Fill - Free fillable Db Form DB (HM Land Registry) PDF form

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.

Local authority serving the property:

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’.

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.

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 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.

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.

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.

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.

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.

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:

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.

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.

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