Any parts of the form that are not typed should be completed in
black ink and in block capitals.
Form UN4 must be used for cancellation of a unilateral notice.
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:
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:
To find out more about our fees visit
www.gov.uk/government/collections/fees-
land-registry-guides
Place 'X' in the appropriate box.
The fee will be charged to the account
specified in panel 7.
4
Application and fee
Application
Fee paid (£)
Cancellation of a notice
Fee payment method
cheque made payable to 'Land Registry'
direct debit, under an agreement with Land Registry
List the documents lodged with this form.
If this application is accompanied by
Form AP1 please only complete the
corresponding panel on Form AP1 or DL
(if used). We only need certified copies
of deeds or documents you send to us
with HM 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.
5
Documents lodged with this form:
Provide the full name(s) of the person(s)
applying to cancel the notice. Where a
conveyancer lodges the application, this
must be the name(s) of the client(s), not
the conveyancer.
6
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.
We will only issue warning of cancellation
letters to conveyancers if an email
address is inserted.
7
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:
Place 'X' in the appropriate box.
8
Application in respect of notice protecting a rentcharge
Rentcharge of £ created by a deed dated
and issuing out of the land registered under the title number(s)
referred to in panel 2.
The rentcharge has determined by
merger or release and panel 10 below has also been
completed.
redemption and the certificate of redemption accompanies
this application.
The applicant applies for the necessary entries and cancellations
to be made in the register to give effect to the determination of
the rentcharge.
Place 'X' in the appropriate box and
lodge any supporting evidence.
Please provide details.
9
Application in respect of notice protecting a lease
Details of lease
Property affected
Date
Term
The lease has determined by
merger
surrender
disclaimer
forfeiture and a statutory declaration or other supporting
evidence accompanies this application
effluxion of time and neither the provisions of the Landlord
and Tenant Act 1954 nor those of the Local Government
and Housing Act 1989 apply
notice under the Landlord and Tenant Act 1954 and the
provisions of that Act have been complied with
notice under the Local Government and Housing Act 1989
and the provisions of that Act have been complied with
other:
Panel 10 has been completed.
The applicant applies for the necessary entries and cancellations
to be made in the register to give effect to the determination of
the lease.
Place 'X' in the appropriate box.
If applicable complete the second
statement with details of the interest(s);
for interests disclosed only by searches
do not include those shown on local land
charge searches. Certify any interests
disclosed by searches that do not affect
the determined lease or rentcharge.
List any supporting documents in panel 5
or on Forms AP1 or DL (if used).
10
The unregistered title to the determined lease or rentcharge is
based on the title documents listed which are all those under the
control of the applicant.
Details of rights, interests and claims affecting the estate known
to the applicant are, where applicable, disclosed in the title
documents accompanying this application.
The applicant knows of no other such rights, interests and
claims. Only the applicant is in actual possession of the
property or in receipt of the rent and profits from the
property.
The applicant knows only of the following additional such
rights, interests and claims, including those of any person
(other than the applicant) in actual possession of the
property or in receipt of the rent and profits from the
property:
You should provide with this application
evidence which demonstrates that the
interest protected by the notice has come
to an end.
11
Cancellation of notice in other cases
Please give details of the notice you are applying to cancel and
state how the interest protected by the notice has come to an
end.
The applicant applies for the necessary entries and cancellations
to be made in the register to give effect to the determination of
the notice.
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.
12
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
click to sign
signature
click to edit
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