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5 <br /> I <br /> FILED <br /> SEP252017 <br /> e 1 Co„ <br /> °4hra <br /> ORANGE COUNTY <br /> TAX ADMINISTRATION <br /> CT Iw <br /> u ^f GTii� 52 <br /> J 1 9:., <br /> �rIh cat°��� <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 c��J_ )1 <br /> To Whom It May Concern: <br /> I,(PRINT NAME) / 1 t:-„ t <br /> 05 Cot r` C1 CAI 14. < <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year 1 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 /> liHow did you find out about the le'n4 <br /> Thank you, ` 1��„ 1 �s <br /> '''IV \ I:,. <br /> Q. Y 1 .. v 1 ( + ---(jr("7"-1\(Signature) <br /> i <br />