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For more information visit www.justice.govt.nz/courts/maori-land-court
APPLICATION FOR SUCCESSION
WHEN GRANT OF ADMINISTRATION HELD
Te Ture Whenua Māori Act 1993
Sections 113 and 117
Form 21
Rule 10.2(2)(a)
WHAT IS THIS FORM FOR?
If an owner with Māori Land interests is deceased, and probate, letters of administration or an election to
administer the estate have been granted by High Court, or is to be obtained, you can use this form to seek a
determination from the Court as to those persons entitled to a deceased’s Māori Land interests and an order
transferring the interests to those entitled.
If you do not intend to seek a grant of probate or administration in the estate you should complete the
application for succession without administration on Form 22.
HOW TO FILE AND COMPLETE THIS APPLICATION FORM
(i) This form must be accompanied with the
appropriate application fee and may be filed
at any office of the Court;
(ii) Please ensure that all information required
on the form is completed;
(iii) 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;
(iv) 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;
(v) 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; and
(vi) Refer to the notes to assist applications at the end
of the form and comply with the requirements set
out in the Checklist at the end of this form.
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 you wish your application to be heard)
Please select one District Taitokerau Waikato Maniapoto Waiariki
Tairāwhiti Tākitimu Aotea Te Waipounamu
NAME OF DECEASED/OWNER: (List all possible names that the deceased/owner may have been known by including any aliases)
.....................................................................................................................................................................................................................................................................................................................................
....................................................................................................................................................................................................................................................................................................................................
APPLICATION:
I / We ...............................................................................................................................................................................................................................................................................................................
..........................................................................................................................................................................................................................................................................................
(state full name
)
make application to vest the Māori land interests of the above named deceased in the persons beneficially entitled.
1 THE DECEASED DIED AT on / /
2 DETAILS OF ADMINISTRATION ARE:
Name(s) and address(es) of Administrators
(if not named above)
:
......................................................................................................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................................
Probate No. Dated: / /
Letters of Administer No. Dated: / /
Election to Administer No. Dated: / /
3 ARE ANY MĀORI LAND INTERESTS HELD BY THE ADMINISTRATORS
pursuant to an order of the Court made under section 112 of Te Ture Whenua Māori Act 1993
YES
(go to question 4)
NO
(go to question 5)
4 PROVIDE DATE OF ORDERS AND MINUTE BOOK REFERENCE
.............................................................................................................................................................................................................................................................................................................................................
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Page 3 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 06/15 - 21
5 WHAKAPAPA:
FULL NAMES OF DECEASED’S PARENTS: Male Female Deceased
(a) Parent:
(b) Parent:
FULL NAMES OF DECEASED’S BROTHERS AND SISTERS: Male Female Deceased
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(The above information assists the Court to search for land interests – any additional whakapapa could assist the Court in its search)
6 WAS THE DECEASED AT THE TIME OF DEATH LEGALLY MARRIED OR IN A CIVIL UNION?
YES
(go to question 7)
NO
(go to question 9)
7 GIVE THE FULL NAMES OF AND ADDRESS OF THE SPOUSE OR CIVIL UNION PARTNER
.............................................................................................................................................................................................................................................................................................................................................
............................................................................................................................................................................................................................................................................................................................................
8 SELECT ONE OF THE FOLLOWING STATEMENTS  THE SPOUSE / PARTNER OF THE DECEASED:
Desires to take their entitlement to a life interest; or
Wishes to surrender their entitlement to a life interest
(surrender attached)
; or
Has since died; or
Has since remarried or entered into a civil union or a de facto relationship; or
Was, at the date of death, separated from the deceased under a Separation Order or a written agreement.
Page 4 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 06/15 - 21
9 THE FULL NAMES OF ANY FORMER SPOUSES, CIVIL UNION PARTNERS OR DE FACTO PARTNERS OF THE DECEASED, other
than as stated in question 7, who are a parent of any of the deceaseds children, are:
Name Spouse Civil union partner De Facto Partner
10 NEXT OF KIN
(select the statement that applies)
The deceased left children or their issue as next of kin and they are listed below: or
The deceased had no children but left brothers and sisters or their issue as next of kin and they are listed
below; or
The deceased left no children or brothers and sisters as next of kin but I/we list below or attach a whakapapa
record showing the next of kin to the deceased, including, where possible the names, sex, age and postal
address of those next of kin living at the date of death of the deceased.
NOTE: Under Sex indicate M for male and F for female. The age need only be stated if under 20. If a person is deceased instead of address write the date
of death, and, as the case may be, DI to indicate deceased with children, or DNI to denote deceased without children. Include any persons who
have been legally adopted into the family. Details of all next of kin are to be given even though some may not be beneficiaries under a will.
1. Full Name Sex Age
Postal Address
Email
2. Full Name Sex Age
Postal Address
Email
3. Full Name Sex Age
Postal Address
Email
4. Full Name Sex Age
Postal Address
Email
5. Full Name Sex Age
Postal Address
Email
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6. Full Name Sex Age
Postal Address
Email
7. Full Name Sex Age
Postal Address
Email
8. Full Name Sex Age
Postal Address
Email
9. Full Name Sex Age
Postal Address
Email
10. Full Name Sex Age
Postal Address
Email
11. Full Name Sex Age
Postal Address
Email
12. Full Name Sex Age
Postal Address
Email
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11. SPECIFY THE FULL NAMES OF THE PARENTS OF EACH PERSON AS NEXT OF KIN ABOVE.
Where there are different
parents – identify the parents by reference to the numbers before the names of each next of kin
(above)
.
F
or example:
The parents of numbers 1 to 6 are....................................; or
The parents of number 7 is....................................; or
The parents of numbers 8 and 10 are:....................................
.............................................................................................................................................................................................................................................................................................................................................
.........................................................................................................................
...................................................................................................................................................................................................................
.................................................................................................................................................................................................................................................................................
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12. WHERE ANY NEXT OF KIN LISTED IN QUESTION 10 ARE DECEASED WITH CHILDREN,
write the
corresponding number of that person in question 10
(above)
in the table below and the name of each child and their
details. Repeat this process if there is more than one child or more than one next of kin who is deceased leaving
children.
No Name Sex Age Postal Address
6
Rangi Te Mete M 12 1 Smith Street, Tauranga
6 Waimarie Te Mete F 9 1 Smith Street, Tauranga
No Name Sex Age Postal Address
(continue on separate sheet if necessary)
Where any of the above children is deceased, list his or her children on a separate sheet in the same manner as
above.
Page 7 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 06/15 - 21
13 DID THE DECEASED LEGALLY ADOPT ANY CHILDREN INTO THEIR FAMILY OR WERE ANY CHILDREN ADOPTED OUT OF
THE FAMILY?
YES
(If YES complete the details below)
NO
(If No go to question 14)
Name Tick as appropriate
Adopted in
Adopted out
Adopted in Adopted out
Adopted in Adopted out
Adopted in Adopted out
Adopted in Adopted out
Adopted in Adopted out
14 DID THE DECEASED HAVE WH
ĀNGAI?
(see note (v))
YES
(go to question 15)
NO
(go to question 16)
15 WH
ĀNGAI
Names and addresses of whāngai
Name Postal Address
The family wish the whāngai to succeed as if they were natural children of the deceased; or
The family wish the whāngai to succeed as follows (set out provisions to be made for whāngai)
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................................
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Page 8 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 06/15 - 21
THE FAMILY DO NOT WISH THE WHĀNGAI TO SUCCEED BECAUSE
(set out reasons)
.....................................................................................
..................................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................................
Relationship of Whāngai to the deceased.........................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................................
16 DID THE DECEASED LEAVE A WILL?
(see note (ii))
YES
(go to question 17)
NO
(go to question 19)
17 THE BENEFICIARIES IN THE WILL:
Are all named in question 10 and 12 as next of kin of Deceased; or
Include the following people not named as next of kin
(give names, addresses and relationship to deceased)
Name
Postal Address Relationship
18 WHERE ANY NAMED BENEFICIARY’S RIGHT TO SUCCEED under section 108(2) of the Act is not evident from
his or her relationship to the deceased explain how the beneficiary qualifies under that section:
(see note (vi))
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.............................................................................................................................................................................................................................................................................................................................................
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19 WH
ĀNAU TRUST:
Those entitled do not wish to form a Whānau Trust; or
Those entitled to succeed have conferred and wish to vest the interests of the deceased into a Whānau Trust.
If those entitled do wish to vest the deceased’s interests into a Whānau Trust please complete and attach
application form 23.
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22 THE PERSONS I/WE BELIEVE ARE ENTITLED TO SUCCEED ARE:
Are all named in question 10 and 12 as next of kin of Deceased; or
The persons entitled under the will being:
the next of kin as set out in questions 10 and 12; or
as set out in Schedule 1; or
The persons listed or identified in the space below in accordance with an agreed arrangement under section 117(3)(c)
of Te Ture Whenua Māori Act 1993:
...........................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................................
.................................................................................................................................... ..................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................................
NOTE: The purpose of this question is to allow the applicant to advise the Court the persons he or she believes are entitled to succeed.
Use the space above to help identify those persons if necessary or to make comments.
20 THE DECEASED’S LAND INTERESTS TO WHICH THIS APPLICATION RELATES
(including Māori Incorporation interests)
..........................................................................................................................................................................................................................................................................................................................................
..........................................................................................................................................................................................................................................................................................................................................
..........................................................................................................................................................................................................................................................................................................................................
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21 HAS THERE BEEN PREVIOUS SUCCESSION TO THE DECEASED?
YES
(if yes, specify the following details)
NO
Place(s)
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23 I AM AN ADMINISTRATOR/WE ARE ADMINISTRATORS OF THIS ESTATE:
YES
(go to question 24)
NO
(specify the following information below:)
I am/we are bringing this application instead of the administrator(s) because:
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................................
I have notified the administrator(s) of this application:
I have not notified the administrator(s) of this application because
......................................................................................................................................
.......................................................................................................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................................
YES (declaration at end of application must be completed) NO
YES NO
PREFERRED PLACE OF HEARING:
SIGNATURE OF APPLICANTS
Dated: / /
Dated: / /
Dated: / /
CONTACT DETAILS
C
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: $ 60.00
Whangārei
Page 11 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 06/15 - 21
NOTES TO ASSIST APPLICANTS
(i) Death certificate – original or photocopy should be filed. If a death certificate is not readily available by reasonable
enquiry the Court may accept other evidence as to death. If death has been established at a previous hearing a further
death certificate may not be required.
(ii) Will - the original or a copy certified as a true copy by a solicitor or Trustee Company must be supplied where
the Grant of Administration does not contain a copy.
(iii) Next of Kin – where there is no will, or the will is unclear or leaves interests to anyone other than the preferred class of
alienee (who are the family of the deceased) then the next of kin for the purposes of succession are children of the
deceased; if there are no children then brothers and sisters; if neither of these then next of kin are the nearest relatives
on the side of the family from whom the land originated. Generally speaking where next of kin die before the person
from whom succession is sought their children are entitled to the share they would have received had they survived the
deceased.
(iv) Notice of hearing – while an applicant is not required to give formal notice of hearing to other beneficiaries
he or she is expected to consult with them and advise them of the application and when it is to be heard.
If this is not done the Court may direct that formal notice be given to the beneficiaries.
(v) Whāngai – where it is desired to include whängai as successors the Court will normally require evidence
of their acceptance by the family either by signed consents or orally at the hearing.
(vi) Succession by will – where a testator died after 1 July 1994 the right to succeed under a will is limited by s108 of the Act
to certain classes of people. If the successors named in a will are not children or their issue or qualify as next of kin of
the testator an applicant needs to satisfy the Court that they qualify to succeed. The Court office can assist you as to
what the qualifications are to succeed.
(vii) Additional information – if you find that there is not enough room on the form to provide all the information you need
to supply continue your application on a separate sheet of paper.
CHECKLIST OF DOCUMENTS REQUIRED:
Original or certified copy of the election to administer,
or
Certified copy of Probate or Letters of administration or other Grant of administration
Copy or photocopy of death certificate
(if available)
Certificate by Administrator
(Form 20 - optional)
Deed of Arrangement
(where applicable)
Declaration or Affidavit where application being dealt with ex parte pursuant to Rule 10.8 of the Māori Land Court
Rules 2011
NOTE: The Court may, under rule 10.8 of the Māori Land Court Rules 2011, deal with an application without requiring attendance by the applicant or any other
person if it is satisfied as to the persons entitled to succeed. The Court’s power is discretionary and it will generally require a hearing where there are issues
to be settled such as rulings on whāngai or other matters which may not be straight forward. If you wish this application to be handled without appearance
and formal hearing, you should indicate Yes in question 24 and complete the following request.
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REQUEST FOR APPLICATION TO BE DEALT WITH WITHOUT FORMAL HEARING AND WITHOUT NOTICE:
I/We, the applicant(s) hereby declare:
(i) That the facts of the application as stated are true and correct.
(ii) That persons entitled to succeed are correctly listed in this application.
(iii) That there are no disputes as to succession or issues to be settled before an order can be made.
(iv) That it is desired that an order be made without formal hearing and without notice
SIGNATURE OF APPLICANTS
Dated: / /
Dated: / /
Dated: / /
Sworn/declared/affirmed this : .......................................................................................................................................................................................................................................................
before me
..................................................................................................................................................................................... Dated: / /
Page 13 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 06/15 - 21
SCHEDULE 1  ENTITLEMENT TO DECEASED’S
INTERESTS UNDER TERMS OF A WILL
Land / Block
Shares to be
vested
Proportion to
be vested
Name and address of beneficiary
Releationship to
deceased
Page 14 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 06/15 - 21
MĀORI LAND COURT CONTACT DETAILS
This application may be lodged with the Registrar at any office of the Māori Land Court.
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
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