Full names of owner's brothers and sisters: (if any and specify whether full brother or sister,
whether half brother or sister, whether any were adopted in or out of family, whether legally or as a whāngai)
a.
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d.
e.
f.
g.
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Page 1 For more information visit www.maorilandcourt.govt.nz MLC 04/26 - 4A
For more information visit www.maorilandcourt.govt.nz
HE TONO KIA WHAKARITEA TĒTAHI HUI
TAKAWAENGA
APPLICATION FOR MEDIATION
Te Ture Whenua Māori Act 1993
Section 98L(1)(b)
Form 4A
WHAT IS THIS FORM FOR?
Person(s) from whom land interests may have been acquired:
...........................................................................................................................................................................................................................................................................................................................................
.............................................................................................................
(Address to which documents or correspondence in connection with the application can be posted or delivered)
PHONE NUMBER(S):
Home: Work:
Mobile:
Email Address:
NOTES:
1. Where email addresses are given these may be used as a means of notice and service.
2.
Page 1 For more information visit www.māorilandcourt.govt.nz MLC 04/26 - 13
HE PĀNUI WHAKAMŌHIO MŌ TĒTAHI TONO PĪRA
NOTICE OF APPEAL
Form 13
Rule 8.8(a)
WHAT IS THIS FORM FOR?
Consents must be evidenced by-
a. completion of this form; or
b. consent at a family meeting evidenced by minutes of that meeting; or
c. completion and production of separate forms of consent.
4.
DECLARATION
I/We* the applicant(s) declare that—
(a) the facts of the application as stated are true and correct; and
(b) the persons entitled to succeed are correctly listed in this application; and
(c) there are no disputes as to succession or issues to be settled before an order can be made; and
(d) it is desired that an order be made without formal hearing and without notice.
