Signed by the Applicant: Dated: / /
I/We* have this received a completed copy of this application form from my/our* lawyer.
Note
Information provided in all applications forms part of the Court's permanent record under rule 7.19 of the Māori Land Court Rules
2011.
Thank you also for all of the hard work and the support that you have shown in organising this event, and also for the support that you have shown to both me and my family during my time in practice and throughout our time living here in Rotorua.
(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.............................................................................................................................................................................
The Māori Land Court of New Zealand / Māori Appellate Court of New Zealand
[Please select the name of the Māori Land Court District in which your application will be lodged]
Select one District Taitokerau Waikato-Maniapoto Waiariki
Tairāwhiti Tākitimu Aotea Te Waipounamu
Subject of application – block / deceased / other matter
[Please state name and block number of land, Māori incorporation, person, or other matter in respect of which the application is made]
I
refunded
request th...
at (venue) ....................................................................................................................................................................................................................................................................................... .;
I undertake to familiarise myself with the trust order/deed or regulations associated with the trust;
I will properly carry out my duties as a trustee; and
I am 20 years of age or older.