Application to cancel a
pending action entry in the
Land Charges Register
(1) For Class F cancellation please use form
K13. For other cancellations please use
(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
(4) Please put a cross in the correct box. Any
documents lodged should be certified as
(5) Please enclose a copy of the Adjudicator’s
letter (ADJAR, ADJREVU or ACKAPU,
(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
(8) Please limit to 25 characters including
oblique stokes and punctuation.
(Rule 24(2)Land Charges Rules 1974)
Particulars of applicant(s)
Address (including postcode)
See Note 1 overleaf.
A cheque or postal order for
the correct fee accompanies
Please debit our Direct Debit
under an authorised agreement
with Land Registry.
I apply for cancellation of an entry in the register as shown below.
I certify that:
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
I enclose the Adjudicator’s letter of refusal / letter of confirmation / letter telling me about the
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
Particulars of entry
Please cancel the following pending action (bankruptcy) entry:
Land Charges reference number:
Adjudicator reference number:
Conveyancer’s name and address
Name and address (including postcode) for despatch of
acknowledgement (leave blank if it is to be sent to the
For official use only County
Please see also the Explanatory Notes below
click to sign
click to edit