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Enter the cadastral reference of the transferring property including municipality, for example Gävle Torp 1:1).

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Lantmäteriet Fastighetsinskrivning 761 80 Norrtälje Sweden

FORM

Application regarding other registration matter

(for example, contract easements, rights of use and the right to electric power)

1. Property/Site-leasehold

Enter the cadastral reference of the transferring property including municipality, for example Gävle Torp 1:1).

Municipality: Property/Site-leasehold (name and number):

Municipality: Property/Site-leasehold (name and number):

If the application relates to several properties, please list these in the section “6. Other Information” below.

2. Applicant

(The person who is applying for registration of a contract easement, right of use or right to electric power.)

Name/company: Personal identity number/corporate

registration number:

Name/company: Personal identity number/corporate

registration number:

Name/company: Personal identity number/corporate

registration number:

If the application is submitted by several applicants, please enter these in section “6. Other Information” below.

Lantmäteriet, PHONE +46 (0)771-63 63 63 EMAIL lantmateriet@lm.se WEBSITE www.lantmateriet.se

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LANTMÄTERIET

2(3)

3. Invoice recipient

(and recipient of notification and original documents). Original documents will be returned in a separate envelope. If these should be sent to a different

person/address, please indicate this in section “6. Other Information”.

Name/Company:

Personal identity number/corporate registration number/submission number: *

Address:

Daytime phone:

Post code and town:

Email address:

*If a submission number (customer number) has been registered by Lantmäteriet, details of address are not required.

4. Representative/Contact person

Name:

Daytime phone:

Address:

Email address:

Postal code:

Postal location:

5. Indicate what the application relates to

(e.g. registration or extinction of a contract easement or right of use)

6. Other information

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LANTMÄTERIET

3(3)

7. Applicant’s signature

______________________________________________________

Signature

Name (printed)

Keep in mind that

• When applying for the registration of a contract easement or right of use, please provide the original agreement.

• Please send a simple map or sketch of the property or site-leasehold indicating the location of the right, for example a road, well or cable.

• If there is a reservation noted on the transferor's deed of title, this may mean that he or she cannot transfer a right on the property without somebody's consent. You will then need to enclose a copy of the acquisition document showing the

inscribed reservation and a document proving that the reservation has been fulfilled. This may, for example, be a consent to the transfer or a document showing that the reservation is no longer valid.

• If the transferor or the right holder is a legal person, please enclose a registration certificate showing the authorised signatories.

• If the application concerns cancellation of a registration of easement or right of use, the right holder shall sign the application. Exceptions are cases where the right has expired, in which case the owner of the transferring property can also submit the application. You will then need to send a copy of the contract and documents proving that the right is no longer valid. Please include the date of registration and file number relating to the right in the application. In the case of extinction of a right of use, a copy of the contract must always be enclosed.

• Please check that all the details in the application are correctly filled in and that the contract fulfils the formal requirements.

• Do you have any questions? Please contact us by phone at 0771-63 63 63 on weekdays between 9 am and 4 pm.

• More information and application forms are available at www.lantmateriet.se.

ABOUT PERSONAL DATA

In connection with your application, Lantmäteriet will process the personal data we received from you. When Lantmäteriet collects personal data, the authority must provide information on the processing of personal data. This information is available on the website www.lantmateriet.se/personuppgifter or by contacting Customer Services on phone number 0771-63 63 63.

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