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00255 <br /> I urn AV-10 YEAR 19'79 <br /> (gee, 4.74) <br /> APPLICATION FOR PROPERTY TAX EXEMPTION <br /> County <br /> Orange Town or City Carrboro <br /> Owner Calvar Missionar Ba•tist Chu ch <br /> N.C. 27510 <br /> Address 1000 West Main Street Carrboro (State) (zip code) <br /> (S(rect or Route) Crown) - <br /> •L 111 Goldston Avenue, Carrboro, N.C. 2751Ci . -- <br /> t;n tution of Pro Pe rty _` <br /> INSTRUCTIONS <br /> Under the provision, of G. S. 105-202.1 every owner of property claiming exaraptiore or exclusion from prapert7.tanismust <br /> demonstrate the property c exemption or reverser Claims or <br /> sin' nntAthe filed with the tax supervisor of the count9 nwhichtheproperly Is localed�(s a sideCi s foreaemp <br /> tion a:routd include all land and Improvement,and o:rsenal property situated thereon and complete information regarding its use. 1 <br /> lhe 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: Tax Map 105, Block A Lot 22 <br /> improvements: small frame house . <br /> Personal Property: none T <br /> List and explain the purposes for which the property is used: • <br /> Land: <br /> adjacent to Church an two sides — <br /> • <br /> Improvements: residence f.. Chu h . - . • : <br /> Personal Property: not a••licab e <br /> • <br /> 4. 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. CerPtakeS- i 5 <br /> No other use. No income derived from this property. _ <br /> allowed to live in'house in exchange for' diities as caretaker. — <br /> 5. Give your estimate of the true value 6. List the insurance value of the property: <br /> in money of the property: . • <br /> Land and - <br /> xxxxxxxzxxxxxxxxzxxxxxzxxxzxzxzxrxxxxx <br /> $9,700.00 $12,000.00 <br /> Improvements —0_ <br /> Personal Property: <br /> 6. Upon what uses or purposes do you base this claim for exemption? Charitable ( ); Religious (tc% <br /> Educational C ); Literary ( ); Scientific ( ); Other . <br /> 7. (,live the specific statutory authority upon which this property is claimed as exempt: <br /> N.C. Gen. Statute 105-278.3(d) (1) <br /> (Fall texts of all exemption and classification statutes are available at the office of the county tax supervisor.) <br /> AFFIRMATION <br /> Under penalties preectibeJ by low,I hereby affirm that to the beat of my knowledge and belief,the statements and information In this <br /> application are true and correct,and are mad.for the purpose of exempting the property herein described taxation, <br /> ed from[ <br /> / _, 19 rS •' <br /> ien lur o ow r of lhuri ccJ r[Prea<nlarivo <br /> ttcAo.Lp[h `Harddee <br /> Pastor of Calvary Missionary Baptist Chi <br />