If you need more room than is provided for in a panel, and your
software allows, you can expand any panel in the form. Alternatively
use continuation sheet CS and attach it to this form.
Land Registry is unable to give legal advice but our website
www.landregistry.gov.uk provides guidance on Land Registry
applications. This includes public guides and practice guides (aimed
at conveyancers) that can also be obtained from any Land Registry
See www.landregistry.gov.uk/contact-us/offices if you are unsure
which Land Registry office to send this application to.
Conveyancer is a term used in this form. It is defined in rule 217A,
Land Registration Rules 2003 and includes persons authorised
under the Legal Services Act 2007 to provide reserved legal services
relating to land registration and includes solicitors and licensed
LAND REGISTRY USE ONLY
Record of fees paid
Particulars of under/over payments
Fees debited £
Where there is more than one local
authority serving an area, enter the
one to which council tax or business
rates are normally paid.
Local authority serving the property:
Title number(s) of the property:
Insert address including postcode (if
any) or other description of the
property, for example ‘land adjoining
2 Acacia Avenue’.
See fees calculator at
Place 'X' in the appropriate box.
The fee will be charged to the
account specified in panel 7.
Noting of agreed maximum
amount of security
cheque made payable to 'Land Registry'
direct debit, under an agreement with Land Registry
If there are two or more charges of
the same date to the same lender,
you must clearly identify under which
charge the agreement is contained
by including a number or other
identifier for the charge in the first
Details of the registered charge containing the agreement
Date of entry in
Provide the full name(s) of the
person(s) applying to enter the note.
Where a conveyancer lodges the
application, this must be the name(s)
of the client(s), not the conveyancer.