HE TONO KIA WHAKAAETIA E TE KOOTI TE TUKU I TĒTAHI PĪRA TŌMURI
APPLICATION FOR LEAVE TO APPEAL OUT OF TIME
Section 58(3) of Te Ture Whenua Māori Act 1993
For more information visit www.māorilandcourt.govt.nz
NOTES
1) If any paragraph in this form does not provide sufficient room for your response or you wish to
provide further particulars, continue on a separate sheet of paper (unless this application is made
by email or online).
2) Information provided in all applicati...
Package information and the application form can be found on Te Puni Kōkiri’s website. ( Whenua Māori sediment and debris management package (tpk.govt.nz) )
For information about your voting options, contact Election Services on 0800 922 822 or email info@electionservices.co.nz Information hui are being held around the motu during the voting period. Go to Te Arawhiti's website for dates.
(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.............................................................................................................................................................................
He maha ngā āhuatanga mō te Māori ki te hono atu me te whakamahi i te whenua, e ai ki ngā wawata ōhanga, pāpori, me te ahurea o te whānau mō te whenua.
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: ...........................................................................................................................................................................
