Form ADV2 - Land Registry

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: