter is required and the instrument
creating the charge should not be enclosed with the application.
• Fees must be paid by credit account or by cheque or Postal Order, made
payable to “HM Land Registry”.
• The address panel below is printed in a position so as to fit within a standard
window envelope.
(1) Please insert name and
address of bank applying.
(2) A branch manager or
solicitor to the bank may sign
on behalf of the bank.
(3) Registration must be
effected within 7 working
days of the date of the
instrument. See sec. 9(1) of
the Act.
(4) If the charge is to secure a
current or loan account or
other undetermined sum this
should be set out here.
(5) For definition of “bank”
see sec. 5(7) of the Act.
(6) Please limit to 25
characters including oblique
strokes and punctuation.
The
(1)
of
applies for the registration under sec. 14 of this Act of this Memorandum of a Debenture issued by
an Agricultural Society creating a floating charge, short particulars of which are given in the
schedule below.
(2)
Signature of applicant on behalf of bank Date
Schedule of particulars
Date of Debenture
(3)
Name and address of Agricultural Society whose farming stock is affected
Name
Address (including county)
Sum secured by the charge
(4)
£
Name and address of bank
(5)
in whose favour the memorandum of charge is registered
Name
Address
I consent to the above application on behalf of the said society
Signature of Secretary or other officer
authorised to consent by the Society Date
Key Number
Applicant’s name and address
(including postcode)
For official use only
1
#
2
3
4
5
6
Applicant’s
reference
(6)
Telephone
Number
Crown copyright (ref: LR/HQ) 02/11
This margin must be left clear
For official use only
Official number
The Superintendent
Agricultural Credits Department
Seaton Court
2 William Prance Road
PLYMOUTH PL6 5WS
DX8249 PLYMOUTH 3
AC2
(Agricultural Credits Act 1928)
