Page 2 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 06/13 - 37
d 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
BLOCK: ..............................................................................................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................................................................................................................
(State name and block number of land)
APPLICATION:
I / We .....................................................................................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................................................................
(full name),
make application to constitute an Ahu Whenua Trust over the Māori land blocks listed above.
UPON THE FOLLOWING GROUNDS
Details in support of application
1. Name of trust: [specify]
2. Date(s) and place(s) of meetings of owners: [specify]
3. Minutes of the meeting(s) are enclosed?
YES NO
4. Notice of the meeting(s) was given to the owners as follows: [specify].
5.
A copy of any notice placed in a newspaper is enclosed?
YES NO
6. The proposed trustees named in the schedule of trustees were elected at a meeting of owners held at
[place]
.....................................................................................................................................................on ..........................................................................................................................[date].
7. A curriculum vitae (CV) and consent for each proposed trustee
is enclosed?
YES NO
8. We produce our own draft order; OR
YES NO
We wish to use the Court’s standard trust order.
YES NO
9. Section 218 of Te Ture Whenua Māori Act 1993 contains a list of Māori community purposes to which income may be ap-
plied if provision is made in the trust order. Do you want discretionary power included in your trust
order to allow income to be applied to Māori community purposes?
YES NO
10. A list of persons who voted against or objected to the formation of a
trust are attached
YES NO
(If no please state why)
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