(full name),
apply for confirmation of an alienation by way of sale/gift (delete one)
DETAILS OF ALIENATION
Document to be confirmed: Transfer/Agreement (delete one)
Total shares of all owners: ................................................................................................................................................................................................................................................................
WAIKATO-MANIAPOTO
PĀNUI
Contact Details
Office Waikato-Maniapoto District
Address Level 2 BNZ Building, 348-354 Victoria Street, Hamilton
Mailing address DX Box GX10101, Hamilton
Phone 07 957 7780
Email mlcwaikato@justice.govt.nz
Office hours Monday to Friday 10:00 AM to 4:00 PM
(Closed on Public Holidays)
He pānuitanga tēnei kia mōhiotia ai ka tū Te Kooti
Whenua Māori ki te whakawā, ki te uiui hoki, i ngā
tikanga o ngā tono a muri ake - Nau mai, haere mai...
(affected parties include any owners,
beneficiaries or occupiers of the land who have an interest that may be affected by this application)
YES (Complete the list of affected parties by providing their name and contact details) NO
Preferred place of hearing:
Signature of Applicant(s):
Dated: / /
Dated: / /
CONTACT DETAILS
Contact Address: ..........................................................................................................................................
FEE: $ 228.00
CHECKLIST OF DOCUMENTS REQUIRED:
List of owners, trustees and their addresses
Statement setting out how the alienee is a member of one of the preferred classes of alienees (if applicable),
including any necessary whakapapa details
Roll valuation or special valuation of the land and any improvements to it by a registered valuer (as applicable)
MĀORI LAND COURT CONTACT DETAILS
Applications should be lodged with the Registrar in the Māori Land Court District in wh...
https://www.m%C4%81orilandcourt.govt.nz
Page 6 For more information visit www.māorilandcourt.govt.nz MLC 04/26 - 22A
MĀORI LAND COURT CONTACT DETAILS
This application may be lodged with the Registrar at any office of the Māori Land Court.
SIGNATURE OF APPLICANTS:
Consent to provide contact details to trustee or other administrator
I/We* agree to contact details in this application being provided to the trustee or other administrator of any land to which this
application relates†.
(state full name),
apply to the Court to constitute a whānau trust in respect of:
tick as appropriate
all my/our land interests
the land interests listed in the schedule hereto
Details of proposed whānau trust:
1. Proposed name of Whānau Trust to be:
2.
• Include any persons who have been legally adopted into the family.
• Give details of all next of kin even though some may not be beneficiaries under a will.
