Use one form per title.
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.
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:
2
Details of estate
Use a separate form for each
registered title.
(a) Title number if known:
(b) (where the title number is unknown) this application relates to
Place 'X' in the appropriate box.
freehold
manor
franchise
caution against first registration
rentcharge
profit a prendre in gross
Insert address including postcode (if
any) or other description of the
property, for example ‘land adjoining
2 Acacia Avenue’.
3
Property address including postcode (if any):
4
Application and fee
Application
Fee paid (£)
See fees calculator at
www.landregistry.gov.uk/professional
/fees/fees-calculator
Historical copy of register /title plan
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 5.
direct debit, under an agreement with Land Registry
If you are paying by direct debit, this
will be the account charged.
5
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:
Indicate how many copies of each
are required and insert the required
date.
6
I apply for:
Complete in format DD/MM/YYYY.
copy(ies) of the last historical edition of the register for
copy(ies) of the last historical edition of the title plan for
copy(ies) of every historical edition of the register for
copy(ies) of every historical edition of the title plan for
Warning
Normally only one edition of a register or a title plan is issued on a
single day. In rare cases more than one will be produced. If you
want historical copies of the last edition issued on a specific day
you must complete either or both of the first and second boxes. If
you want historical copies of all editions issued on a specific day
you must complete either or both of the third and fourth boxes.
You cannot apply for editions spanning a period. For example
you cannot apply for “every edition in May 2007”. Applications
without a single specific day/month/year date will be rejected.
7
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 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) 10/13
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