The correct title must be quoted. Use one form per title.
If you need more room than is provided for in a panel, and your
software allows, you can expand any panel in the form.
Alternatively use continuation sheet CS and attach it to this form.
Land Registry is unable to give legal advice but our website provides guidance on Land Registry
applications. This includes public guides and practice guides
(aimed at conveyancers) that can also be obtained from any Land
Registry office.
See if you are unsure
which Land Registry office to send this application to.
Record of fees paid
Particulars of under/over payments
Reference number
Fees debited £
Where there is more than one local
authority serving an area, enter the
one to which council tax or business
rates are normally paid.
Local authority serving the property:
Title number:
Insert address including postcode (if
any) or other description of the
property, for example ‘land adjoining
2 Acacia Avenue’.
Application and fee
Fee paid (£)
See fees calculator at
Official copies of documents
Fee payment method
Place 'X' in the appropriate box.
cheque made payable to 'Land Registry'
The fee will be charged to the
account specified in panel 5.
direct debit, under an agreement with Land Registry
If you are paying by direct debit, this
will be the account charged.
This application is sent to Land Registry by
Key number (if applicable):
Address or UK DX box number:
Email address:
Phone no:
Fax no:
Please note that the facility of issuing
copies electronically is not available
at present. When it is, a direction will
appear on our website and details will
be given in Public Guide 1 and
Practice Guide 11. Until there is a
direction, you do not need to
complete this panel to obtain an
official copy in paper format.
Official copies issued electronically
are in 'Portable Document Format'
(PDF) which replicates the
appearance of the hard copy version.
You will need Adobe Acrobat Reader
(which you can install free from to open the
Place 'X' in the box if applicable.
Issue of official copies in paper format where an email address
has been supplied
If you have supplied an email address in panel 5, then, unless
you complete the box below, any official copy will be issued
electronically to that address, if there is a direction under section
100(4) of the Land Registration Act 2002 by the registrar covering
such issuing.
I have supplied an email address but require the official
copy(ies) to be issued in paper format instead of being
issued electronically
Applications specifying 'All', 'Any' or
such like, will be rejected.
I apply for official copies of the documents listed below
Documents which are referred to in the register of the above title
Nature of document
Date of
Title number
under which it
is filed
No. of
Please supply as much detail as
Documents which are not referred to in the register
Nature of document
Date of document,
if known
No. of
Signature of applicant:
If you dishonestly enter information or make a statement that you know is, or might be, untrue or misleading, and intend by
doing so to make a gain for yourself or another person, or to cause loss or the risk of loss to another person, you may commit
the offence of fraud under section 1 of the Fraud Act 2006, the maximum penalty for which is 10 years’ imprisonment or an
unlimited fine, or both.
Failure to complete this form with proper care may result in a loss of protection under the Land Registration Act 2002 if, as a
result, a mistake is made in the register.
Under section 66 of the Land Registration Act 2002 most documents (including this form) kept by the registrar relating to an
application to the registrar or referred to in the register are open to public inspection and copying. If you believe a document
contains prejudicial information, you may apply for that part of the document to be made exempt using Form EX1, under rule
136 of the Land Registration Rules 2003.
© Crown copyright (ref: LR/HO) 10/13