This form should be accompanied by either Form AP1 or Form DS2
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.
1 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’.
Include register entry number, if more
than one charge of same date to
4 Date of charge:
Complete as appropriate where the
lender is a company.
For UK incorporated companies/LLPs
Registered number of company or limited liability partnership
including any prefix:
For overseas companies
(a) Territory of incorporation:
(b) Registered number in the United Kingdom including any prefix:
6 The lender acknowledges that the property identified in panel 2 is
no longer charged as security for the payment of sums due under
7 Date of Land Registry facility letter (if any):
The lender must execute this transfer
as a deed using the space opposite.
If there is more than one lender, all
must execute. Forms of execution are
given in Schedule 9 to the Land
Registration Rules 2003.
Alternatively the lender may sign in
accordance with the facility letter
referred to in panel 7.