Any parts of the form that are not typed should be completed in
black ink and in block capitals.
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.
HM Land Registry is unable to give legal advice, but you can find
guidance on HM Land Registry applications (including our practice
guides for conveyancers) at www.gov.uk/land-registry.
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
conveyancers.
For information on how HM Land Registry processes your personal
information, see our Personal Information Charter.
HM LAND REGISTRY USE ONLY
Record of fees paid
Particulars of under/over payments
Reference number
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.
1
Local authority serving the property:
2
Title number(s) of the property:
Title number(s) of affected adjoining property:
Insert address including postcode (if any)
or other description of the property, for
example ‘land adjoining 2 Acacia
Avenue’.
3
Property:
To find out more about our fees visit
www.gov.uk/government/collections/fees-
land-registry-guides
Place 'X' in the appropriate box.
The fee will be charged to the account
specified in panel 7.
4
Application and fee
Application
Fee paid (£)
Determination of the exact line of
a boundary
Fee payment method
cheque made payable to 'Land Registry'
direct debit, under an agreement with Land Registry
Place 'X' in the appropriate box.
The plan must show sufficient
surrounding physical features to allow the
general position of the boundary to be
drawn on the Ordnance Survey map.
List the documents lodged with this form.
We only need certified copies of deeds or
documents you send to us with HM Land
Registry application forms. Once we
have made a copy of the documents you
send to us, they will be destroyed, this
applies to both originals and certified
copies.
.
5
Documents lodged with this form
A plan identifying the exact line of the boundary
A plan and a verbal description (on the plan) identifying the
exact line of the boundary
The following documents are lodged as evidence relied on to
establish the exact line of the boundary:
Provide the full name(s) of the person(s)
making the application to determine the
line of the boundary. Where a
conveyancer lodges the application, this
must be the name(s) of the client(s), not
the conveyancer.
If there is more than one person entered
in the register as the proprietor, all must
join in the application.
6
The applicant:
This panel must always be completed.
A key number is only available to
professional customers, such as
solicitors.
If you are paying by direct debit, this will
be the account charged.
This is the address to which we will
normally send requisitions. However if
you insert an email address, we will use
this whenever possible.
We will only issue warning of cancellation
letters to conveyancers if an email
address is inserted.
7
This application is sent to Land Registry by
Key number (if applicable):
Name:
Address or UK DX box number:
Email address:
Reference:
Phone no:
Fax no:
You do not need to supply details of
owners (whether freehold or leasehold)
whose title is registered.
8
Name(s) and address(es) of those with an interest in yours or
the adjoining property, to the best of your knowledge
Property
Freehold owner(s)
Leasehold owner(s) (if
any)
Your
property
Neighbouring
property
adjoining the
property
which is the
subject of
your
application
All adjoining owner(s) should
complete and sign this statement.
9
Where the application is being made with the agreement of
adjoining owner(s)
I/We:
(full name(s) in block capitals) as owners of:
(title number or address of property) agree that the accompanying
plan/plan and verbal description signed by me/us shows the exact
line of the boundary and I/we consent to this application
Signed:
Signed:
Date:
If a conveyancer is acting for the
applicant, that conveyancer must
sign. If no conveyancer is acting, the
applicant (and if more than one
person then each of them) must sign.
10
Signature of applicant
or their conveyancer:
Date:
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 register are open to public inspection and copying. If you believe a document
contains 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.
© Crown copyright (ref: LR/HO) 05/18
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