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Form RQ(Co) (Introduced 5/14)
Please send the completed form by post to:
Citizen Centre RQ(Co)
Land Registry Wales Office
Tŷ Cwm Tawe
Phoenix Way
Llansamlet
Swansea
SA7 9FQ
DX No: 82800 Swansea (2)
You can also send this form by email to rq-request@landregistry.gsi.gov.uk. If you choose to send this by email
please be aware that the information we receive from you over the internet is not encrypted and may not be
completely secure.
The restriction set out in section 4 is designed to help prevent forgery. It does so by requiring that a
conveyancer certify they are satisfied that the company transferring or mortgaging the property is the same as
the owning company and that anyone signing as an officer of the company held that office at the time.
Provide the contact
address of the company
requesting the entry of the
restriction. Where a
conveyancer lodges this
form, these details must
be those of the company,
not those of the
conveyancer.
1
The company making the request:
Name of company:
Company Registration Number:
Property number/name:
Street name:
Town:
County:
Postcode:
Phone no:
Email address:
You can make this
request in respect of up
to three registered titles.
If you want this
restriction to be entered
for any additional titles,
you need to make an
application in respect of
those titles in form RX1
accompanied by the
appropriate fee.
If there are several
properties included in a
single title you only
need to show one of
these.
2
Property address(es) comprised in the registered title:
a
Property number/name:
Street name:
Town:
County:
b
Property number/name:
Street name:
Town:
County:
c
Property number/name:
Street name:
Town:
County:
Postcode:
If you know the title
numbers of the properties,
enter them here. If you
don’t know any, or only
some of the title numbers,
leave the ones you don’t
know blank.
3
Title number:
For official use only
a:
Land Registry TIS
code RXC
b:
c:
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Form RQ(Co) (Introduced 5/14)
Complete section 4 if
you are not a
conveyancer.
4
I am an officer of the company that is, or following registration will be, the registered
proprietor of the property(ies).
I request Land Registry to enter in the register a restriction in the following form:
This is the wording that
will appear on your title
when the restriction is
entered.
No disposition of the registered estate by the proprietor of the registered estate is to be
completed by registration without a certificate signed by a conveyancer that the
conveyancer is satisfied that (1) the company which executed the document submitted for
registration as disponor is the same company as the proprietor, and (2) reasonable steps
have been taken to establish that each person who signed as an officer of the company
held the stated office at the time of execution.
This request will take to no more than three the number of such restrictions in respect of
the company’s properties which have been entered following a request to the registrar in
form RQ(Co).
Sign here and state the
capacity in which you
sign (ie director or
secretary).
Signed:
Date:
Capacity:
Fill in section 5 only if
you are a conveyancer.
5
I am a conveyancer, as defined in rule 217A of the Land Registration Rules 2003, and
represent the above named company.
The company requests the registrar to enter the restriction set out in section 4.
I am instructed that this entry will take to no more than three the number of such
restrictions in respect of the company’s properties which have been entered following a
request to the registrar in form RQ(Co).
Name of conveyancer:
Address or UK DX box number of conveyancer:
Town:
County:
Postcode:
Email address:
Reference:
Phone no:
Signed:
Date:
Public Guide 17 How to safeguard against property fraud contains general information
about action you can take to protect yourself against property fraud.
Please send the completed form by post or email to the address at the top of page
1.
Warning
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.
© Crown copyright (ref: LR/HO) 5/14
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