Form K16
Land Charges Act 1972
Fee panel
Place "X" in the appropriate box. See
Note 1 overleaf.
APPLICATION FOR AN OFFICIAL SEARCH
(BANKRUPTCY ONLY)
A cheque or postal order for
the correct fee accompanies
this application.
Please debit our Direct Debit
under an authorised agreement
with Land Registry.
Application is hereby made for an official search in the index to the registers kept pursuant to
the Land Charges Act 1972 in respect of the undermentioned names for any subsisting entries
of:
(i) petitions in bankruptcy in the register of pending actions
(ii) receiving orders in bankruptcy and bankruptcy orders in the register of writs and orders
(iii) deeds of arrangement in the register of deeds of arrangement
IMPORTANT: Please read the notes overleaf before completing this form
#
NAMES TO BE SEARCHED
(Please use BLOCK LETTERS and see Note 3 overleaf)
Forename(s)
SURNAME
Forename(s)
SURNAME
Forename(s)
SURNAME
Forename(s)
SURNAME
Forename(s)
SURNAME
Forename(s)
SURNAME
Particulars of Applicant
(See Notes 4,5 and 6 overleaf)
Name and address (including postcode)
for the despatch of certificate
(Leave blank if certificate is to be returned to applicant’s address)
KEY NUMBER
Name and address (including postcode)
Applicant’s reference
Date
FOR OFFICIAL USE ONLY
NOTES FOR GUIDANCE OF APPLICANTS
The following notes are supplied for assistance in making the application overleaf. Detailed information for the making of all
kinds of applications 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.
For information on how HM Land Registry processes your personal information, see our Personal Information Charter.
1. Effect of search. The official certificate of the result of this search will have no statutory effect in relation to registered
land (see Land Registration Act 1925, s.59 and Land Charges Act 1972, s.14).
2. Fees. A fee is payable for each name searched. 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).
3. Names to be searched. The forename(s) and surname of each individual must be entered on the appropriate lines in the
relevant panel overleaf. If you are searching more than 6 names, use a second form.
4. Key Number. 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. A key number is only available to professional customers, such as
solicitors.
5. Applicant’s name and address. This need not be supplied if the applicant’s key number is correctly entered in the space
provided overleaf.
6. Applicant’s reference. Any reference must be limited to 25 characters, including any oblique strokes and punctuation.
7. Despatch of this form. When completed, send this application to the address shown below, which is printed in a position
so as to fit within a standard window envelope.
The Superintendent
Land Charges Department
Search Section
PO Box 292
PLYMOUTH PL5 9BY
DX 8249 PLYMOUTH (3)
Crown copyright (ref: LR/HO) 05/18