Form ADV2 - Land Registry

If you need more room than is provided for in a panel, and yoursoftware allows, you can expand any panel in the form. Alternativelyuse continuation sheet CS and attach it to this form.Land Registry is unable to give legal advice but our websitewww.landregistry.gov.uk provides guidance on Land Registryapplications. This includes public guides and practice guides (aimedat conveyancers) that can also be obtained from any Land Registryoffice.See www.landregistry.gov.uk/contact-us/offices if you are unsurewhich Land Registry office to send this application to.Conveyancer is a term used in this form. It is defined in rule 217A,Land Registration Rules 2003 and includes persons authorisedunder the Legal Services Act 2007 to provide reserved legal servicesrelating to land registration and includes solicitors and licensedconveyancers.LAND REGISTRY USE ONLYRecord of fees paidParticulars of under/over paymentsReference numberFees debited £Where there is more than one localauthority serving an area, enter theone to which council tax orbusiness rates are normally paid.1 Local authority serving the property:2 Title number(s) of property:Insert address including postcode(if any) or other description of theproperty, for example ‘landadjoining 2 Acacia Avenue’.Place 'X' in the appropriate box.Give a description by reference toan attached plan enabling the landto be identified on the OrdnanceSurvey map.See fees calculator atwww.landregistry.gov.uk/professional/fees/fees-calculatorPlace 'X' in the appropriate box.The fee will be charged to theaccount specified in panel 7.Provide the full name(s) of theperson(s) making this application.Where a conveyancer lodges theapplication, this must be thename(s) of the client(s), not theconveyancer.3 Property:The application relates tothe whole of the title(s)part of the title(s) as shown:4 Application and feeApplication Fee paid (£)Registration of a person to benotified of an application foradverse possessionFee payment methodcheque made payable to 'Land Registry'direct debit, under an agreement with Land Registry5 The applicant:

Each applicant may give up to threeaddresses for service, one of whichmust be a postal address whetheror not in the UK (including thepostcode, if any). The others canbe any combination of a postaladdress, a UK DX box number oran electronic address.If you are paying by direct debit,this will be the account charged.This is the address to which we willnormally send requisitions andreturn documents. However if youinsert an email address, we will usethis whenever possible.Place 'X' in the appropriate box.Place 'X' in the appropriate box.6 Applicant's intended address(es) for service (including postcode)for entry in the register:7 This application is sent to Land Registry byKey number (if applicable):Name:Address or UK DX box number:Email address:Reference:Phone no:Fax no:8 Confirmation of interest and applicationI/We confirm that the applicant has an interest in theregistered estateregistered rentchargebeing the title as entered in panel 2 which would be prejudiced bythe registration of any other person as proprietor of thatestate/rentcharge under Schedule 6 to the Land Registration Act2002. The applicant hereby applies to the registrar to be registeredas a person or persons to be notified of any application underparagraph 1 of Schedule 6 to the Land Registration Act 2002.9 Identity of person making the statement of truth in panel 10The statement is made by (one of) the applicant(s).The full name of the person making the statement is:The statement is made on behalf (one of) of the applicant(s),who cannot make this statement for the following reasons:The full name of the person making the statement is:Address:The statement is made by a conveyancer acting for theapplicant(s).The conveyancer's full name is:Firm name (if any):Address or UK DX box number:

This panel must set out the natureof the applicant's interest. Do notattach any documents.See the warnings at the end of thisform.10 Statement of truthI state that the applicant is interested in the property described inpanel 3 as:If a joint statement is made by twoor more persons, consequentialamendments can be made to thetext in this panel (for example, ‘I’can be changed to ‘we’).I believe that the facts and matters contained in this statement aretrue.If the person making the statementis unable to sign it, this wording willneed to be amended to comply withrule 215A(5) and (6) of the LandRegistration Rules 2003. Inaddition, and in cases where theperson making the statement isunable to read, there will need to bean appropriate certificate: see rule215A(4) and (5).Signature:Print full name:Date:

If a conveyancer is acting for theapplicant, that conveyancer mustsign. If no conveyancer is acting, theapplicant (and if more than oneperson then each of them) must sign.11Signature of applicantor their conveyancer:Date:WARNINGIf you dishonestly enter information or make a statement that you know is, or might be, untrue or misleading, and intend by doingso to make a gain for yourself or another person, or to cause loss or the risk of loss to another person, you may commit theoffence of fraud under section 1 of the Fraud Act 2006, the maximum penalty for which is 10 years’ imprisonment or an unlimitedfine, 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 aresult, 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 anapplication to the registrar or referred to in the register are open to public inspection and copying. If you believe a documentcontains prejudicial information, you may apply for that part of the document to be made exempt using Form EX1, under rule 136of the Land Registration Rules 2003.© Crown copyright (ref: LR/HO) 10/12