Application for cancellation of a lost document

Property / site leasehold

State all the properties that the mortgage certificates relate to.

Property designation 1 State the official designation including municipality, for example Gävle Torp 1:1

Property designation 2 State the official designation including municipality, for example Gävle Torp 1:1

Property designation 3 State the official designation including municipality, for example Gävle Torp 1:1

Property designation 4 State the official designation including municipality, for example Gävle Torp 1:1

Property designation 5 State the official designation including municipality, for example Gävle Torp 1:1

(For more than five properties, fill them in the Other information field.)

Applicant

Name of applicant:

Delivery address of applicant:

Postal code applicant:

Postal city applicant:

(If there is more than one applicant enter the information under Other information)

Proxy / contact

Name / company name of proxy /contact

E-mail address proxy/contact:

Confirm e-mail address proxy/contact:

Phone number proxy/contact:

Delivery address proxy/contact:

Postal code proxy/contact:

Postal city proxy/contact:

Mortgages

State all the mortgages that shall be cancelled in connection to the properties that you have registered.

Mortgage 1

Amount of mortgage 1:

Date when mortgage 1 was granted: Format for the date: YYYY-MM-DD

Act number of mortgage 1: Example of what an act number can look like: 71/461.

Mortgage 2

Amount of mortgage 2:

Date when mortgage 2 was granted: Format for the date: YYYY-MM-DD

Act number of mortgage 2: Example of what an act number can look like: 71/461.

Mortgage 3

Amount of mortgage 3:

Date when mortgage 3 was granted: Format for the date: YYYY-MM-DD

Act number of mortgage 3: Example of what an act number can look like: 71/461.

Mortgage 4

Amount of mortgage 4:

Date when mortgage 4 was granted: Format for the date: YYYY-MM-DD

Act number of mortgage 4: Example of what an act number can look like: 71/461.

Mortgage 5

Amount of mortgage 5:

Date when mortgage 5 was granted: Format for the date: YYYY-MM-DD

Act number of mortgage 5: Example of what an act number can look like: 71/461.

Mortgage 6

Amount of mortgage 6:

Date when mortgage 6 was granted: Format for the date: YYYY-MM-DD

Act number of mortgage 6: Example of what an act number can look like: 71/461.

Mortgage 7

Amount of mortgage 7:

Date when mortgage 7 was granted: Format for the date: YYYY-MM-DD

Act number of mortgage 7: Example of what an act number can look like: 71/461.

Mortgage 8

Amount of mortgage 8:

Date when mortgage 8 was granted: Format for the date: YYYY-MM-DD

Act number of mortgage 8: Example of what an act number can look like: 71/461.

Mortgage 9

Amount of mortgage 9:

Date when mortgage 9 was granted: Format for the date: YYYY-MM-DD

Act number of mortgage 9: Example of what an act number can look like: 71/461.

Mortgage 10

Amount of mortgage 10:

Date when mortgage 10 was granted: Format for the date: YYYY-MM-DD

Act number of mortgage 10: Example of what an act number can look like: 71/461.

If you have more mortgages, fill them in with the date, file number and amount in the field or attach a file where they are listed:

Applying as

Are you applying as lender?

Yes No

Holder of document

Certify that you are the holder of the document:

I / we certify that the applicant is the individual who had the mortgage certificate last and has lost it in some way.

Where was the document kept?

Describe how the document has been destroyed or lost:

Other information:

When Lantmäteriet collects personal data, the authority must provide information about the processing of personal data that is done. The information can be found on the website www.lantmateriet.se or by contacting the Customer Center on telephone number 0771‑63 63 63.

Application