Applicant’s Contact Phone Number(s):
Home: Work:
Mobile:
Email Address:
For more information visit www.māorilandcourt.govt.nz
1:
On date on which application was filed 1:
On date on which application was filed 2:
Phone:
undefined_7: Off
undefined_8: Off
1_2:
APPLICANTS CONTACT DETAILS:
Contact Address 1:
Contact Address 2:
Home Work:
Mobile Fax:
Email Address:
Text254:
Text255:
Text257:
Text258:
Text259:
Text261:
Text262:
Clear Form:...
Designation: ....................................................
Page 2 For more information visit www.māorilandcourt.govt.nz MLC 04/26 - 14
APPLICATION FOR LEAVE TO APPEAL:
I / We ....................................................................................................................................................................................................................................................................................................................
Contact Phone Number(s):
Home: Work:
Mobile:
Email Address:
NOTE:
(1) Where email addresses are given these may be used as a means of notice and service; and
(2) As well as filing this notice in the Court, you must also send a copy to the applicant.
An appeal under Te Ture Whenua Māori Act 1993 may only be lodged within 2 months from the date of the
decision or determination, unless accompanied by an application seeking leave to appeal out of time on Form 1.
Date: ......................................................................................................................................................................................................................................................................................................................
.
2. If you wish to oppose or take part in these proceedings, you must complete a notice of intention to appear
(2 forms of notice are attached).
Page 1 MLC 04/26 - 24
HE TONO HEI WHAKAWHITI I TE TOIORATANGA, HE
TONO RĀNEI E WHAKATAU ANA I NGA PĀNGA O TE
TANGATA MŌ NGĀ RĀ O TŌNA AO
APPLICATION FOR TRANSMISSION BY SURVIVORSHIP OR
FOR DETERMINATION OF A LIFE INTEREST
Te Ture Whenua Māori Act 1993
Sections 18(1)(a) and 127(2)
For more information visit www.māorilandcourt.govt.nzWHAT IS THIS FORM FOR?
Page 1 For more information visit www.māorilandcourt.govt.nz MLC 04/26 - 19
FULL NAMES OF THEIR PARENTS: Male Female Deceased
(a) Parent:
(b) Parent:
FULL NAMES OF THEIR BROTHERS AND SISTERS: Male Female Deceased
(a)
(b)
(c)
(d)
(e)
(f)
(g)
Page 2 For more information visit www.māorilandcourt.govt.nz MLC 04/26 - 19
Other information which may assist the Court in finding land interests owned by deceased/owner:
..........................................................
Signature of executor/administrator Dated: / /
Signature of Witness Dated: / /
Capacity of Witness:
Address of Witness:
Signature of executor/administrator Dated: / /
Signature of Witness Dated: / /
Capacity of Witness:
Address of Witness:
For more information visit www.māorilandcourt.govt.nz
Page 3
For m
ore inform
ation visit visit w
w
w
.m
āorilandcourt.govt.nz
M
LC 04/26 - 20
SCH
ED
U
LE O
F LA
N
D
IN
TERESTS
Land / Block
Shares to be
vested
Proportion to...
Consents of all beneficiaries to an estate must be filed.
2. Consents of all trustees must be filed.
3. 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.
Where required,
information provided in this application will be included in resulting orders of the Court.
Page 4 For more information visit www.māorilandcourt.govt.nz MLC 04/26 - 25
Application for exemption from filing a special valuation under Section 158 of Te Ture Whenua Māori Act 1993 (if
applicable) and a copy of roll valuation
MĀORI LAND COURT CONTACT DETAILS
This application should be lodged with the Registrar in the District in which the land is located
TAITOKERAU
Leve...
