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• l a!•1?t1) vt�il 4 <br /> APPLICATION FCR PROPERTY TAX EXEMPT1CN <br /> county Orange Town or City Carrboro <br /> Owner UCC Living Canters Tncnj=r;;t-eri <br /> Address 100 Leonard Avenue Netrtinn b1c 28658 <br /> (street or Route) (Town) (State) (Zip Coda) <br /> 4V5 Sm r_ <br /> 1. Tract #756002, plN• 9778-70-8322, Chanel Hill, '_JC_27516 z <br /> Location a(Property T �( <br /> nvizltUCT*10NS <br /> Under the provisions or G. S. 105-2112.2 every owner of property claiming exemption at exclusion from property rases must <br /> damonstrato that the property mesu the statutory reauiromenta for exemption or classification. Gaims for taseeption or exclu- <br /> sion must be fled with the tax supervisor of the county in which the property is located. (acs revene side) Ciaima(or exemp. <br /> tion should include all land and improveseeots and personal property situated.thereon and conpiets io(ormatioa ragarding iu use. <br /> The undersigned owner or authorized representative hereby petitions for exemption of the following described prop- <br /> erty: <br /> 2. Give complete description of property: <br /> Land A 914 A rpet <br /> Improvements: 41 Bedroom anarttnent building — p t:(-nry 14,746 arn»re Feet <br /> Tow income elderly housincr <br /> Personal Property: <br /> 3. List and explain the purposes for which the property is used: <br /> Land: Low income elderly housinct <br /> Improvements: same as above <br /> Personal Property: <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' roperty and the amount of any income received for such use. <br /> Not applicable <br /> S. Give 'your estimate of the true value 6. List the insurance value of the property: <br /> in money_ of the QroQerty <br /> Land 7.13.700.00 zzzxzzzzzzxzz:.zzzzzzzzzzzzzzzzzxzzzzzz <br /> lmprovertents _1 ,795,31-?-00 <br /> Personal Property: 01631.00 <br /> 6. Upon what uses or purposes do you base this claim for exemption? Charitable QS); Religious ( % <br /> Educational ( ); Literary ( ); Scientific ( ); Other <br /> 7. Give the specific statutory authority upon which this properly is claimed as exempt: G.S. 105-278.6 <br /> (a)(8) and 24 C.F.R. & 202 et s_ <br /> (Full tens of all exemption and classiitcation statutes are available at the office of the county tax supervisor.) <br /> AFFIMAMOtN <br /> Under Penalties prescribed by law,I berebT affirm that to the best of my ttoowledge sad belief,the statements and infotmatien in this <br /> application are true and correct,and are made fey the pas an of esamptia[ property hereia des <br /> on'bad f atioo. <br /> Srsaatase of owner of sathortxed rtpreseataave <br /> Co-Chairman 560-1134 <br /> Title Telephone\o. <br />