Fill - Free fillable Sc Form SC (HM Land Registry) PDF form

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.

Land Registry is unable to give legal advice but our website

www.landregistry.gov.uk provides guidance on Land Registry

applications. This includes public guides and practice guides (aimed

at conveyancers) that can also be obtained from any Land Registry

office.

See www.landregistry.gov.uk/contact-us/offices if you are unsure

which Land Registry office to send this application to.

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.

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.

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’.

Place 'X' in the appropriate box.

State reference, for example 'edged

red'.

Property:

The statutory charge affects

the whole of each registered estate

the part(s) of the registered estate(s) shown on the attached

plan:

See fees calculator at

www.landregistry.gov.uk/professional

/fees/fees-calculator

Place 'X' in the appropriate box.

The fee will be charged to the

account specified in panel 6.

Application and fee

Application

Fee paid (£)

Noting of priority of statutory

charge

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 for the noting of

the overriding priority. Where a

conveyancer lodges the application,

this must be the name(s) of the

client(s), not the conveyancer.

The applicant:

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.

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:

List the documents lodged with this

form. If this application is

accompanied by either Form AP1 or

FR1 please only complete the

corresponding panel on Form AP1

or DL (if used). Original documents

are only required if your application

is a first registration, when we will

return the originals if a certified copy

is supplied. If your application is not

a first registration then we only need

certified copies of deeds or

documents you send to us with 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.

Documents lodged with this form:

Place 'X' in the appropriate box and

complete as necessary.

I certify that the statutory charge is already registered as entry

number in the charges register

I certify that the statutory charge has arisen and this is

evidenced by:

State the provision or other reason.

The applicant applies for an entry to be made in the register to

show that a statutory charge referred to in panel 8 has priority over

the charge(s) shown in panel 10. The statutory charge has priority

by virtue of:

If there are two or more charges of

the same date to the same lender,

you must clearly identify which

charge(s) priority is claimed over by

including a number or other identifier

for the charge in the first column.

Identify the charge(s) over which priority is claimed

Date of charge

Lender

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.

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.

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