To:
Corporate Services Unit
Property Registration Authority
Chancery Street
Dublin 7
DX 228
Request for amendments to customer account details.
Customer account name
Customer account number
I.............................................................
...................................................
(name of principal of solicitor's firm/principal of law searching firm/agency, secretary of company, law agent, individual applicant) hereby request that the following amendments be made to the customer account of
..............................................................
.................................................
(name of solicitor's firm/law searching firm/agency, company, organisation, individual applicant).
Please delete the following authorised persons/details from the account
1.
2.
3.
Please add the following authorised persons/details to the account
1.
2.
3.
Signed
..............................................................
..........................
Principal of solicitor's firm/law searching firm/agency, secretary of company, law agent, individual applicant.
Dated this the day of 2013