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FILED 13 <br /> FEB 0 7 2017 <br /> ORANGE COUNTY <br /> COV�� TAX ADMINISTRATION <br /> O <br /> Request for Approval of <br /> Property Tax Exemption, Exclusion or Deferral <br /> Due to Showing of Good Cause for Failure to Make a Timely Application <br /> Date: 3-t,-1,7 <br /> To Whom It May Concern: <br /> I,TAINT NAME) E-lrt\XS\OD! <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year aO ( 7 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 53150-10' U.o <br /> In accordance with North Carolina General Statute 105-282.1(al), l submit the reason(s)set forth below for <br /> consideration as demonstration of good cause for failure to make a timely application. An untimely <br /> application approved under G.S. 105-282.1 (al)applies only to the property taxes levied by the county or <br /> municipality in the calendar year in which the untimely application is filed. If additional space for <br /> explanation is needed,please submit an attachment with this request. <br /> Please explain: <br /> ra •€.ri- \o c\-L-, 5 V3.2.k.. • , ` . • • b <br /> •r• •mil <br /> l. . der- h•. a L • ih„A • • V\err\ to Cof enraA-z -N <br /> ouvvit 1.S Tu-`F etpe bvv c5- Qua KC-- `a i`�2 �` � w�2 5 <br /> How did you find out about the program(s)? NC SA-0.4--tt.` e S <br /> Thank ,, <br /> (Signature) <br />