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’.
2 Property:
3 Date:
Include register entry number, if more
than one charge of same date to
same lender.
4 Date of charge:
Complete as appropriate where the
lender is a company.
5 Lender:
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
the charge
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.
8 Execution
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) 07/09