List the documents lodged with this
form. If you are a conveyancer, you
can certify that you hold evidence –
please see panel 9. If you are not a
conveyancer, you must enclose the
evidence with this application. Land
Registry may destroy documents after
scanning.
If this application is accompanied by
Form AP1 please only complete the
corresponding panel on Form AP1 or
Form DL (if used). 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:
Provide the full name(s) of the
person(s) applying for the cancellation
of a unilateral notice. Where a
conveyancer lodges the application,
this must be the name(s) of the
client(s), not the conveyancer.
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.
This application is sent to Land Registry by
Key number (if applicable):
Name:
Address or UK DX box number:
Email address:
Reference:
You must place 'X' in one box only in
this panel. If you are a conveyancer
the certificate is sufficient to comply
with Land Registry’s requirements. If
no conveyancer is acting, you must
enclose the evidence of the
applicant’s entitlement with this
application. Land Registry may
destroy documents after scanning.
An applicant applying for themselves
should select one of the first two
options only.
List any supporting documents in
panel 6 or on Form AP1 or DL (if
used).
Status of applicant
The applicant is the registered proprietor of the estate/charge
affected by the above unilateral notice.
The applicant is the person entitled to be registered as the
proprietor of the estate/charge affected by the above
unilateral notice and evidence of that entitlement
accompanies this application.
I am the applicant’s conveyancer and certify that I am
satisfied that the applicant is entitled to be registered as the
proprietor of the estate/charge to which the unilateral notice
referred to in panel 4 relates.
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.
© Crown copyright (ref: LR/HO) 06/14
