Any parts of the form that are not typed should be completed
in black ink and in block capitals.
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.
HM Land Registry is unable to give legal advice, but you can find
guidance on HM Land Registry applications (including our practice
guides for conveyancers) at www.gov.uk/land-registry.
For information on how HM Land Registry processes your personal
information, see our Personal Information Charter.
HM LAND REGISTRY USE ONLY
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:
Use a separate form for each registered
title.
(a) Title number if known:
(b) (Where the title number is unknown) this application relates
to:
Place 'X' in the appropriate box.
caution against first registration
profit a prendre in gross
Insert address including postcode (if any)
or other description of the property, for
example ‘land adjoining 2 Acacia
Avenue’.
To find out more about our fees visit
www.gov.uk/government/collections/fees-
land-registry-guides
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