Proxy Voter Form for; Whangawehi 1B5B2B Ahu Whenua Trust 183 Parakawai Rd Mahia Nuhaka 4198 Aotearoa
Date..........19/04/2025.................. and place of HUI: Mahia Golf Club..............................
.........................................(name shown on List of Owners)
of ..............................................................................................................(Address)
................................................................(Town)..............Aotearoa..............................(Country)
................................................................(Phone)...............................................................(Email)
being a beneficial owner of the land, appoint; .....................................................................................
(Proxy Holder) to be my Proxy holder at the meeting of owners that will take place on the
(Date) ...19th April 2025 at Mahia, Wairoa Hawkes Bay, Aotearoa.................................................
I direct my Proxy holder to.
1) Vote as the Proxy Holder decides
2) Vote for / against, any resolutions and/or Directions specified by the Chief Judge Caren Fox. MLC
proposed for determination at this meeting.
Name of Owner: ..........................................................................
Signature of Owner: .....................................................................
JP's Medical Practitioner, Pharmaceutical, Headmaster, Postmaster
Signed in the presence of: [signature of witness] ............................................................................
Full name of witness (block letters): ................................................................................................
Occupation: ........................................................................................................................................
Address: ..............................................................................................................................................
Phone Email.