Any parts of the form that are not typed should be completed in
black ink and in block capitals.
Form RX1 should be used for an application following severance in
other circumstances.
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:
You must enter the title number(s)
relating to the property otherwise we
cannot accept the application.
2
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’.
3
Property:
Currently no fee is payable for the entry
of a Form A restriction.
4
Application and fee
Application
Fee paid (£)
Entry of Form A restriction
Fee payment method
cheque made payable to 'Land Registry'
direct debit, under an agreement with Land Registry
Provide the full name(s) of the
person(s) applying to enter the
restriction. Where a conveyancer
lodges the application, this must be the
name(s) of the client(s), not the
conveyancer.
5
The applicant:
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. Where an
application is lodged by e-DRS all
documents and correspondence will be
dealt with electronically.
We will only issue warning of
cancellation letters to conveyancers if
an email address is inserted.
6
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:
You must place ‘X’ in only one box in
this panel.
If option (A) is chosen, all joint
proprietors or their conveyancers must
sign panel 9.
If you are a conveyancer the certificate
is sufficient to comply with HM Land
Registry’s requirements for items (B)
and (C). If no conveyancer is acting,
you must enclose the evidence stated
with this application. HM Land Registry
may destroy documents after scanning.
Although you do not need to lodge
evidence of severance when all the
registered proprietors are applying, the
joint tenancy must have been severed
before the Form A restriction is entered.
If you supply the original document and
a certified copy, we shall assume that
you request the return of the original; if
a certified copy is not supplied, we may
retain the original document and it may
be destroyed.
Section 36(2) of the Law of Property Act
1925 allows one joint owner to serve a
written notice on the other joint owners,
severing their joint tenancy in equity.
Section 196 of that Act, as modified by
section 1 of the Recorded Delivery
Service Act 1962, says how such a
notice must be served.
7
Evidence of severance
(A) Application is by all the registered proprietors
All registered proprietors of the title number referred to in
panel 2 are applying (no further evidence required).
(B) Application is not by all the registered proprietors
severance is by document signed by all the registered
proprietors
The original or a certified copy of the document is
enclosed.
I am the applicant’s conveyancer and I certify that I hold
the original or a certified copy of the document.
(C) Application is not by all the registered proprietors
notice of severance has been served
The original or certified copy of the notice of severance
and a signed acknowledgement of receipt by the other
registered proprietors is enclosed.
The original or certified copy of the notice of severance
and my certificate is enclosed, confirming that the notice
was given to the other registered proprietor(s), left at their
last known place of abode or business in the UK or sent by
registered post or recorded delivery service to them at
their last known place of abode or business and not
returned undelivered.
I am the applicant’s conveyancer and I certify that I hold
the original [or certified copy of] notice of severance with
an acknowledgement of receipt signed by the other
registered proprietors.
I am the applicant’s conveyancer and I certify that I hold
the original [or certified copy of] notice of severance, and
that it was served on the other registered proprietors in
accordance with sections 36(2) and 196 of the Law of
Property Act 1925.
8
Application
The applicant applies for the following restriction to be entered
in the register of the above title(s):
No disposition by a sole proprietor of the registered estate
(except a trust corporation) under which capital money arises is
to be registered unless authorised by an order of the court.
If a conveyancer is acting for the
applicant, that conveyancer must sign.
If no conveyancer is acting, the
applicant (and if more than one person
then each of them) must sign.
9
Signature of applicant
or their conveyancer:
Date:
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.
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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