Fill - Before you start Youll need to know the (Cabinet Office)

Any parts of the form that are not typed should be completed in black ink and in block capitals.

Before you start

You’ll need to know the property’s ‘title number’ and the full name of the deceased owner as shown on its ‘title

When you fill in your application, you must:

• type your answers or write them in black ink and BLOCK CAPITALS

• complete it in full, using additional sheets if needed (search GOV.UK for HM Land Registry ‘continuation

sheet’)

If you are a conveyancer,

(a qualified legal practitioner, as defined in rule 217A Land Registration Rules 2003),

some sections have additional guidance or alternative questions for you to answer.

For information on how HM Land Registry processes your personal information, see our

Personal Information

Charter.

HM Land Registry is unable to give legal advice.

You can find the property’s ‘title number’

GOV.UK - search for ‘property

information’.

If the property doesn’t have an address,

add a description instead. F

or example,

‘land adjoining 2

High Street’.

You must choose either option A or B,

and

then send the appropriate evidence of

death with your completed application

form

Any documents

you supply will be

scanned and may be

destroyed.

Where any documents are in a foreign

language, you must

also send a certified

translation.

If you are a conveyancer

, you can

complete section 4A, B or C

Local authority serving the property:

Title number(s):

Address of the property (include the postcode, if there is one):

Evidence of death sent:

A. Official copy of death certificate

(or a certified copy)

B. Official copy of probate / letters of administration

(or a certified copy)

C. I am the applicant’s conveyancer and certify that

(name of the deceased)

died on

and [was born on ]

[or] [was years old] at the time of death.

I hold the original or an official copy of the death certificate,

grant of probate or letters of administration for

(name of the deceased)

Signature of conveyancer

Date

Add your full name, along with the name

of anyone else making th

is application.

If you are a conveyancer

, this must be

the name(s) of your client(s).

You must add a name and address - we’ll

use this to return documents wh

en your

application is c

omplete or if we need to

k for more information.

you are a conveyancer, we’ll only send

‘warning of cancellation’ letters to email

addresses.

Please complete A and C.

If you are a conveyancer

, please

complete B

and C.

Only complete this section if the

deceased’s

name or address on the death

certificate, probate or

letters of

administration

is different from the details

on the

title register.

All applicants named in section 5 must

sign this app

lication.

If you are a conveyancer

, please sign on

behalf of

the applicant(s).

The applicant(s):

You must add your name and address to this section – we can’t

process your application without them:

This application is sent to HM Land Registry by:

Name:

Address:

Email address (optional):

Phone number:

For completion by conveyancers only:

Reference:

Key number:

Application

A. I/We:

B. I/We as conveyancers for:

C. hereby apply to remove from the register the name of:

who died on:

at (place of death):

I/We certify that:

(name of deceased, as

shown on section 4 evidence of death)

is the same person as shown in the title register for the property.

Signature:

Date:

Please send this application form

and evidence of death to:

HM Land Registry Citizen Centre,

Box 74, Gloucester, GL14 9BB.

If you are a conveyan

cer, send the

application form

by e-DRS or to:

HM Land Registry

(insert your customer team's office name

your closest office, such as ‘Fylde’),

PO Box 75

, Gloucester, GL14 9BD.

HM Land Registry

(insert your customer tea

m's office name

your closest office, such as ‘Fylde’),

DX 321601 Gloucester 33.

Warning

If you dishonestly enter information or make a statement that you know is, or might be,

untrue or misleading, and intend by doing so to make a gain for yourself or another

person, or to cause loss or the risk of loss to another person, you may commit the

offence of fraud under section 1 of the Fraud Act 2006, the maximum penalty for which

is 10 years’ imprisonment or an unlimited fine, or both.

Failure to complete this form with proper care may result in a loss of protection under the

Land Registration Act 2002 if, as a result, a mistake is made in the register.

Under section 66 of the Land Registration Act 2002 most documents (including this

form) kept by the registrar relating to an application to the registrar or referred to in the

prejudicial information, you may apply for that part of the document to be made exempt

using Form EX1, under rule 136 of the Land Registration Rules 2003.

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