Orange County NC Website
Browse       Search
i F.— Av_io <br />(Rev. L,o) YEAR ) C ` <br />APPLICATION FOR PROPERTY TAX EXEM/P <br />�,TTIION �j <br />County �'� P� Town or City _ e/ gzAd -" <br />1'. 9yIL, -�-- <br />Owner C-1 ` I <br />Address <br />(Sweet or R e) (Town) (State) <br />(Zip Cede) <br />Location of Property <br />INSTRUCTIONS <br />Under th e provisions of G. S. tos -222.1 every owner or property claiming exemption or exclusion from property taxes must <br />demonstrate that the property menu the statutory rrauirements for exemption or classifieatioe. Claims fat exemption or seclu- <br />sion must be filed with the tax supervisor of the county in which the property is located. (see reverse side) Claims for Carron. <br />Lion should include all land and improvements and personal propsny situated thereon and complete information regarding its use. <br />The undersigned owner or authorized representative hereby petitions for exemption of the following described prop- <br />erty: <br />2. Give c <br />Land: <br />3. List and explain for which the property is used: <br />Land: e!oei Zt"-.V f lci ld/Lrs <br />;. If any organization other than the owner uses the property, give the name of the organization, full particulars <br />regarding its use of the property and the amount of any income received for such use. M4t7te- <br />S. Give your estimate of the true value 6. List the insurance value of the property: <br />in money of th�e.Droperty: <br />Land ��1iexod xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx <br />Improvements <br />10 Personal Property:" <br />roperty 41AU40 <br />6. Upon what uses or purposes do you base this claim for exemption? <br />Educational ( ); Literary ( ): Scientific ( ): Other <br />Charitable �0; Religious ( ); <br />C%LA_S <br />7. Give the s�pccyyf�t statutory auth99city upon yhich this property i claimed a exempt: )� R <br />(Full texts 6f 021 esemptioa(and classification statutes are available at the office of the county tax supervisor.) <br />AFFIRMATION <br />Under penalties prescribed by law. I hereby affirm that to the best of my knowledge and belief, the statements and information in this <br />application are tuts and correct and am cads for ms purpose of esemptiet the p teie d <br />Signature of owner or auth tied represen are <br />C / .r <br />1 J eat � vc r - -e or <br />Title Telephone \o. <br />