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.
b.
c.
d.
e.
f.
g.
Note: Only complete this schedule if whakapapa is required for your application.
UPON THE FOLLOWING GROUNDS: (State grounds, or refer to an attached statement of grounds)
.....................................................................................................................................................................................................................................................................................................................................
.....................................................................................
Page 1 MLC 04/26 - 4
The Māori Land Court/Māori Appellate Court of New Zealand
(Please select the name of the Māori Land Court District in which the application was lodged)
Please select one District Taitokerau Waikato-Maniapoto Waiariki
Tairāwhiti Tākitimu Aotea Te Waipounamu
NOTICE TO OWNERS
SUBJECT OF APPLICATION - BLOCK / DECEASED / OTHER…
Page 1 MLC 04/26 - 5
The Māori Land Court of New Zealand / The Māori Appellate Court of New Zealand
(Please select the name of the Māori Land Court District in which the application was lodged)
Please select one District Taitokerau Waikato-Maniapoto Waiariki
Tairāwhiti Tākitimu Aotea Te Waipounamu
APPLICATION NUMBER: .…
You must file your notice of intention to appear in the Court, and also
serve it on the applicant at the address for service given in the attached application, within 14 days after
the date on which you are served with this notice.
3. To assist the Court to process and deal with these proceedings, attach to your notice of intention to appear
a statement setting out your response to each of the claims made by the applicant.
4.
GROUNDS FOR APPLICATION
The grounds on which I make this application are that: (Select the statement that applies)
The life tenant/joint tenant*[name]:__________________________________________________________________
died on [date]:________________
I wish/the life tenant wishes* to give up the life interest on [date]:____________________
On [date]:___________________ the life tenant remarried/entered into a civil union/entered into a de facto
relationship as defined by section 2D of the P...
DECEASED OWNER'S PARENTS, BROTHERS, AND SISTERS
Page 3 For more information visit www.māorilandcourt.govt.nz MLC 04/26 - 19
Phone Number(s):
Home: Work:
Mobile:
Email Address:
NOTE: Where email addresses are given these may be used as a means of notice and service.
Page 1 MLC 04/26 - 20
For more information visit www.māorilandcourt.govt.nz
HE TĪWHIKETE KUA TUKUNA E TE KAIWHAKAHAERE
CERTIFICATE BY ADMINISTRATOR
Te Ture Whenua Māori Act 1993
Sections 111 or 113
Form 20
Rule 10.2(3)
WHAT IS THIS FORM FOR?
This form may be used by the executor(s)/administrator(s) of an estate to certify those persons entitled to the Māori
freehold land interests held by the estate, and/or in the case of a deceased Māori, any General Land intrests.
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.