Form B - Application To Register A Charge On A Registered Title Or Unregistered Property
Title
Building Entry Point Name
Application For Charge
(For Office use)
LRA Number:
Date:
Payment:
Received by:
List Of Documents Submitted With The Application:
Declaration Of Applicant:
I hereunder signed, declare that all that is stated in this Form A and as far as I know is true, and that I have verified the relative documents, and that there is no fact that I know of that is contrary to that brought in the documents.
Signature and name in block letters