Applicant’s Contact Phone Number(s):
Home: Work:
Mobile:
Email Address:
For more information visit www.māorilandcourt.govt.nz
https://www.m%C4%81orilandcourt.govt.nz
1:
I We state your full names 2:
Phone:
1_2:
toggle_2: Off
Another ActRegulation please specify: Off
undefined_7:
1_3:
Contact Address 2:
Home Work:
Mobile Fax:
Email Address:
Text1:
Text2:
Text3:
Text4:
Text5:
Text6:
Text8:
Text9:
Clear Form:
Print:
Group3: Off
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:
............................................
HOW TO FILE AND COMPLETE THIS APPLICATION FORM
(i) This form must be accompanied with the
appropriate application fee (if any) and may be
filed at any office of the Court
(ii) Please ensure that all information required on the
form is completed;
(iii) Where tick boxes are provided please
ensure you tick all those boxes that apply to your
application, unless you are required to select one
box, then only select the box that applies;
(iv) You must supply a list of Respondents and/or
affecte...
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.
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
Level 1
16 Rathbone Street
WHANGĀREI
DX Box AX10086
WHANGĀREI
PH: (09) 983 9940
mlctaitokerau@justice.govt.nz
TAITOKER...
Designation: ..............................................................
Page 2 For more information visit www.maorilandcourt.govt.nz MLC 07/24 - 98L
The Māori Land Court of New Zealand
Please select the name of the Māori Land Court district in which some or all of the lands or the subject matter of the application is located.