Application to cancel a
pending action entry in the
Land Charges Register
(1) (2)
(1) For Class F cancellation please use form
K13. For other cancellations please use
form K11.
(2) Please complete the appropriate
sections of this form in typescript or
BLOCK LETTERS using black ink
which will not smear. No covering
letter is required.
A separate form K11(ADJ) must be used
for each entry concerned
(3) Enter the full name(s) and address of the
applicant(s).
(4) Please put a cross in the correct box. Any
documents lodged should be certified as
true copies.
(5) Please enclose a copy of the Adjudicator’s
letter (ADJAR, ADJREVU or ACKAPU,
as appropriate).
(6) Please enter your key number even if you
are not paying fees by Direct Debit. A
key number is only available to
professional customers, such as solicitors.
(7) If no conveyancer is acting enter full
name and address (including postcode) of
applicant
(8) Please limit to 25 characters including
oblique stokes and punctuation.
HM Land Registry
Form K11(ADJ)
(Rule 24(2)Land Charges Rules 1974)
Particulars of applicant(s)
(3)
Forename(s)
Surname
Address (including postcode)
Fee panel
See Note 1 overleaf.
A cheque or postal order for
the correct fee accompanies
this application.
Please debit our Direct Debit
under an authorised agreement
with Land Registry.
Certificate
I apply for cancellation of an entry in the register as shown below.
I certify that:
(4)
(a)
The Adjudicator has refused to make a bankruptcy order
(b) The Adjudicator has confirmed the decision to refuse a bankruptcy order
(c) Following my appeal, the court has upheld the Adjudicator’s refusal to make a
bankruptcy order
I enclose the Adjudicator’s letter of refusal / letter of confirmation / letter telling me about the
court’s decision.
(5)
I confirm that I am the person who made the bankruptcy application to the Adjudicator which
is the subject of the entry shown below.
Signature of applicant
Date
Particulars of entry
Please cancel the following pending action (bankruptcy) entry:
Land Charges reference number:
Adjudicator reference number:
BKT
For official use only
Conveyancer’s name and address
(including postcode)
(7)
Name and address (including postcode) for despatch of
acknowledgement (leave blank if it is to be sent to the
conveyancer/applicant’s address)
Conveyancer’s
reference
(8)
1
*C
For official use only County
Please see also the Explanatory Notes below
click to sign
signature
click to edit
Explanatory Notes
If you need help to fill in this form please see practice guide 63: Land Charges:
applications for registration, official search, office copy and cancellation. You can view
the Guide (and download a free copy) at
https://www.gov.uk/government/publications/land-charges-applications-for-registration-
official-search-office-copy-and-cancellation. Alternatively, you may write to the address
at the foot of the page and ask for a copy.
For information on how HM Land Registry processes your personal information, see our
Personal Information Charter.
1 The fee payable for each application is set out in the current Land Charges Fee Order
(which can be bought from The Stationery Office or from any law stationer, or
downloaded from https://www.gov.uk/guidance/land-registry-land-charges-fees ).
Cheques or postal orders should be made payable to “Land Registry”.
2 When you have completed this form please send it to the address shown below which is
printed to fit within a standard window envelope.
Land Charges Department
Cancellation Section
PO Box 292
PLYMOUTH PL5 9BY
DX 8249 PLYMOUTH (3)
Crown copyright (ref: LR/HO) 05/18
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