(Instructions on reverse side) RESERVED FOR COURT USE LD CASE NO. _________________________________ I. PETITIONER(S) RESPONDENT(S) I (a).PETITIONER’S ATTORNEY INFORMATION (NAME, HAWAII BAR #, ADDRESS, PHONE, EMAIL) I (b).PRIMARY CONTACT INFORMATION (NAME, ADDRESS, PHONE, EMAIL) I (c).TITLE COMPANY INFORMATION (NAME, ADDRESS, PHONE, EMAIL) II.NATURE OF PETITION (check one) ◯ 101 EX PARTE ◯ 201 MAPS ◯ 301 OTHER _____________________ III. APPLICATION and/or CONSOLIDATION NUMBER(S) ________________________________ IV. TCT(S) ____________________________________ V. Is the subject property a timeshare interest? ◯ Yes ◯ No VI.SIGNATURE OF PETITIONER or FILING PARTY __________________________________________________ NAME: ________________________________________________ (PRINT NAME) DATE: ______/________/ 20_____ T HIS FORM IS TO BE USED SOLELY FOR DATA ENTRY PURPOSES AND THEN DESTROYED. In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require reasonable accommodations for a disability, please contact the ADA Coordinator at the Land Court at (808) 539-4777 or Fax (808) 539-4713, at least 10 working days prior to your hearing or appointment date. For other related matters please call (808) 539-4777. LD Form A INSTRUCTIONS FOR COMPLETING THE LAND COURT INFORMATION SHEET The filing party or parties or their authorized representative is required to complete this form. The information contained on the Land Court Information Sheet does not replace or supplement the filings, the service, pleadings or other papers as required by law. If additional space is needed to answer any item you may attach a separate continuation sheet. I. PETITIONER(S) and RESPONDENT(S). List the names of the petitioner(s) and respondent(s) exactly as they appear on the petition. I(a). PETITIONER’S ATTORNEY INFORMATION. If the petitioner is represented by an attorney, list the attorney’s name, Hawaii Bar number, address, phone number and email contact information. Lawyers not licensed in Hawaii do not qualify as a petitioner’s attorney but may be listed as a primary contact. List the names of any additional attorney(s), together with their Hawaii Bar number and contact information. I(b). PRIMARY CONTACT INFORMATION. If the petitioner is self-represented, list the name, address, phone number, and email contact information for a person that the Land Court can contact about the petition. I(c). TITLE COMPANY INFORMATION. If the petition is being submitted by a title company, list its contact information, including the company name, addresses, phone, and email contact information. II. NATURE OF PETITION. Place a ✔ in the appropriate box that describes the subject matter of the petition. Box 101 (Ex Parte) if the petition is to note marriage, death, divorce, name change, or change of trustee. Box 201 (Maps) if the petition relates to designation of easement, subdivision, consolidation, accretion or erosion. Box 301 (Other) if the subject matter of the petition is not listed above, please specify the general nature of the petition. III. APPLICATION and/or CONSOLIDATION NUMBER(S). List the Land Court Application and/or Consolidation number(s) for the subject property as stated on the petition. IV. TRANSFER CERTIFICATE OF TITLE (TCT) NUMBER(S). List the current Transfer Certificate of Title (TCT) number or numbers if more than one TCT will be affected by this petition. V. IS THE SUBJECT PROPERTY A TIMESHARE INTEREST? Check the appropriate box. VI. SIGNATURE OF PETITIONER OR FILING PARTY SUBMITTING THE PETITION. The person who provided the information for this Land Court Information Sheet should sign where indicated. Print or type name below signature and date. LD Form A Fly Sheet The following items (a) through (g) correspond to Land Court Rule 58.5. After Recording, return by mail □ or pick-up □ (a) Name, address and phone number to contact for pick-up (b) Total Pages: __________ (including this fly sheet) (c) Name of a party to the instrument (first and middle names may be spelled out but only if abbreviations or initials are indicated in the instrument). _____________________________________________________________________________________________ (d) Marital status, either “married” or “ummarried” (marital status may be added but only if not stated in the instrument). _____________________________________________________________________________________________ (e) If the interested party is an entity, state the name of the entity and place of organization (place of organization may be added if not stated in the instrument). _____________________________________________________________________________________________ (f) Current Certificate of Title number (TCT numbers may be updated but cannot be added if not stated in the instrument). _____________________________________________________________________________________________ (g) If applicable, current address of the grantee, assignee, or transferee, if not stated in the instrument. _____________________________________________________________________________________________ I hereby certify that the information contained on this fly sheet is true and correct to the best of my knowledge, information and belief. ________________________________________________ ________________________________ (Signature) (Date) _________________________________________ _______________________________________ (Name printed or typed) (State your relationship to interested party) In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require reasonable accommodations for a disability, please contact the ADA Coordinator at the Land Court at (808) 539-4777 or Fax (808) 539-4713, at least 10 working days prior to your hearing or appointment date. For other related matters please call (808) 539-4777. LD Form B Attorney Name (bar number)/Party Name Address Telephone Number IN THE LAND COURT OF THE STATE OF HAWAIʻI In the Matter of the Application of ________________________________ to register and confirm title to land situated at ________________________________ ____________________________________ _______________________________, Petitioner, vs. _______________________________, Respondent. ) ) ) ) ) ) ) ) ) ) ) ) ))) ) ) ) ) ) ) ) Ld. Ct. App. No.:______________________ 1LD Case No.:_____________________ TITLE OF DOCUMENT (OR INVENTORY OF MULTIPLE DOCUMENTS) Hearing: Date: Time: Judge: or Non-Hearing Petition/Motion TITLE OF DOCUMENT LD Form C Attorney Name (bar number)/Party Name Address Telephone Number IN THE LAND COURT OF THE STATE OF HAWAIʻI In the Matter of the Application of ________________________________ to register and confirm title to land situated at ________________________________ ____________________________________ In the Matter of the Ex Parte Petition of _______________________________, Petitioner. ) ) ) ) ) ) ) ) ) ) ) ) ))) ) ) ) Ld. Ct. App. No.:______________________ 1LD Case No.:_____________________ TITLE OF DOCUMENT (OR INVENTORY OF MULTIPLE DOCUMENTS) EX PARTE TITLE OF DOCUMENT LD Form D