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FILED <br /> SEP 1 9 2017 <br /> ORANGE COUNTY <br /> rn� TAX ADMINISTRATION <br /> 17 -I'�'�(i"k'� 52 <br /> dam'- �j��14:� <br /> s <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: 5,,,+ ) 7©) 7 <br /> To Whom It May Concern: <br /> I,(PRINT NAME) t d�L�y LL"CwJt 5 <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year cD/V <br /> on Tax Ab tract or Parcel Identification Number(s)(PIN)# <br /> 9x097/'7 <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 /> - <br /> 1.1,4" ►.o a "c7 B T A v ANA <br /> Id - i ANriYAct vvp 100,1 - s� X P so j }h cl v <br /> ew cD i _ \44 u)ou L. 4 4`n 01/4 l.�;�..�cg f t�.. A.,A I1t, 10 'ke <br /> Co lu CIA -nal vt y '{a Y- iv■ k ALA/uj(1 <br /> How did you find out about the program(s)? 04. et, v f j QC o`1 CCe/ <br /> Thank'u, <br /> • <br /> (Signature) <br />