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.
If a joint statement is made by two or more persons, consequential amendments can be made to the text in the
panels (for example, ‘I’ can be changed to ‘we’).
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.
Insert full name.
Insert full address.
make this statement in support of an application to Land
Registry for registration based upon adverse possession.
Place 'X' in one box only.
This is for cases where the squatter is a
company or firm, someone who has died,
or is otherwise incapable of making the
statement personally. Insert the name
and address of the squatter.
Insert reasons and describe the
relationship of the person making the
statement to the person on whose behalf
it is made. Enclose any relevant
documentation (for example, office copy
grant of probate).
the person currently in adverse possession
a person who was previously in adverse possession
making this statement on behalf of:
who is currently or was previously in adverse possession
but who cannot make this statement for the following
Insert address including postcode (if any)
or other description of the property, for
example ‘land adjoining 2 Acacia
Place 'X' in the appropriate box(es) and
complete the relevant statement.
State reference, for example ‘edged red’.
Insert title number(s) if the land is already
registered. If only part of a registered title
is affected the affected land should be
clearly identified on an attached plan or
by means of an existing reference on the
The land is clearly identified on the attached plan and
The land is currently registered under title number(s):
Insert the dates the adverse possession
started and finished. Any ‘gaps’ must be
specified if the period is not continuous.
Only include the period of adverse
possession by the person making this
statement or on whose behalf it is made.
4 Period of adverse possession: