This form may be used by the executor(s)/administrator(s) of an estate to certify those persons entitled to the Māori
freehold land interests held by the estate, and/or in the case of a deceased Māori, any General Land intrests.
If you require assistance, please contact your local Māori Land Court office.
CHECKLIST
The purpose of this checklist is to provide a reference to the terms within this draft trust
order which require further consideration by the owners.
To enable the Court to make a determination about your suitability as a trustee, please supply the following information (if
relevant):
a) I am a current or past trustee on other trusts or am or was a member of other organisations, namely:
Name of Trust/Committee Position held
b) I have the following relevant work or other experience; e.g kaumātua associated with the land or reservation:
Place of work Position or responsibilities
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Use this form to create an Ahu Whenua Trust (a land trust) by vesting one or more land blocks in trustees to
manage, as set out in a trust deed/order on behalf of the beneficial owner(s).
Use this form when exchanging some or all of your interests in Māori Land by sale or gift with some or all of the Māori
Land interests of a different owner in a different block of Māori Land.
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The Māori Land Court/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
NOTICE TO OWNERS
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 appl...