ࡱ > z y + a bjbj>> J \Dh\Dha t p3 j M Z , 2 2 2 2 2 2 2 $ 6 8 v 3 ^ M 3 *3 /# /# /# 2 /# 2 /# /# 6 O0 1 p/ . /1 2 @3 0 p3 K1 :9 #! :9 8 1 :9 1 /# 3 3 )" p3 :9 X F : This form should be accompanied by either Form AP1 or Form FR1 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. 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 HYPERLINK "https://www.gov.uk/government/organisations/land-registry/about/personal-information-charter" Personal Information Charter. Leave blank if not yet registered.1Title number(s) of the property: Insert address including postcode (if any) or other description of the property, for example land adjoining 2 Acacia Avenue.2Property:3Date:Give full name(s). Complete as appropriate where the borrower is a company. Enter the overseas entity ID issued by Companies House for the borrower pursuant to the Economic Crime (Transparency and Enforcement) Act 2022. If the ID is not required, you may instead state not required. Further details on overseas entities can be found in HYPERLINK "https://www.gov.uk/government/publications/overseas-companies-and-limited-liability-partnerships-pg78" practice guide 78: overseas entities. 4Borrower: For UK incorporated companies/LLPs Registered number of company or limited liability partnership including any prefix: For overseas entities (a) Territory of incorporation or formation: (b) Overseas entity ID issued by Companies House, including any prefix: (c) Where the entity is a company with a place of business in the United Kingdom, the registered number, if any, issued by Companies House, including any prefix: Give full name(s). Complete as appropriate where the lender is a company. Also, for an overseas company, unless an arrangement with HM Land Registry exists, lodge either a certificate in Form 7 in Schedule 3 to the Land Registration Rules 2003 or a certified copy of the constitution in English or Welsh, or other evidence permitted by rule 183 of the Land Registration Rules 2003.5Lender for entry in the register: For UK incorporated companies/LLPs Registered number of company or limited liability partnership including any prefix: For overseas companies (a) Territory of incorporation: (b) Where the entity is a company with a place of business in the United Kingdom, the registered number, if any, issued by Companies House, including any prefix: Each proprietor may give up to three addresses for service, one of which must be a postal address whether or not in the UK (including the postcode, if any). The others can be any combination of a postal address, a UK DX box number or an email address.6Lenders intended address(es) for service for entry in the register:Place X in any box that applies. Add any modifications. 7The borrower with FORMCHECKBOX full title guarantee FORMCHECKBOX limited title guarantee charges the property by way of legal mortgage as security for the payment of the sums detailed in panel 9Place 'X' in the appropriate box(es). You must set out the wording of the restriction in full. Standard forms of restriction are set out in Schedule 4 to the Land Registration Rules 2003.8 FORMCHECKBOX The lender is under an obligation to make further advances and applies for the obligation to be entered in the register FORMCHECKBOX The borrower applies to enter the following standard form of restriction in the proprietorship register of the registered estate: Insert details of the sums to be paid (amount and dates) and so on.9Additional provisions The borrower must execute this charge as a deed using the space opposite. If there is more than one borrower, all must execute. Forms of execution are given in Schedule 9 to the Land Registration Rules 2003. If a note of an obligation to make further advances has been applied for in panel 8 this document must be signed by the lender or its conveyancer. Examples of the correct form of execution are set out in HYPERLINK "https://www.gov.uk/government/publications/execution-of-deeds" practice guide 8: execution of deeds. Execution as a deed usually means that a witness must also sign, and add their name and address. 10Execution 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. 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