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7 <br /> :E ls7 FILED <br /> cT <br /> e7 <br /> 41:-=-1 <br /> SEP 14 2017 <br /> „, �aY°``C,o ORANGE COUNTY <br /> TAX ADMINISTRATION <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: O G— 4- q ' <br /> To Whom It May Concern: <br /> I,(PRINT NAME) ` v IV U e___, 1\4k, _P/ Q___ 5 <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year 2.0 17 <br /> on bstract or Parcel Identification Number(s) (PIN)# <br /> W 574 . <br /> In accordance with North Carolina General Statute 105-282.1(al),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 /> \ ate • ,. ,+�_ JIL'. W. —3. (-1 i 4 A / -` P r A • L- <br /> ill <br /> i <br /> . f , .�i - '1,�� `W`SLi t114Ak lk i _s .11" I 1•Ai." `, ``s 111_9, ,u1' '• <br /> —,AL ;I age__ ice• 1 ‘ .VL ii�11 L-6-62--(2-- ..j..V `' i .. 'IS all. A,.. Ili 1i o+' <br /> , �1�''Q <br /> Ho 'd you find out about the program(s)? � � �.,V 0— 1 <br /> lank you, _ ----Wou)___ <br /> (Signature) <br />