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This document is an application form for the issuance of a Certificate of Title or Lease under the Land Registration Act of Kenya. It requires details such as the title number, proprietor information, and supporting documents including a statutory declaration. The application must be signed by the proprietor and verified by a designated official.

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14 views

19

This document is an application form for the issuance of a Certificate of Title or Lease under the Land Registration Act of Kenya. It requires details such as the title number, proprietor information, and supporting documents including a statutory declaration. The application must be signed by the proprietor and verified by a designated official.

Uploaded by

eglermueni
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form LRA 19 (r.

30(1))
REPUBLIC OF KENYA

THE LAND REGISTRATION ACT

THE LAND REGISTRATION (GENERAL) REGULATIONS, 2017

Date Received Presentation Book Official Fees Paid


………………… No…………………. Kshs.

APPLICATION FOR ISSUE OF A CERTIFICATE OF TITLE/LEASE*

TITLE NUMBER:.......................................

Date of Application
Proprietor
ID/Passport/Company
Registration No. of the
Proprietor(if any)

1. The Proprietor HEREBY APPLIES for the issue of the above Certificate of Title /Lease*

2. In support of this Application, the Proprietor has attached statutory declaration and supporting
documents.

Dated this ………………………….……day of …………………….20…….


* Delete where not appropriate

EXECUTION:
SIGNED by the Proprietor
in the presence of:-
Coloured
Photograph

ID/No…………………..
PIN No………………….
Signature………………..

Certificate of Verification under section 45 of the Land Registration Act, 2012

I CERTIFY that the above-named ………………………………….. appeared before me on the


…………… day of ……………..….20….and being known to me/being identified
by*………………………………….. of ………………………… acknowledge the above
signatures or marks to be his/hers and that he/she had freely and voluntarily executed this
instrument and understood its contents.
……………………………………
Signature and Designation of Person
Certifying**

LAND REGISTRAR
Name:
Signature:
(P.T.O)
STATUTORY DECLARATION***

I,………………………………(in support of this Application) do hereby sincerely declare as


follows:-
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
……................................................................................................................................................
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………
I make this declaration conscientiously believing the same to be true and according to the Oaths
and Statutory Declaration Act.

DECLARED before me at
…………………………………………………
on the …………………………………….day
of………………………………………20…

……………………………………………..
Signature of Commissioner for Oaths
or Magistrate or Notary Public

*** one of the supporting documents must be a police abstract.

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