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LAND REGISTRY
County Folio
I, of
am the person referred to in the within assent (or, the assent annexed hereto) of A.B., the
personal representative of C.D.
I assent to the registration of the charges and the burdens and to the entry of the following
inhibition to protect the other rights referred to in the said assent of A.B. (see Form 77) and
I apply to be registered as owner of the said property
(if more than one person entitled, state whether taking as joint tenants or tenants in common
and if taking as tenants in common, state the shares each transferee is taking).
Signed:
(To be signed by the applicant and his/her signature attested. If not attested by a solicitor,
an affidavit by the attesting witness may be required.)
Note - If there is more than one applicant, the form should be amended accordingly.