Fill - Free fillable Form 01: GENERAL FORM OF APPLICATION (Ministry of Justice New Zealand) PDF form

Page 1 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 06/15 - 01

For more information visit www.justice.govt.nz/courts/maori-land-court

GENERAL FORM OF APPLICATION

Te Ture Whenua Māori Act 1993

Section(s)....................................................

(State number of section(s) under which application is made)

Form 01

Rule 4.2 (2)

WHAT IS THIS FORM FOR?

Applications that do not have a prescribed form in the rules must be completed using this form. This form is

designed to be generic and allow for different types of application under Te Ture Whenua Māori Act 1993.

HOW TO FILE AND COMPLETE THIS APPLICATION FORM

(i) This form must be accompanied with the

appropriate application fee (if any) and may be

filed at any office of the Court (with the exception

of an application seeking leave to appeal out of

time which must be lodged in the Office of the

Chief Registrar);

(ii) As this is a general application form, please

ensure that all information required on the form is

completed;

(iii) If the order sought is against one or more other

parties you must supply the names and contact

details of those parties;

(iv) Where 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;

(v) If there is insufficient room on the form to provide

all the required information you should continue

your application on a separate sheet of paper; and

(vi) Additional information – in addition to completing

this form, if the application requires you to

provide further information you must include all

documents, information or evidence you wish the

Court to consider.

Office use:

Application: ACCEPTED / REFUSED

Dated: ..............................................................

Signed: .............................................................

Name: ..............................................................

Designation: ....................................................

RESET FORM

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The Māori Land Court of New Zealand

(Please select the name of the Māori Land Court District in which some or all of the lands or the subject matter of the application is located)

Please 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)

....................................................................................................................................................................................................................................................................................................................................

APPLICATION:

I / We ..........................................................................................................................................................................................................................................................................

(state full name)

apply for an order

REASONS FOR APPLICATION:

(State grounds or reasons and any facts relied upon so as to fully inform the Court as the true nature of the application)

(Set out nature of order sought so as to clearly inform the Court what is required and if the application is not under

Te Ture Whenua Māori Act give details as to the Act and section that apply)

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AFFECTED PARTIES:

Are there any parties who will be affected by this application? (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)

Preferred place of hearing:

Signature of Applicant(s):

Dated: / /

CONTACT DETAILS

ontact Address: ...............................................................................................................................................................................................................................................................................................

(Address to which documents or correspondence in connection with the application can be posted or delivered)

Phone Number(s):

Home: Work:

Mobile: Fax:

Email Address:

NOTE: Where fax or email addresses are given these may be used as a means of notice and service.

Fee: $

(Depending on the type of application a fee of $20.00, $60.00 or $200.00 may apply. If you are unsure of the fee that applies please contact your local

Māori Land Court office for further assistance)

MĀORI LAND COURT CONTACT DETAILS

Applications should be lodged with the Registrar in the Māori Land Court District in which some or all of the lands or the subject matter

of the application is located.

TAITOKERAU

L3, Manaia House

41 Rathbone St

WHANGĀREI

DX Box AX10086

WHANGĀREI

PH: (09) 983 9940

Fax: (09) 983 9941

mlctaitokerau@justice.govt.nz

TAITOKERAU

Auckland Information Office

Avanti Finance Building

65B Main Highway

Ellerslie, AUCKLAND

DX Box EX10912

AUCKLAND

PH: (09) 279 5850

Fax: (09) 279 5852

mlctamakimakaurau@justice.govt.nz

WAIKATO MANIAPOTO

L2, BNZ Centre

354-358 Victoria St

HAMILTON

DX Box GX10101

HAMILTON

PH: (07) 957 7880

Fax: (07) 957 7881

mlcwaikato@justice.govt.nz

WAIARIKI

Hauora House

1143 Haupapa St

ROTORUA

DX Box JX10529

ROTORUA

PH: (07) 921 7402

Fax: (07) 921 7412

mlcwaiariki@justice.govt.nz

TAIRĀWHITI

Ngā Wai e Rua Building

Cnr Lowe Str & Reads Quay

GISBORNE

DX Box PX10106

GISBORNE

PH: (06) 869 0370

Fax: (06) 869 0371

mlctairawhiti@justice.govt.nz

TĀKITIMU

L2, Heretaunga House

Corner Lyndon & Warren Strs

HASTINGS

DX Box MX10024

HASTINGS

PH: (06) 974 7630

Fax: (06) 974 7631

mlctakitimu@justice.govt.nz

AOTEA

Ingestre Chambers

74 Ingestre Street

WHANGANUI

DX Box PX10207

WHANGANUI

PH: (06) 349 0770

Fax: (06) 349 0771

mlcaotea@justice.govt.nz

TE WAIPOUNAMU

30 Sheffield Crescent

Burnside

CHRISTCHURCH

DX Box WX11124

CHRISTCHURCH

PH: (03) 962 4900

Fax: (03) 962 4901

mlctewaipounamu@justice.govt.nz

Whangārei

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LIST OF AFFECTED PARTIES

The names and contact details of persons, groups or authorities who you think have an interest that might be

affected by this application

Name ...................................................................................................................................................................................................................................................................................................................

Postal Address ............................................................................................................................................................................................................................................................................................

Email Address ..............................................................................................................................................................................................................................................................................................

Phone No. .........................................................................................................................................................................................................................................................................................................

Page 5 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 06/15 - 01

SCHEDULE 2

WHAKAPAPA DETAILS

Full names of owner:

Full names of owner's children:

a. b.

c. d.

e. f.

g. h.

Full names of owner's parents (please state relationship): .................................................................................................................................................................

Full names of owner's brothers and sisters:

(if any and specify whether full brother or sister,

whether half brother or sister, whether any were adopted in or out of family, whether legally or as a whāngai)

Note: Only complete this schedule if whakapapa is required for your application.

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