Fillable Record of fees paid nd your Land Registry (Cabinet Office)

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Record of fees paid nd your Land Registry (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.
You must lodge the documents of title with this application; these
must be listed on Form DL.
If you need more room than is provided for in a panel, a
nd 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
g
uides 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 a
uthorised
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:
Insert address including postcode (if
any) or other description of the
property
, for example ‘land adjoining
2 Acacia Avenue’.
2
Property:
On registering a rentcharge, profit a
prendre in gross or franchise, insert a
description, for example 'Rentcharge
(or as appropriate) over 2 Acacia
Avenue'.
Place 'X' in the appropriate box. Only
use the third option where the
property has an address and is
fenced on the ground.
3
The extent of the land to be registered can be clearly identified on
the current edition of the Ordnance Survey map from
Enter reference, for example 'edged
red'.
the attached plan and shown:
Enter nature and date of document.
Failure to complete this panel
is likely
to
result in the rejection of the
application.
the plan attached to the:
the address shown in panel 2
Place 'X' in the appropriate box.
4
The class of title applied for is
absolute freehold
possessory freehold
5
Application, priority and fees
Applications in priority
order
Price paid/Value
(£)
Fees paid
(£)
To find out more about our fees visit
www.gov.u
k/government/collections/f
ees
-land-registry-guides
Failure to enter the
current market
value of the land in this panel and/or
to include
a fee based on Scale 1 will
result in
a requisition being raised or
rejection of the applicatio
n.
Remember restricti
ons in deeds may
apply to other deeds of lower p
riority
in this list, unless you specify
otherwise.
First registration of the
freehold/leasehold estate
Total fees (£)
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 7.
direct debit, under an agreement with Land Registry
Provide the full name(s) of the
person(s) applying
for first
registration
. Where a conveyancer
lodges the application, th
is must be
the name(s) of the client(s), not the
conveyancer.
If the application is based on adverse
possession or lost deeds, you may
add a telephone number and/or email
address for t
he applicant that we can
use for arranging any survey which
may be nee
ded.
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 i
n Schedule 3 to the Land
Registration Rules 2003 or a certified
copy o
f 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 a
vailable to
profession
al customers, such as
solicitors.
If you are pa
ying by direct debit, this
will be the account charged.
This is the address to which we will
normally send requisitions and return
documents. However if you insert an
email address, we
will use this
whenever
possible.
We will only issue warning of
cancel
lation letters to conveyancers if
an email address is inserted.
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:
Place 'X' in the appropriate box.
8
The address(es) for service for each proprietor of the estate to be
entered in the register is
In this and panel 10, each proprietor
may
give up to three addresses for
serv
ice, one of which must be a
postal address whether or not in the
UK (i
ncluding the postcode, if any).
The others can be any combination
of a postal address, a UK DX box
number or an electronic address.
the address of the property (where this is a single postal
address)
the following address(es):
Where the applicant is more than one
person, place 'X' in the appropriate
box.
Complete as necessary.
The registrar will enter a Form A
restriction in the register
unless:
−
an ‘X’ is placed:
− in the first box, or
− in the third box and the
details of the trust or of the
trust instrument show that
the applicants are to hold
the property on trust for
themselves alone as joint
tenants, or
−
it is clear from completion of a
form JO lodged with this
application that the applicants
are to hold the property on trust
for themselves alone as joint
tenants.
Please refer to
Joint property
ownership
and practice guide 24:
p
rivate trusts of land for further
guidance. These are
both available
on
the GOV.UK website.
9
Where the applicant is more than one person
they hold the property on trust for themselves as joint tenants
they hold the property on trust for themselves as tenants in
common in equal shares
they hold the property on trust:
Where a charge has an MD
reference we will i
gnore 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 8.
Complete as
appropriate where the
proprietor of the charge is a
company. Also, f
or 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 En
glish or Welsh, or
other evidence permitted by r
ule 183
of the Land Registration Rules 2003.
10
Name and address(es) for service for the proprietor of any 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) Registered number in the United Kingdom including any prefix:
11
Disclosable overriding interests
If this statement applies (i) place ‘X’
in the box and (ii) enclose Form DI.
Rul
e 28 of the Land Registration
Rules 2003 sets out the disclosable
overriding interests that you must tell
us about.
Disclosable overriding interests affect the estate.
This panel must b
e completed for all
applications for first registration
regardless of whether you are relying
on title documents or only on a
statutory declaration or statement of
truth.
Failure to complete this panel is
likely to
result in the rejection of the
applicatio
n.
If you are lodging
certified copy
deeds only, have you remembered to
in
clude the separate certificate?
Place 'X' in the appropriate box.
If applicable complete the second
statement with details of the
interest(s); for interests disclosed
only by sear
ches do not include
th
ose shown on local land charge
sea
rches. Certify any interests
disclosed by searches that do not
affect the estate being registered.
12
Certificate
The title is based on the title documents listed in Form DL which
are all those under the control of the applicant.
Details of rights, interests and claims affecting the estate (other
than non-disclosable interests falling within rule 28(2) of the Land
Registration Rules 2003) known to the applicant are, where
applicable, disclosed in the title documents and Form DI if
accompanying this application.
The applicant knows of no other such rights, interests and
claims. Only the applicant is in actual possession of the
property or in receipt of the rent and profits from the property.
The applicant knows only of the following additional such
rights, interests and claims, including those of any person
(other than the applicant) in actual possession of the property
or in receipt of the rent and profits from the property:
If you do not place 'X' in the box we
will assume
that you have examined
the applicant's title or are satisfied
that it has been examined in the
usual way.
13
Examination of title
I/we have not fully examined the applicant’s title to the
estate, including any appurtenant rights, or satisfied
myself/ourselves that it has been fully examined by a
conveyancer in the usual way prior to this application.
14
Confirmation of identity
W
hen registering transfers, charges, leases and other dispositions
of land, 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 15(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, dated
on or after 10 November 2008 and the requirement of registration
applies, complete one of the following
I
am a conveyancer, and I have completed panel 15
I
am not a conveyancer, and I have completed panel 16
15
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.
W
here a party is not represented by a conveyancer you must also
complete (2) below.
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.
The requirement of registration is
contained in section 4, Land
Registration Act 2002. Further
guidance is contained in Practice
Guide 1.
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.
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 can be
added, for each party, as required by
panel 15(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:
Refer
ence:
Refer
ence:
(2) Evidence of identity
Wher
e 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 that
they are the transferor, landlord, transferee, tenant,
borrower or lender listed in (1) (as appropriate)
I enclos
e evidence of identity in respect of each
unrepresented transferor, landlord, transferee, tenant,
borrower or lender for whom I have not provided the
confirmation above
16
Where the application is sent to Land Registry by someone who is
not a conveyancer
(1) Details of conveyancer acting
If you ar
e 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.
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 14. 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.
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 16(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
Refer
ence:
Refer
ence:
Refer
ence:
R
eference:
R
eference:
Place ‘X’ in the appropr
iate box(es).
Evidence of identit
y is defined in
panel 14. Full de
tails of the
e
vidence of identity that is
required can be found in
‘Completing the eviden
ce of
identi
ty 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 conveyanc
er is acting for the
applicant, that conveyancer must
sign.
If you are lodging
certified copy
deeds only, have you remembered to
in
clude the separate certificate?
If no conveyancer is acting, the
applicant (and if the applicant is more
than one perso
n then each of them)
must sign.
17
S
ignature of conveyancer:
Dat
e:
OR
Signature of applicant:
D
ate:
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 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 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 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) 04/20
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Record of fees paid nd your Land Registry (Cabinet Office)

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Completed 22 March 2021

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