Any parts of the form that are not typed should be completed in black ink and in block capitals.
A separate form must be completed for each person with control of the document(s) required for proceedings.
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.
Conveyancer is a term used in this form. It is defined in rule 217A, Land Registration Rules 2003 and includes
persons authorised under the Legal Services Act 2007 to provide reserved legal services relating to land
registration and includes solicitors and licensed conveyancers.
For information on how HM Land Registry processes your personal information, see our Personal Information
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(s) of the property:
Insert address including postcode (if
any) or other description of the
property, for example ‘land adjoining
2 Acacia Avenue’.
Give full name(s) and address(es) (including postcode) of the
person(s) requesting the registrar to require another person to
produce (a) document(s) for the purposes of proceedings before
the registrar:
Give full name and address (including postcode) of the person
with control of the document(s) required for the proceedings:
State the nature of the document(s)
required, including date(s) and
parties, if known and appropriate.
Number the documents in sequence.
Documents required:
Give the reason(s) the document(s) is/are required for the
If a conveyancer is acting for the
person making the request, that
conveyancer must sign. If no
conveyancer is acting, the person
making the request (and if more than
one person then each of them) must
Signature of person
making the request
or their conveyancer:
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) 05/18
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