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i 4 <br /> FILED <br /> AUG 212017 <br /> ORANGE COUNTY <br /> TAX ADMINISTRATION <br /> 17 52 <br /> "th Cato <br /> a <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 /> F <br /> Date: 0 0 1 E <br /> To'Whom It May Concern: <br /> E <br /> I,(IRINTnA11) <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tag year 2-U I <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> ID 9��1 <br /> e <br /> In accordance with North Carolina General Statute 105-282.1(al),I submit the reason(s)set forth below for E <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. t: <br /> e <br /> B <br /> Please explain: t , <br /> i <br /> • E <br /> � I <br /> How did you find out about the program(s)? I !lelh{� <br /> I <br /> Thank you, <br /> (Signature) <br />