Land Registration Proceedings APPLICATION To:____________________
I (or we), the undersigned,
hereby apply to have the land hereafter described brought under the
operation of the Land Registration Act, and to have my (or our) title
therein registered and confirmed. And I (or we) declared: 1. That I am (or we are) the
owner (or owners) in fee simple of a certain parcel of land with the
buildings (if any; if not, strike out- the words "with the buildings')
thereon, situated in __________________________, and more particularly
described as follows, to wit: (Description of land) 2. That said land at the last
assessment for taxation was assessed at
_______________________________; 3. That I (or we) do not know of any
mortgage or encumbrances affecting said land, or that any other person has
any estate or interest therein, legal or equitable possession, remainder,
reversion, or expectancy; (if there be any add, `other than
asfollows "and setforth each clearly); 4. That I (or we) obtained title on said
property by (if by deed,
state name of grantor, date and place of
record, and file the deed or state reason for not
filing); 5. That said land is
unoccupied (if occupied, state name
in full and place of residence and post-office address of occupant and the
nature of his occupancy); 6. That the names and addresses
so far as known to me (or to
us) of the owners of all lands adjoining the above property are as
follows: _______________________________; 7. That I am married to
____________________________ (state
the name of wife or husband. If unmarried, state whether he or she has
been married, and if so, when and how the marriage relation was
terminated); 8. That my (or our) full name (or names), residence (or residences), and post-office
address (or addresses) is (or are) as follows:
__________________________; 9. This application (in duplicate) is accompanied by
the following documents: Schedule
of Documents a) The original or tracing plan,
together with a blue print copy thereof b) The technical description of
the land (in duplicate) (c) The surveyor's report of
survey, or surveyor's certificate (in duplicate); (d) [Muniments of title relied upon by
applicant to prove his ownership over the land] Done in ___________ this
_______ day of ___________ N19_____.
Application for
Registration
of Land
_________________________________
(Applicant)