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14 <br /> 112i ii I-0 <br /> ale ' co <br /> ®�� 4��b JUL 21 2017 <br /> �a,�rt�l ORANGE COUNTY <br /> u I tt� _. �2 TItATION <br /> ,�,,1��;� °d'AX ADMINLS <br /> *<( FJ <br /> 0 <br /> '�"th car°C`b <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: --1" 1 1 <br /> To Whom It May Concern: <br /> I,(PRINT NAME) / ► t eA ar 4 A o LAD e• '° , <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year (0) /r <br /> on Tax Abstract or Parcel Identification Number(s) (PIN)# <br /> 9g9a7Vi9G • <br /> In accordance with North Carolina General Statute 105-282.1(a1),I 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 /> s t cks n of aware. +L a , 5 -eXP.l ' .soh 1,J66.G Na 1 f . j,i <br /> How did you find out about the program(s)? 0r-eti1O� �6 &V`- -1 Ge.-- <br /> Tha ou, <br /> , /./ /�«.� Jir <br /> •( ignature) <br />