Use one form per title.
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 or business
rates are normally paid.
Local authority serving the property:
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’.
To find out more about our fees visit
www.gov.uk/government/collections/f
ees-land-registry-guides
Official search in respect of home
rights
Place 'X' in the appropriate box.
cheque made payable to 'Land Registry'
The fee will be charged to the
account specified in panel 5.
direct debit, under an agreement with Land Registry
This panel must always be
completed.
A key number is only available to
professional customers, such as
solicitors.
If you are paying by direct debit, this
will be the account charged.
This application is sent to Land Registry by
Key number (if applicable):
Name:
Address or UK DX box number:
Email address:
Reference: