Orange County NC Website
~ Few Ar-!0 Q <br />' Ut... Ltat YF.AfI _( . . <br />• ~- ~ 7 <br />• APPLICATION FOR PROPERTY TAX EXEMPTION <br />County ~~h~ GE Town or City <br />Owner <br />Addtes: <br /> <br />L. _S. ~3. ~ ad~;c <br />l..ouete e! t+.rertr <br />1rlstxacrloNs <br />tlnler the oteriaiwa et tl. S. 103-?ill a•ery erns of verrrry sfaieiaa eadevetea er a:dasiea !reef otevrrtr tasea efaat <br />tewawatrata tltat tM on-ertr ~teu W ataattttry tgeiretasata tar eseavtiea er alaaaiRwriee. Qaiau f« eaewvewa er aaelr- <br />aiea emae sa Rld rids dte tea arMrr(se- d ttu caner h,rtfietf tie orevetq is lesaeet. (fee rwene aide) Qaitu fer a:atp. <br />des atfeeN iaatete e11 leer ent itavro.e~aata awd versewl oroMrt7 dmatad tAeresa ad assOlate (a/erse3ea raprltaa its esa. <br />Thenndetsi=nedownet or authorized represeatatire hereby petitions for exemptioa of the foilowin~ described prop- <br />esty; <br />2. Gire complete description of properly: <br />Land: A. lei GtCK3 <br />Improremsnts: .V~Nf ' <br />''" Pcrsonal Prooem~ f7id <br />.. - -- - <br />3. List an explain the pu oses ftor whi the property is us d: <br />rand:~~s a~A~erf' In K stns ow,-r,.~ , lie c~r~. !~'~r~~ ~rc _~re Cl-1 yer~~ <br />cuts: NOwIlG " ' " <br />Personal Property: ~~ <br />;. If any orSanization other than the owner uses tlta property =ire the name of the or~aniz:tion. full particulars <br />re~ardin~ its use of the property and the amount of arty income ceceired for such use. <br />5. Gire your estimate of the tree value 6. List the insurance ralne of the property: <br />in money of tit~prop~ ty: <br />Land / 9 O zxxzzxzxsxsaxxtxxz:zxzx:tx:cizz:oczzxzzxx <br />;' <br />lmgrorements Q <br />Personal Property:- ~ <br />6. Upon what uses ar purposes do you base Wis claim for exemption? Charitable ( ); Relitious <br />Educational ( ); Literary (); Seieatific ( ); Other <br />~. Cire the spccifie stawtory authocit~r npoa trhich this property is claimed as exempt: <br />(Full trxts of all exemption and dasss~cation statutes arc availaale at tkt o(~ce of the munry tax sup <br />AFFIIWATIOY <br />!rater reiuitiea oreaeailet trr la., t 1e-etrr artits tlst r t!e Met of ay iwr'1 a eat ef, taseata {abta.atlen to t~ta <br />apvUwtiw ors !roe ad orraeL, eat ors ^ate fir toe oftevese e( eaetevtiaa the v k ss~iM '.ins Wee . <br />/1~Ot~C.~~~Gs' ,34 19 QS C <br />Stasatare e! wwsr er aataerisd revesaeatanee <br />.a <br />f •:.-~•- ~t+~ ~ Tro~rs 3113 /ZTTS' <br />Titre Tdevaewe Ne. <br />tSt-eat a Rwaet (Tern) t3tate) (Z(v Gte) <br />