Important: Please
read the notes overleaf
before completing the
form.
Form K13
Land Charges Act 1972
(Family Law Act 1996)
Fee panel
Place "X" in the appropriate box. See
Note 1 overleaf.
Application for cancellation of a Land Charge of
Class F
A cheque or postal order for
the correct fee accompanies
this application.
Please debit our Direct Debit
under an authorised agreement
with Land Registry.
Enter full name
and
address(es)
of applicant(s)
(See Notes 2 and 3 overleaf)
Particulars of applicant
I,
of
hereby apply for cancellation in the register of the entry referred to below.
Signature Date
(See Note 4 overleaf)
Certificate of conveyancer(s)
We hereby certify that we are acting for the applicant and that we are satisfied that our client understands
the nature of this application and the effect of the cancellation of the said entry on the register.
Signature and address of the conveyancer to the above applicant
Signature
Address
Delete (a) or (b) as
appropriate
Particulars of entry affected
Please cancel the undermentioned entry as to
(a) the whole
or
(b) the following part
Class
F
Insert number and date of
the registration
Official reference no.
(See Note 5 overleaf)
Day
Month
Year
Insert, if applicable, the
number and date of any
renewal of registration
Official reference no.
Day
Month
Year
Only one individual or
body to be entered.
(See Note 6 overleaf)
Particulars of estate owner
Forename(s)
Surname
Address
For official use only
(See Note 7 overleaf)
Key Number
Conveyancer’s name and
address
(including postcode)
If no conveyancer is acting
enter applicant’s name and
address (including
postcode)
(See Notes 8 and 9 overleaf)
1
2
3
*C
4
5
6
Conveyancer’s
reference:
Fee payable
Form completion
Applicant’s name
Certificate of conveyancer(s)
Date of registration
Particulars of the estate
owner
Key number
Conveyancer’s reference
Despatch of form
Explanatory Notes
The following notes are supplied for assistance in making the application overleaf. Detailed
information for the making of all kinds of application to the Land Charges Department is
contained in Practice Guide 63 Land Charges Applications for registration, official search,
office copy and cancellation which is obtainable on application at the address shown below.
1. Fees must be paid by Direct Debit under an authorised agreement with Land Registry or by
cheque or postal order made payable to “Land Registry” (see the Practice Guide referred to
above).
2. Please complete the form in block letters in writing or typewriting using black ink not
liable to smear. No covering letter is required.
3. Please give the name of the person on whose behalf the application is made. If the applicant
is not the person on whose behalf the registration was made, the application must be
accompanied by:-
(a) a release in writing of the home rights to which the charge relates, or
(b) the evidence referred to in paragraph 4(1) of Schedule 4 to the Family Law Act 1996
and, if the charge was registered or the registration of the charge was renewed pursuant
to s.33(5) of the said Act, evidence proving to the satisfaction of the Chief Land
Registrar that the order referred to in the application for registration or renewal has
ceased to have effect.
4. This certificate is only required where the application is signed by the person in whose
favour the registration was made and solicitors are acting on his/her behalf.
5. Complete all boxes and refer to month by three letters:
Day
Month
Year
0
4
S
E
P
1
9
8
1
6. Please give the full name of the estate owner as entered on the register. Enter forenames and
surnames on separate lines.
7. If you have been allocated a key number, please take care to enter this in the space provided
overleaf, whether or not you are paying fees by Direct Debit.
8. Any reference should be limited to 25 characters (including oblique strokes and
punctuation).
9. The completed form should be despatched to the address below, which is printed in a
position to fit a standard window envelope.
The Superintendent
Land Charges Department
Registration Section
Seaton Court, 2 William Prance Road,
PLYMOUTH PL6 5WS
DX 8249 PLYMOUTH (3)
Crown copyright (ref. LR/HO) 10/13
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