DECEASED OWNER'S PARENTS, BROTHERS, AND SISTERS
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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.
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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.
tick as appropriate
The land is not subject to any Trust
The alienation is not in breach of any Trust to which the land is subject
The alienee is a member of the preferred class of alienee being:
Child(ren) or remoter issue of the alienor; or
Whanaunga who are associated in accordance with tikanga Māori with the land; or
Another owner in the land who is a member of the hapū associated with the land; or
A trustee of any of the above three classes of person.
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Designation: ..............................................................
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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.
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 exchanged
Name of Block Value of shares
Full legal name(s) of owner Shares t...
If an applicant is forming a trust for
his or her children, his or her name should be the tupuna name.
3. Section 218 of Te Ture Whēnua Māori Act 1993 contains a list of Māori community purposes to which income
from the whānau trust may be applied if provision is made in the trust order.
nt or death are:
Reason for removal
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2.