This panel must always be
A key number is only available to
professional customers, such as
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.
This application is sent to Land Registry by
Key number (if applicable):
Address or UK DX box number:
You may give up to three addresses
for service, one of which must be a
postal address whether or not in the
UK (including the postcode, if any).
The others can be any combination of
a postal address, a UK DX box
number or an electronic address.
Address(es) for service of the applicant. The address(es) will be
entered in the register and used for correspondence and the
service of notice:
Enter the full name of the applicant’s husband, wife or civil
If your application is successful, the
registration of the existing charge will
be cancelled under section 32 of, and
paragraph 2 of Schedule 4 to, the
Family Law Act 1996.
Place 'X' in the appropriate box.
If ‘Yes’, insert the address of the
other dwelling house and place ‘X’ in
the appropriate box and complete the
You can have a home rights charge
registered against only one home at
any one time (whether under the
Land Registration Act 2002 or the
Land Charges Act 1972).
Is a home rights charge (in respect of the applicant's marriage to
or civil partnership with the person named in panel 8 above)
registered in respect of any other dwelling-house?
(a) Insert the address of the other dwelling-house:
(b) Complete one of the following, as appropriate
The home rights charge on the other dwelling-house is
registered under the Land Charges Act 1972. The registration
number and date of registration at Land Charges Department
The other dwelling-house is registered under the Land
Registration Act 2002. The title number against which the
home rights charge is registered is: