APPLICATION NO: _______________

 

IN THE HIGH COURT OF THE COOK ISLAND HELD AT RAROTONGA

(LAND DIVISION)

 
                

 

Toka Pipi Ben                     

APPLICANT

 

________________________________________

 

APPLICATION FOR SUCCESSION

________________________________________

 

 

DATE OF HEARING:

REC BOOK:

DECISION:

 

________________________________________

 

  JUDGE:

  JUSTICE OF PEACE

 ________________________________________

 

FEE:     $10.00 for the first 5 lands$2.00 for each additional land

ADVT   $15.00

CHECKING ORDER:  $10.00

ORDER  & SEALING:   $15.00

REGISTRATION:  $ 6.00

RECEIPT: 

 

DATE RECEIVED: ______/_____/____

 

Please take note that a re-advertisement fee

of $15.00 is payable every time this application is adjourned

 

Received By:   _____________________

 APPLICATION FOR SUCCESSION
Section 448, Cook Islands Act 1915
Rule 350, Code of Civil Procedure of the High Court 1981

 

               IN THE HIGH COURT OF THE COOK ISLANDS

               HELD AT RAROTONGA

               (LAND DIVISION)

 

I,  Toka Pipi Ben                                                                          

                Hereby apply to succeed to Nanue Ellison  (female Deceased)

                deceased, in respect of his / her interest in the land (s) known as:

                1.            Tongaengae  Section 11L Matavera   #12  on S/O dated 1/10/1930

That the said Nanue Ellison         (female Deceased)_

               Died at Rarotonga on or about the  10th   day of    June  1990;

               In support of my application, I submit hereunder the following:

 1.      The deceased person is an original owner or by succession to Mana Ben

 2.      Genealogy showing relationship and right of applicant and deceased person into land (s) attached.

 3.      Death Certificate of the deceased is attached.

 

               DATED   at   Rarotonga   this 19th    day of    October               2009

 

____________________________

(APPLICANT)