Use one form per document.
Any parts of the form that are not typed should be completed
in black ink and in block capitals.
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.
HM Land Registry is unable to give legal advice, but you can find
guidance on HM Land Registry applications (including our practice
guides for conveyancers) at www.gov.uk/land-registry.
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.
For information on how HM Land Registry processes your personal
information, see our Personal Information Charter.
HM 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 and
business rates are normally paid.
Local authority serving the property:
If the document relates to many titles,
you only need to quote one.
Title number(s) of the registered estate(s) to which the
document relates:
Insert address including postcode (if
any) or other description of the
property, for example ‘land adjoining
2 Acacia Avenue’.
If the document relates to many
properties, you only need to quote
the property relating to the title
number quoted in panel 2.
Some register entries refer to
documents being filed under a
different title number.
Title number under which this document is filed:
To find out more about our fees visit
www.gov.uk/government/collections/f
ees-land-registry-guides
Official copy of an exempt information
document
Place 'X' in the appropriate box.
cheque made payable to 'Land Registry'
The fee will be charged to the
account specified in panel 7.
direct debit, under an agreement with Land Registry