LAND TO BE EXCHANGED:
Full legal name(s) of owner Shares to be exchanged
Name of Block Value of shares
Full legal name(s) of owner Shares to be exchanged
Name of Block Value of shares
Full legal name(s) of owner Shares to be exchanged
Name of Block Value of shares
Full legal name(s) of owner Shares to be exchanged
Name of Block Value of shares
IS TO BE EXCHANGED WITH:
Full legal name(s) of owner Shares to be exchange...
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Page 2 For more information visit www.māorilandcourt.govt.nz MLC 04/26 - 39
I TE KOOTI WHENUA MĀORI O AOTEAROA
The Māori Land Court of New Zealand
(please select the name of the Māori Land Court District in which the land is located)
Please select one District Taitokerau Waikato-Maniapoto Waiariki
Tairāwhiti Tākitimu Aotea Te Waipounamu
SUBJECT OF APPLICATION [Name and block n...
The full legal names of the deceased’s immediate family members are (see note 3)—
Father:___________________________________________________________________________________________
Mother (include maiden name):_____________________________________________________________________
Brothers and sisters: Male Female Deceased
Name:_______________________________________________________________
Name:________________________________________________________...
If no, go to question 9.
7. Name and address of the spouse or civil union partner or de facto partner: [full legal name, address]
Name:_______________________________________________________________
Address:__________________________________________________________________________________________
8.
(state full name),
make application for a vesting order transferring the land interests – ( tick as appropriate)
as set out in this application
according to the terms set out in the attached agreement
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Page 3 For more information visit www.māorilandcourt.govt.nz MLC 04/26 - 30
THE TRANSFEREES ARE:
Full Name
Address
Email
Full Name
Address
Email
Full Name
Address
Email
Full Name
Address
Email
Ful...
Page 6 For more information visit www.justice.govt.nz/courts/maori-land-court MLC - 01
No:
No:
No:
No:
No:
No:
No:
No:
No:
Full name Gender Age
Postal address
Full name Gender Age
Postal address
Full name Gender Age
Postal address
No:
No:
No:
Page 7 For more information visit www.justice.govt.nz/courts/maori-land-court MLC - 01
10 DID THE DECEASED LEGALLY ADOPT ANY CHILDREN INTO THEIR FAMILY OR WERE ANY CHILDREN ADOPTED OUT OF
THE FAMIL...
The names and addresses of any lessees or other occupiers of the land are:
Name:___________________________________________________
Address:__________________________________________________________________________________________
Name:___________________________________________________
Address:__________________________________________________________________________________________
Name:___________________________________________________
Address:______________...
That waiver is made pursuant to Regulation 7 of the
Māori Land Court Fees Regulations 2013 and is limited to SILNA Lands affected by the Deed of Settlement
Caroline Green
Registrar
Te Waipounamu District
7
LIST OF AFFECTED PARTIES
The names and contact details of persons, groups or authorities who you think have an interest that
might be affected by this application
Name ................................................................
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Please select one District Taitokerau Waikato-Maniapoto Waiariki
Tairāwhiti Tākitimu Aotea Te Waipounamu
NAME OF BLOCK(S):
NAME OF TRUST:
N
e
I Te Kooti Whenua Māori o Aotearoa
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 of the trust is located
Subject of application
APPLICATION:...