To: …………………………………………..
       ………………………………………….

This notice is given to you by   …………………………………………
      …………………………………………
      …………………………………………

You are warned to stay off the property situated at …………………………………………….
…………………………………………………………………………………………………..

This notice is given pursuant to section 4 of the Trespass Act 1980 and penalty in case of offence against Section 4 is a fine not exceeding $1,000 or imprisonment for a term not exceeding three months pursuant to Section 11 of the Trespass Act 1980

Every person commits an offence against this Act who being a person has been warned under this section to stay off ……………………………………………………………………………………………………
…………………………………………………. willfully trespasses on that place within  2 years of being warned off

Dated at Auckland this    day of    19

Notice served on Trespasser by: ………………………………………

Witnessed by: …………………………………………………………..
 

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