UPON THE FOLLOWING GROUNDS: (State grounds, or refer to an attached statement of grounds)
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If you wish to appear you should contact the Court and file a Notice of Intention to Appear on Form 5 and serve a copy on the
applicant. This will assist the Court in dealing with the hearing and enable it to contact you over the hearing should the need
arise.
The case will be adjourned to a later and more suitable date for hearing.
5 If you do not file a notice of intention to appear, you will not be sent any further notice of these proceedings.
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.
Signature of executor/administrator Dated: / /
Signature of Witness Dated: / /
Capacity of Witness:
Address of Witness:
Signature of executor/administrator Dated: / /
Signature of Witness Dated: / /
Capacity of Witness:
Address of Witness:
For more information visit www.māorilandcourt.govt.nz
Page 3
For m
ore inform
ation visit visit www
.m
āorilandcourt.govt.nz
M
LC 04/26 - 20
SCH
ED
U
LE O
F LA
N
D
IN
TERESTS
Land / Block
Shares to be
v...
If death has been established at a previous hearing a further death
certificate may not be required.
2 Names of immediate family members
The information provided in question 5 helps the Court to search for land interests—any additional whakapapa
could help the Court in its search.
3 Next of kin
Where there is no will, next of kin for the purposes of succession are children of the deceased.
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.
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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