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.
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
Enter the title number of the registered
estate or that allotted to the pending first
registration.
2
Insert address including postcode (if any)
or other description of the property, for
example ‘land adjoining 2 Acacia
Avenue’.
3
Enter the full names. If there are more
than two persons, enter the first two only.
4
5
Application
Fee paid (£)
To find out more about our fees visit
www.gov.uk/government/collections/fees-
land-registry-guides
Official search of whole with priority
Place 'X' in the appropriate box.
The fee will be charged to the account
specified in panel 6.
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.
6
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 one box only.
For a search of a registered title enter
a date falling within the definition of
‘search from date’ in rule 131 of the
Land Registration Rules 2003. If the
date entered is not such a date the
application may be rejected.
7
Application and search from date
I apply for a search of the individual register of a registered
title to ascertain whether any adverse entry has been made
in the register or day list since
I apply for a search in relation to a pending application for
first registration to ascertain whether any adverse entry has
been made in the day list since the date of the pending first
registration application.
Provide the full name(s) of each
purchaser or lessee or chargee.
8
The applicant:
Place 'X' in the appropriate box.
9
Reason for application
I certify that the applicant intends to
Purchase
take a Lease
take a registered Charge
If a conveyancer is acting for the
applicant, that conveyancer must
sign. If no conveyancer is acting, the
applicant (if more than one person
then each) must sign.
10
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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