Use one form per title.
Any parts of the form that are not typed should be completed
in black ink and in block capitals.
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.
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
2
Use a separate form for each
registered title.
Place 'X' in the appropriate box.
freehold
leasehold
manor
franchise
caution against first registration
rentcharge
profit a prendre in gross
3
4
Application and fee
Application
Total number of all
copies or certificates
requested in panel 7
Fee paid
(£)
To find out more about our fees visit
www.gov.uk/government/collections/fees-
land-registry-guides
Official copy of register
/plan or certificate of
inspection of title plan
Fee payment method
Place 'X' in the appropriate box.
cheque made payable to 'Land Registry'
The fee will be charged to the account
specified in panel 5.
direct debit, under an agreement with Land Registry
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.
5
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:
Please note that until further notice all
copies ordered using this form will be
despatched in paper form. When email
despatch becomes available, a direction
will appear on GOV.UK and details will
be given in practice guide 11: inspection
and application for official copy. Until
there is a direction, you do not need to
complete this panel to obtain an
official copy in paper format.
Place 'X' in the box if applicable.
6
Issue of official copies in paper format where an email address
has been supplied
If you have supplied an email address in panel 5, then, unless
you complete the box below, any official copy will be issued
electronically to that address, if there is a direction under section
100(4) of the Land Registration Act 2002 by the registrar
covering such issuing.
I have supplied an email address but require the official
copy(ies) to be issued in paper format instead of being
issued electronically
7
I apply for
Indicate how many copies of each are
required.
official copy(ies) of the register of the above mentioned
property
official copy(ies) of the title plan or caution plan of the
above mentioned property
certificate(s) of inspection of title plan, in which case either
Place 'X' in the appropriate box.
State reference, for example 'edged red'.
i. an estate plan has been approved and the plot
number is:
or
ii. no estate plan has been approved and a
certificate is to be issued in respect of the land
shown on the
attached plan and copy
8
Place 'X' in the appropriate box.
9
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
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