form 19 search

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Page 1 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 11/11 - 19 The Mäori Land Court of New Zealand (Please select the name of the Mäori 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 Tairäwhiti Täkitimu Aotea Te Waipounamu NAME OF DECEASED/OWNER: (List all possible names that the deceased/owner may have been known by including any aliases) ........................................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................................................... Date of Death: (where applicable) LAST KNOWN ADDRESS: FULL NAMES OF HIS/HER PARENTS: Deceased? (a) Mother: (b) Father: FULL NAMES OF HIS/HER BROTHERS AND SISTERS: Male Female Deceased (a) (b) (c) (d) (e) (f) (g) For more information visit www.justice.govt.nz/courts/maori-land-court APPLICATION FOR A SEARCH Te Ture Whenua Mäori Act 1993 Form 19 Rule 10.1(1)

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Page 1 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 11/11 - 19

The Mäori Land Court of New Zealand

(Please select the name of the Mäori 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

Tairäwhiti Täkitimu Aotea Te Waipounamu

NAME OF DECEASED/OWNER: (List all possible names that the deceased/owner may have been known by including any aliases)

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

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

Date of Death: (where applicable)

LAST KNOWN ADDRESS:

FULL NAMES OF HIS/HER PARENTS: Deceased?

(a) Mother:

(b) Father:

FULL NAMES OF HIS/HER BROTHERS AND SISTERS: Male Female Deceased

(a)

(b)

(c)

(d)

(e)

(f)

(g)

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

APPLICATION FOR A SEARCHTe Ture Whenua Mäori Act 1993

Form 19Rule 10.1(1)

Page 2 For more information visit www.justice.govt.nz/courts/maori-land-court MLC 11/11 - 19

POSSIBLE LAND INTERESTS:

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Person(s) from whom land interests may have been acquired:

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Other information which may assist the Court in finding land interests owned by deceased/owner:

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NOTE: Names of deceased’s grandparents and their brothers and sisters can help the Court locate land interests)

Signature of Applicant Dated: / /

CONTACT DETAILS

Contact Address: ........................................................................................................................................................................................................................................

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(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.

All applications should be lodged with the Registrar in the District in which some of all of the land is located

If there is insufficient room on the form to provide the required infomation you should continue your application on a separate sheet of paper