Form RX1: Application to enter a restriction Instructions

Enter the full name(s) of the person or people applying to enter the restriction.

Check this box if the application fee is being paid by cheque made payable to 'Land Registry'.

Check this box if the application fee is to be paid by direct debit under an existing agreement with Land Registry.

Enter any reference or additional details relating to how the fee for this application is being paid (for example, a cheque or direct debit reference).

Enter the amount of the fee paid for this application in pounds.

Enter the description of the application being made (for example, entry of a Form A restriction).

Enter any overall reference or notes for the application and fee section.

Provide details of any underpayment or overpayment of fees, including any explanation or adjustments made.

Enter the internal record of the fees paid for this application as recorded by HM Land Registry.

Enter the HM Land Registry reference number and the amount of fees debited for this application.

Enter the Land Registry key number for the applicant or conveyancer, if one applies.

Enter the contact telephone number for the applicant or conveyancer.

Enter the fax number for the applicant or conveyancer, if available.

Enter your reference for this application (for example a file or client reference).

Enter the postal address to which Land Registry should send requisitions and other correspondence.

Enter the email address Land Registry should use for correspondence where possible.

Enter the name of the person or firm sending the application to Land Registry.

Enter the UK DX box number for the applicant or conveyancer (if used).

Enter the details of the evidence being provided to show severance of the joint tenancy (or other relevant severance evidence).

Check this box if you are the applicant’s conveyancer and certify you hold the original (or certified copy) notice of severance and that it was served in accordance with sections 36(2) and 196 of the Law of Property Act 1925.

Check this box if the application is not by all registered proprietors and you are enclosing the original or a certified copy of the severance document signed by all the registered proprietors.

Check this box if the application is not by all registered proprietors and you are the applicant’s conveyancer certifying you hold the original or a certified copy of the severance document signed by all registered proprietors.

Check this box if you are enclosing the original or certified copy of the notice of severance and a signed acknowledgement of receipt by the other registered proprietors.

Check this box if you are enclosing the original or certified copy of the notice of severance and your certificate confirming it was given/served to the other registered proprietor(s) as described.

Check this box if all registered proprietors of the title in panel 2 are applying, so no further evidence of severance is required.

Check this box if you are the applicant’s conveyancer and certify you hold the original (or certified copy) notice of severance with an acknowledgement of receipt signed by the other registered proprietors.

Check this box if the application is not by all registered proprietors and severance is evidenced by a notice of severance having been served.

Enter the title number or title numbers of the register(s) that the restriction application relates to.

Enter the wording/details of the restriction the applicant is applying to have entered on the register.

Enter the date on which the applicant or conveyancer signed the form.

Enter the signature of the applicant or their conveyancer. Fill only if 'Panel 7 Option A: All registered proprietors applying' is 'Yes'.

Enter the Land Registry title number(s) relating to the property.

Enter the name of the local authority for the area in which the property is located.

Enter the property address (including postcode if available) or another clear description of the property.

Enter any additional written information you need to provide in relation to the Warning (2) section.