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.
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:
Full postcode of property (if any):
2
Title number(s):
Insert address including postcode (if
any) or other description of the
property, for example ‘land adjoining
2 Acacia Avenue’.
3
Property:
Please supply ONE of the documents
listed in options A, B or C. If you
supply an original document it will be
scanned and returned. If you supply
a copy certified to be a true copy the
document will be scanned and
destroyed.
If you are a conveyancer the
certificate is sufficient to comply with
Land Registry’s requirements. If no
conveyancer is acting, you must
enclose the original or an official copy
of the death certificate or the original,
official copy or certified copy of the
probate or letters of administration
with this application. Land Registry
may destroy documents after
scanning.
4
Documents lodged with this form:
A. Death certificate OR
official copy OR copy
certified to be a true copy
B. Probate/Letters of
Administration OR official
copy OR copy certified to be
a true copy
C.
I am the applicant’s conveyancer and certify that
(name of the deceased)
died on
[or] was years old ] at the time of death.
or
I hold the original or an official copy of the grant of probate
or letters of administration for
(name of the deceased)
Signature of conveyancer
Date
Provide the full name(s) of the
person(s) applying to remove the
deceased proprietor from the
register. Where a conveyancer
lodges the application, this must be
the name(s) of the client(s), not the
conveyancer.
5
The applicant:
This is the address to which we will
normally send requisitions and return
documents. However if you insert an
email address, we will use this
whenever possible. Where an
application is lodged by e-DRS all
documents and correspondence will
be dealt with electronically.
6
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:
Place 'X' in the appropriate box.
7
Application
I/We:
I/We as solicitor(s) for:
hereby apply to remove from the register the name of:
who died on:
at:
Complete this certificate only if the
deceased proprietor died at an
address which is different from that
given in panel 3.
8
I/We certify that:
is the same person as:
described in the register of the title number shown in panel 2
If a conveyancer is acting for the
applicant, that conveyancer must
sign. If no conveyancer is acting, the
applicant (and if the applicant is more
than one person then each of them)
must sign.
9
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
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