You must lodge the documents of title with this application; these
must be listed on Form DL.
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.
1 Local authority serving the property:
Insert address including postcode (if
any) or other description of the
property, for example ‘land adjoining
2 Acacia Avenue’.
2 Property:
On registering a rentcharge, profit a
prendre in gross or franchise, insert a
description, for example 'Rentcharge
(or as appropriate) over 2 Acacia
A
venue'.
Place 'X' in the appropriate box. Only
use the third option where the
property has an address and is
fenced on the
g
round.
3 The extent of the land to be registered can be clearly identified on
the current edition of the Ordnance Survey map from
Enter reference, for example 'edged
red'.
the attached plan and shown:
Enter nature and date of document.
the plan attached to the:
the address shown in panel 2
Place 'X' in the appropriate box.
4 The class of title applied for is absolute leasehold
absolute freehold good leasehold
possessory freehold possessory leasehold
5
A
pplication, priority and fees
A
pplications in priority
order
Price paid/Value
(£)
Fees paid
(£)
See fees calculator at
www.landregistry.gov.uk/professional
/fees/fees-calculato
r
First registration of the
freehold/leasehold estate
Total fees (£)
Fee payment method
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
Provide the full name(s) of the
person(s) applying for first
registration. Where a conveyancer
lodges the application, this must be
the name(s) of the client(s), not the
conveyancer.
Complete as appropriate where the
applicant is a company. Also, for an
overseas company, unless an
arrangement with Land Registry
exists, lodge either a certificate in
Form 7 in Schedule 3 to the Land
Registration Rules 2003 or a certified
copy of the constitution in English or
Welsh, or other evidence permitted
by rule 183 of the Land Registration
Rules 2003.
6 The applicant:
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:
If you are paying by direct debit, this
will be the account charged.
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.
7 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.
8 The address(es) for service for each proprietor of the estate to be
entered in the register is
In this and panel 10, each proprietor
may give up to three addresses for
service, one of which must be a
postal address whether or not in the
UK (including the postcode, if any).
The others can be any combination
of a postal address, a UK DX box
number or an electronic address.
the address of the property (where this is a single postal
address)
the following address(es):
Where the applicant is more than one
person, place 'X' in the appropriate
box.
Complete as necessary.
The registrar will enter a Form A
restriction in the register unless:
an ‘X’ is placed:
in the first box, or
in the third box and the
details of the trust or of the
trust instrument show that
the applicants are to hold
the property on trust for
themselves alone as joint
tenants, or
it is clear from completion of a
form JO lodged with this
application that the applicants
are to hold the property on trust
for themselves alone as joint
tenants.
Please refer to Land Registry’s Public
Guide 18 – Joint property ownership
and Practice Guide 24 – Private
trusts of land for further guidance.
These guides are available on our
website www.landregistry.gov.uk
9 Where the applicant is more than one person
they hold the property on trust for themselves as joint tenants
they hold the property on trust for themselves as tenants in
common in equal shares
they hold the property on trust:
Where a charge has an MD
reference we will ignore an address
given in this panel unless the charge
is in favour of a United Kingdom bank
and neither the charge form nor any
agreement we have with the lender
specifies an address for service.
For permitted addresses see note to
panel 8.
Complete as appropriate where the
proprietor of the charge is a
company. Also, for an overseas
company, unless an arrangement
with Land Registry exists, lodge
either a certificate in Form 7 in
Schedule 3 to the Land Registration
Rules 2003 or a certified copy of the
constitution in English or Welsh, or
other evidence permitted by rule 183
of the Land Re
g
istration Rules 2003.
10 Name and address(es) for service for the proprietor of any charge
to be entered in the register:
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:
11 Disclosable overriding interests
If this statement applies (i) place ‘X’
in the box and (ii) enclose Form DI.
Rule 28 of the Land Registration
Rules 2003 sets out the disclosable
overriding interests that you must tell
us about.
Disclosable overriding interests affect the estate.
Place 'X' in the appropriate box.
If applicable complete the second
statement with details of the
interest(s); for interests disclosed
only by searches do not include
those shown on local land charge
searches. Certify any interests
disclosed by searches that do not
affect the estate being registered.
12 Certificate
The title is based on the title documents listed in Form DL which
are all those under the control of the applicant.
Details of rights, interests and claims affecting the estate (other
than non-disclosable interests falling within rule 28(2) of the Land
Registration Rules 2003) known to the applicant are, where
applicable, disclosed in the title documents and Form DI if
accompanying this application.
The applicant knows of no other such rights, interests and
claims. Only the applicant is in actual possession of the
property or in receipt of the rent and profits from the property.
The applicant knows only of the following additional such
rights, interests and claims, including those of any person
(other than the applicant) in actual possession of the property
or in receipt of the rent and profits from the property:
If you do not place 'X' in the box we
will assume that you have examined
the applicant's title or are satisfied
that it has been examined in the
usual way.
13 Examination of title
I/we have not fully examined the applicant’s title to the
estate, including any appurtenant rights, or satisfied
myself/ourselves that it has been fully examined by a
conveyancer in the usual way prior to this application.
Full details of the evidence of
identity that is required can be
found in Practice Guide 67 and in
Public Guide 20.
The requirement of registration is
contained in section 4, Land
Registration Act 2002. Further
guidance is contained in Practice
Guide 1.
Place ‘X’ in the appropriate box.
Conveyancer 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
conve
ancers.
14
Confirmation of identity
When registering transfers, charges, leases and other dispositions
of land, Land Registry relies on the steps that conveyancers take,
where appropriate, to verify the identity of their clients. These
checks reduce the risk of property fraud.
Where a person was not represented by a conveyancer, Land
Registry requires ‘evidence of identity’ in respect of that person,
except where the first alternative in panel 15(2) applies.
’Evidence of identity’ is evidence provided in accordance with any
current direction made by the Chief Land Registrar under section
100(4) of the Land Registration Act 2002 for the purpose of
confirming a person’s identity.
If this application is to register a transfer, lease or charge, dated
on or after 10 November 2008 and the requirement of registration
applies, complete one of the following
I am a conveyancer, and I have completed panel 15
I am not a conveyancer, and I have completed panel 16
15
Where the application is sent to Land Registry by a conveyancer
(1) Details of conveyancer acting
If you are sending an application to register a transfer, lease or
charge, for each party to each disposition that is to be registered,
state in the table below the details of the conveyancer (if any) who
represented them.
Where a party is not represented by a conveyancer you must also
complete (2) below.
Place ‘X’ in the box in the second
column if the person or firm who is
sending the application to Land
Registry represented that party in the
transaction. Otherwise complete the
details in the third column. If the party
is not represented insert ‘none’ in the
third column.
Name of transferor,
landlord, transferee,
tenant, borrower or lender
Conveyancer’s name,
address and reference
Reference:
Reference:
Reference:
Place ‘X’ in the appropriate box(es).
Insert the name of each
unrepresented transferor, landlord,
transferee, tenant, borrower or lender
for whom you give this confirmation.
Evidence of identity is defined in
panel 14. Full details of the
evidence of identity that is
required can be found in Practice
Guide 67.
(2) Evidence of identity
Where any transferor, landlord, transferee, tenant, borrower or
lender listed in (1) was not represented by a conveyancer
I confirm that I am satisfied that sufficient steps have been
taken to verify the identity of
and that they are the transferor, landlord, transferee, tenant,
borrower or lender listed in (1) (as appropriate)
I enclose evidence of identity in respect of each
unrepresented transferor, landlord, transferee, tenant,
borrower or lender for whom I have not provided the
confirmation above
16
Where the application is sent to Land Registry by someone who is
not a conveyancer
(1) Details of conveyancer acting
If you are sending an application to register a transfer, lease or
charge (ie a mortgage), for each party to each disposition that is
to be registered, state in the table below the details of the
conveyancer (if any) who represented them.
You must also complete (2) below.
If the party is not represented insert
‘none’ in the second column.
Name of transferor, landlord,
transferee, tenant, borrower
or lender
Conveyancer’s name, address
and reference
Reference:
Reference:
Reference:
Place ‘X’ in the appropriate box(es).
Evidence of identity is defined in
panel 14. Full details of the
evidence of identity that is
required can be found in Public
Guide 20.
(2) Evidence of identity
for each applicant named in panel 6 is enclosed
for each unrepresented transferor, landlord, transferee,
tenant, borrower or lender listed in (1) is enclosed
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.
17
Signature of conveyancer:
Date:
OR
Signature of applicant:
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 re
g
ister.
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 Re
g
istration Rules 2003.
© Crown copyright (ref: LR/HO) 10/12
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