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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.
(full name),
apply for an exemption from the requirement under section 158 of Te Ture Whenua Māori Act 1993 to provide a special valu-
ation
REASONS FOR APPLICATION: ( tick as appropriate)
The alienation is by way of gift
The alienee is a close relative being my.............................................................................................................................................................................
Document A1
Regulation 7(1)(a)
[Please enter your full name here]
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Page 2 MLC 06/25 A1
Reasons for the request
[Please select one or more options from the list below]
I am unable to pay the fee as I depend on the following for my living expenses:
Work and Income New Zealand benefit Vetera...
For more information visit www.māorilandcourt.govt.nz
APPLICATION FOR LEAVE TO APPEAL
FROM A PRELIMINARY DETERMINATION
Te Ture Whenua Māori Act 1993
Section 59
Form 14
Rule 8.13
Office use:
Application: ACCEPTED / REFUSED
Dated: ..............................................................
They stepped into the acting leadership of the Court and Tribunal from 1 May 2023 and will do so until a new Chief Judge is sworn in and a new Chairperson appointed.