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.
1
2
Insert address including postcode (if
any) or other description of the
property, for example ‘land adjoining
2 Acacia Avenue’.
3
4
Application
Fee paid (£)
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.
The fee will be charged to the
account specified in panel 5.
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.
5
Key number (if applicable):
Phone no:
Fax no:
Enter the full names. If there are
more than two persons, enter the first
two.
6
Registered proprietor(s)
SURNAME:
FORENAME(S):
SURNAME:
FORENAME(S):
A mortgagee does not have to be
registered or otherwise protected on
the register.
7
Full name of applicant mortgagee:
8
Application is made for an official certificate of the result of a search
of the register of the title in panel 2 for the purpose of section 56(3)
of the Family Law Act 1996 to ascertain whether a home rights
notice or matrimonial home rights caution is entered in that register
and whether there is a pending application for the entry of a home
rights notice entered on the day list.
9
Signature of applicant
or their conveyancer:
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 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) 05/18
click to sign
signature
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