Form CT1 - Land Registry

If you are paying by direct debit, thiswill be the account charged.This is the address to which we willnormally send requisitions and returndocuments. However if you insert anemail address, we will use thiswhenever possible.Place 'X' in the appropriate box(es)and complete as necessary. In thecase of a leasehold estate,rentcharge, franchise or profit aprendre in gross, please provide fulldetails of the particular leaseholdestate, rentcharge, franchise or profitaffected. Include the date, nature andparties of the instrument by which theestate was created, if known; theamount of the rentcharge; the natureof the franchise or profit; and length ofthe term, if leasehold.If 'Yes', include all particulars for thediscontinued term, for exampleaffected days, weeks, months and soon6 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:7 The estate to which the caution relates isthe freeholda lease datedfromfor a term ofmade betweenIs the lease discontinuous? Yes Noa rentchargea franchisea profit a prendre in grossEach cautioner may give up to threeaddresses for service, one of whichmust be a postal address whether ornot in the UK (including the postcode,if any). The others can be anycombination of a postal address, a UKDX box number or an electronicaddress.8 The address(es) for service for each cautioner to be entered inthe register is: