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I <br /> 12 <br /> FILED <br /> ® of SEP272017 <br /> :1x:7` <br /> ���v.kJ,�^ ORANGE COUNTY <br /> - Aqa.t TAX ADMINISTRATION <br /> i;i-7/ <br /> o- <br /> 44t l'%. <br /> ear°��� <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: 9'—2�` 17 <br /> To Whom It May Concern: <br /> I,(PRINT NAME) Yhb/ Ate,. (mil.lbm`(k , <br /> wish to be considered fCr Property Tax Exemption,Exclusion or Deferral for the tax year 1)/7 <br /> on Tax Abstract or Parcel Identification Number(s) (PIN)# <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 /> 11,-)Cc 5 L4•.r O (4)4'✓--Q- -H-4-- t°XYf�11-c`f,-,—+_ LL.)—at-5 C=t t-)Cf a\1 C-r,7 ^ <br /> How did you find out about the program(s)? /A. c oi 'J e., <br /> Thank you, <br /> ( -71---- <br /> . <br /> (Signature) <br />