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):
Address or UK DX box number:
Indicate how many copies of each
are required and insert the required
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
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.
Signature of applicant:
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
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