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12 <br /> f <br /> FILED <br /> ®�0,%% 0&h� <br /> SEP272017 <br /> v s2 ORANGE COUNTY <br /> TAX ADMINISTRATION <br /> 3 <br /> ' 6 <br /> TO <br /> q <br /> 3 <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: '? 2 l-7 Q <br /> P <br /> To Whom It May Concern: <br /> i <br /> E <br /> I,(PRINT NAME) <br /> wish to be considered r Property Tax Exemption,Exclusion or Deferral for the tax year 4:;rlef� <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> Z/10 I <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 /> �Ct 51i1� �` (.c)/./-P 'T�• 3 }d�(YC�TJ�_�S-ct.S C`t C.Jdr �(C�7 <br /> Hoye did you find out about the,program(s)? Tq X C� d c.{ <br /> L' <br /> Thank you, <br /> a <br /> (Signature) <br /> F <br /> u <br /> i� <br /> I <br />