Important: Please read
the notes overleaf
before completing the
form.
Form K9
Land Charges Act 1972
Fee panel
Place "X" in the appropriate box. See
Note 1 overleaf.
Application for the rectification of an entry in
the register
this application.
A cheque or postal order for
the correct fee accompanies
Please debit our Direct Debit
under an authorised agreement
with Land Registry.
Enter full name(s)
and address(es)
of
applicant(s).
(See Note 2 overleaf)
Particulars of applicant(s)
Delete words in
italics which are
not applicable.
Certificate
I/We as conveyancer(s) acting for the above-mentioned applicant(s) hereby apply for the rectification of an
entry
in the Register as shown below:-
I/We certify that:-
(a) the applicant is the person entitled to the benefit of the entry, and is named as the chargee in the original
registration.
(b) the applicant is the successor in title to the original chargee, and evidence of the applicant’s title is
enclosed.
(c) The Estate Owner’s title is not registered at the Land Registry.
Signature (or attested seal of company) Date
Address
Details of rectification
Current entry
Entry required
(Continue on form K10 if necessary)
Delete words
not applicable.
Particulars of entry
Land Charge (Class Sub Class )
Pending Action
Writ or order
Deed of Arrangement
Official reference no
.
Date of registration
(See Note 3 overleaf)
Day
Month
Year
Only one individual
or body to be
entered.
(See Note 4 overleaf)
Particulars of estate owner
Forename(s)
Surname
For official use only
(See Note 5 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 6 and 7 overleaf)
Conveyancer’s reference:
1
2
3
*C
4
5
6
Fee payable
Form completion
Date of original
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 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 supporting document
should be sent with the application.
3. Complete all boxes and refer to month by three letters eg:
Day
Month
Year
0
4
S
E
P
1
9
8
1
4. Please give the full name of the estate owner or debtor as currently entered on the register.
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).
5. 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.
6. Any reference should be limited to 25 characters (including oblique strokes and
punctuation).
7. When completed, this application form should be despatched to the address shown below
which is printed in a position to fit within 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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