Important: Please read
the notes overleaf
before completing the
form.
Form K6
Land Charges Act 1972
Fee panel
Place "X" in the appropriate box. See
Note 1 overleaf.
Application for registration of a Priority Notice
Application is hereby made for the entry of a Priority Notice in
respect of the following particulars
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(s)
and
address(es)
of
chargee(s).
(See Notes 2 and 3 overleaf)
Particulars of chargee(s)
Continue on form K10 (if necessary)
State register to which
intended application for
registration will relate.
If intended registration is a
land charge enter class and
sub-class.
(See Note 4 overleaf)
Particulars of intended registration
Land Charges
Pending Actions
Writs or Orders
Deeds of Arrangement
(delete words not applicable)
Class Sub-class
PN
(See Notes 5 and 6 overleaf)
Particulars of land affected
County or unitary authority area
District
Short description
Only one individual
or body to be
entered.
(See Note 7 overleaf)
Particulars of estate owner
Forename(s)
Surname
Title, trade or profession
Address
For official use only
(See Note 8 overleaf)
Key number
Conveyancer’s name and
address (including
postcode)
If no conveyancer is acting
enter applicant’s
name and address
(including postcode).
(See Note 9 overleaf)
Conveyancer’s reference
:
1
2
3
*C
4
5
6
I/We certify that the estate owner’s title is not registered at the Land Registry
Signature of conveyancer or applicant Date
(See Note 10 overleaf)
Fee payable
Form completion
Chargee’s name(s)
Charge and sub-class of
charge
County and district or
unitary authority area
Short description
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 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.
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 and no plan or other document should be lodged in
support of the application.
3. Please give the full name(s) and address(es) of the person(s) and on whose behalf the
application is being made.
4. The following are the relevant classes and sub classes of land charge (see Land Charges Act
1972, s.2).
Class A
Class B
Class C (i) (puisne mortgage)
Class C (ii) (limited owner's charge)
Class C (iii) (general equitable charge)
Class C (iv) (estate contract)
Class D (i) (Inland Revenue charge)
Class D (ii) (restrictive covenant)
Class D (iii) (equitable easement)
Class F
5. Enter the names of the administrative county and district or unitary authority area in which
the land is situated. This must be the appropriate name as set out in Practice Guide 63 Land
Charges Applications for registration, official search, office copy and cancellation. In
London, enter “Greater London” as the county name and the London Borough as that of the
district.
6. A short description, identifying the land as far as may be practicable, should be furnished.
7. Please give the full name and address of the person against whom registration is to be
effected. A separate form is required for each full name. Enter forename(s) and surname on
separate lines. The name of the company or other body should commence on the forename
line and may continue on the surname line (the words “Forename(s) and “Surname” should
be deleted).
8. 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.
9. Any reference should be limited to 25 characters (including oblique strokes and punctuation).
10. When completed, this application form should be despatched to the address shown below
which is printed in a position to fit within a standard 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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