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, <br /> FILED 6 <br /> AUG 0 7 2017 <br /> toge . ,rO,,• ORANGE COUNTY <br /> ®� <br /> r..---1 TAX ADMINISTRATION <br /> EA ml rm <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: IGt4 3 Ui -2- I 7 <br /> To Whom It May Concern: <br /> Ai/VA —MAT ,S...,I,(PRINT NAME) pA 5 <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year '�0/ 7 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 77 , ; I//I . <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 /> Ale j 1/01- -e - / 2 Y e ffff Pji 1) <br /> How did you find out about the program(s)? �e� T X �OC�%l <br /> Thank you, <br /> ky - <br /> ./"ignature) <br />