Fillable Record of fees paid black ink and in (Cabinet Office)

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Record of fees paid black ink and in (Cabinet Office)

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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
.
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 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.
1
Local authority serving the property:
Full postcode of property (if any):
Enter the title number of each title that
requires an entry to be made in that
register.
2
Title number(s) of the property:
Place
'X' in the appropriate box.
3
The application affects
the whole of the title(s)
Give a brief description of the part
affected, for example ‘edged red on the
plan to the transfer dated ……….’.
part of the title(s) as shown:
To find out more about our fees visit
www.gov.uk/government/collections/fees
-
land
-registry-guides
Remember restrictions in deeds may
apply to other deeds of l
ower priority in
this list, unless you specify otherwise.
Place 'X' in the appropriate box.
The fee will be charged to the account
specified in panel 7.
4
Application, priority and fees
Price paid/Value
(£)
Fees paid
(£)
Total fees (£)
Fee payment method
cheque made payable to 'Land Registry'
direct debit, under an agreement with Land Registry
List the documents lodged with this form.
We
only need certified copies of deeds or
documents you send to us with
HM Land
Registry application forms. Once we
have made a copy of the documents you
send to us, they will be destroyed, this
applies to both originals and certified
copies
5
Documents lodged with this form:
Provide the full name(s) of the person(s)
applying to change the register. Where a
conveyancer lodges the application, this
must be the name(s) of the client(s), not
the conveyancer.
Complete as appropriate where the
applicant is a company. Also, for an
overseas company, unless an
arrangement with
HM Land Registry
exists, lodge either a certificate in Form 7
in Schedule 3 to the Land Registration
Rules 2003 or a certified copy of the
constitution in English or Welsh,
or other
evidence permitted by rule 183 of the
Land Registration Rules 2003
.
6
The applicant:
For UK incorporated companies/LLPs
Registered number of company or limited liability partnership
including any prefix:
For overseas companies
(a) Territory of incorporation:
(b) Registered number in the United Kingdom including any
prefix:
This panel must always be completed.
A key number is only available to
professional customers,
such as
solicitors.
If you are paying by direct debit, this will
be the
account charged.
This is the address to which we will
normally send requisitions
. However if
you insert an email address, we will use
this whenever possible.
We will only issue warning of cancellation
letters to conveyancers if an email
address is insert
ed.
7
This application is sent to Land Registry by
Key number (if applicable):
Name:
Address or UK DX box number:
Email address:
Reference:
Phone no:
Fax no:
Complete this panel if you want us to
notify someone else that we have
complete
d this application.
8
Third party notification
Name:
Address or UK DX box number:
Email address:
Reference:
Place 'X' in the appropriate box.
In this and panel 10, each proprietor
may
give up to three addresses for service,
one of which must be a p
ostal address
whether or not in the UK (including the
postcode, if any). The others can be any
combination of a postal address, a UK
DX box number or an electronic address.
9
The address(es) for service for each proprietor of the registered
estate(s) to be entered in the register is
the address of the property (where this is a single postal
address)
the address(es) for service from the transfer/assent
(for existing proprietors who are remaining in the register)
the current address(es) for service in the register
the following address(es):
10
Name and address(es) for service of the proprietor of any new
charge to be entered in the register:
For UK incorporated companies/LLPs
Registered number of company or limited liability partnership
including any prefix:
For overseas companies
(a) Territory of incorporation:
(
b)
R
egistered number in the United Kingdom including any prefix:
11
Disclosable overriding interests
T
his application relates to a registrable disposition and
disclosable overriding interests affect the registered estate.
Where a charge has an MD
reference we will ignore an address
given in this panel unless the charge
is in favour of a United Kingdom bank
and neither the charge form nor any
agreement we have with the lender
specifies an address for service.
For permitted addresses see note to
panel 9.
Complete as appropriate where the
lender is a company. Also, for an
overseas company, unless an
arrangement with HM Land Registry
exists, lodge either a certificate in
Form 7 in Schedule 3 to the Land
Registration Rules 2003 or a certified
copy of the constitution in English or
Welsh, or other evidence permitted
by rule 183 of the Land Registration
Rules 2003.
If this statement applies (i) place ‘X’
in the box and (ii) enclose Form DI.
Section 27 of the Land Registration
Act 2002 lists the registrable
dispositions.
Rule 57 of the Land Registration
Rules 2003 sets out the disclosable
overriding interests that you must tell
us about.
Full details of the evidence of
identity that is required can be
found in Practice Guide 67,
Practice Guide 67A and in
‘Completing the evidence of
identity panels on forms AP1, FR1,
and DS2’ both of which can be
found on the GOV.UK website.
Place ‘X’ in the appropriate box.
Conveyancer 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.
12
Confirmation of identity
W
hen registering transfers, charges, leases and other dispositions
of land, or giving effect to a discharge or release of a registered
charge, Land Registry relies on the steps that conveyancers take,
where appropriate, to verify the identity of their clients. These
checks reduce the risk of property fraud.
Where a person was not represented by a conveyancer, Land
Registry requires ‘evidence of identity’ in respect of that person,
except where the first alternative in panel 13(2) applies.
’Evidence of identity’ is evidence provided in accordance with any
current direction made by the Chief Land Registrar under section
100(4) of the Land Registration Act 2002 for the purpose of
confirming a person’s identity.
If this application is to register a transfer, lease or charge, or to
give effect to a discharge in Form DS1 or a release in Form DS3
complete one of the following
I
am a conveyancer, and I have completed panel 13
I
am not a conveyancer, and I have completed panel 14
13
Where the application is sent to Land Registry by a conveyancer
(
1)
D
etails of conveyancer acting
If you are sending an application to register a transfer, lease or
charge, for each party to each disposition that is to be registered
state in the table below the details of the conveyancer (if any) who
represented them.
Where a party is not represented by a conveyancer you must also
complete (2) below.
Place ‘X’ in the box in the second
column if the person
or firm who is
sending the application to
HM Land
Registry represented that party in the
transaction. Otherwise complete the
details in the third column. If the party
is not represented insert ‘none’ in the
third column.
A separate box is provided, or ca
n be
added, for each party, as required by
panel 13(1). That includes separate
boxes for attorneys and donors
where appropriate.
Name of transferor,
landlord, transferee,
tenant, borrower or lender
Conveyancer’s name, address
and reference
R
eference:
R
eference:
R
eference:
R
eference:
R
eference:
If you are sending an application to give effect to a discharge in
Form DS1 or release in Form DS3 for each lender, state in the
table below the details of the conveyancer (if any) who
represented them.
Where a lender is not represented by a conveyancer you must
also complete (2) below.
Place ‘X’ in the box in the second
column if th
e person or firm who is
sending the application to
HM Land
Registry represented that party in the
transaction. Otherwise complete the
details in the third column. If the party
is not represented insert ‘none’ in the
third column.
A separate box is provide
d, or can be
added, for each party, as required by
panel 13(1). That includes separate
boxes for attorneys and donors
where appropriate.
Name of lender
Conveyancer’s name, address
and reference
R
eference:
R
eference:
Place ‘X’ in the appropriate box(es).
Insert the name of each
unrepresented transferor, landlord,
transferee, tenant, borrower or lender
for whom you give this confirmation.
Evidence of identity is defined in
panel 12. Full details of the
evidence of identity that is
required can be found in Practice
Guide 67 and Practice Guide 67A
available on the GOV.UK website.
(2) Evidence of identity
Wh
ere any transferor, landlord, transferee, tenant, borrower or
lender listed in (1) was not represented by a conveyancer
I confirm that I am satisfied that sufficient steps have been
taken to verify the identity of
and tha
t they are the registered proprietor or have the right to
be registered as the registered proprietor
I enc
lose evidence of identity in respect of each
unrepresented transferor, landlord, transferee, tenant,
borrower or lender for whom I have not provided the
confirmation above
14
Where the application is sent to Land Registry by someone who is
not a conveyancer
(1) Details of conveyancer acting
If
you are sending an application to register a transfer, lease or
charge (ie a mortgage), for each party to each disposition that is
to be registered, state in the table below the details of the
conveyancer (if any) who represented them.
You must also complete (2) below.
If the party is not represented insert
‘none’ in the second column.
A separate box
is provided, or can be
added, for each party, as required by
panel 14(1). That includes separate
boxes for attorneys and donors
where appropriate.
Name of transferor, landlord,
transferee, tenant, borrower or
lender
Conveyancer’s name, address
and reference
Ref
erence:
Ref
erence:
Ref
erence:
Ref
erence:
Ref
erence:
If you are sending an application to give effect to a discharge in
Form DS1 or release in Form DS3, for each lender state in the
table below the details of the conveyancer (if any) who
represented them.
You must also complete (2) below.
If the party is not represented insert
‘none’ in the second column.
A separate box is provided, or can be
added, for each party, as required by
panel 14(1). That includes
separate
boxes for attorneys and donors
where appropriate.
Name of lender
Conveyancer’s name, address
and reference
R
eference:
R
eference:
Place ‘X’ in the appropriate box(es).
Evidence of identity is defined in
panel 12. Full detail
s of the
evidence of identity that is
required can be found in
‘Completing the evidence of
identity panels on forms AP1, FR1,
and DS2’
available on the GOV.UK
website.
(2) Evidence of identity
f
or each applicant named in panel 6 is enclos
ed
for each unrepresented transferor, landlord, transferee, tenant,
borrower or lender listed in (1) is enclosed
If a conveyancer
is acting for the
applicant, that conveyancer must
sign.
If no conveyancer is acting, the
applicant (and if the applicant is more
than one person then each of them)
must sign.
15
S
ignature of conveyancer:
D
ate:
OR
Signature of applicant:
Dat
e:
WARNING
If you dishonestly enter information or make a statement that you know is, or might be, untrue or misleading, and intend by d
oing
so to make a gain for yourself or another person, or to cause loss or the risk of loss to another person, you m
ay commit the
offence of fraud under section 1 of the Fraud Act 2006, the maximum penalty for which is 10 years’ imprisonment or an unlimit
ed
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 regist
er 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 13
6
of the Land Registration Rules 2003.
© Crown copyright (ref: LR/HO) 04/20
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Completed 21 August 2020

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