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
office.
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
conveyancers.
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:
See fees calculator at
www.landregistry.gov.uk/professional
/fees/fees-calculator
Place 'X' in the appropriate box.
The fee will be charged to the
account specified in panel 7.
4
Application and fee
Fee paid (£)
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 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.
6
The applicant:
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.
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) 06/14
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome