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No: Full name Gender Age
Postal address
9 WHERE ANY NEXT OF KIN LISTED IN QUESTION 7 ARE DECEASED WITH CHILDREN
Write the corresponding number of that person in question 7 (above) in the table below and the name of each child and their
details.
Page 1 MLC 07/24 - 20
APPLICATION FOR TRANSMISSION BY SURVIVORSHIP
OR FOR DETERMINATION OF A LIFE INTEREST
Te Ture Whenua Māori Act 1993
Section 18(1)(a)
For more information visit www.māorilandcourt.govt.nz
WHAT IS THIS FORM FOR?
Where an owner has a life interest or is a joint tenant in Māori Land you can use this form to transfer those interests
to the beneficiaries (remainderman) or the other party to a joint tenancy where the life/joint tenant has passed away,
wishes t...
Where the tick boxes are provided please
ensure you tick all those boxes that apply to your
application, unless you are required to select one
box, then only select the box that applies;
(vi)
(vii)
(viii)
(ix)
Replace text within [square brackets] with the
relevant text:
Where alternative word choices are indicated,
for example, male/female*, select the word or
phrase that applies.