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FILED <br /> SEP 2 5 2017 <br /> ®cpV6%e °U,ra ORANGE COUNTY <br /> TAX ADMINISTRATION <br /> a <br /> 17 52 <br /> o e <br /> °rth cati <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 /> E <br /> N� <br /> Date: �J s <br /> 1 <br /> E <br /> To Whom It May Concern: <br /> a <br /> I,(PRINT NAME) 05-COL 'Y <br /> R <br /> wish to be considered for Property Tag Exemption,Exclusion or Deferral for the tax year <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> E <br /> In accordance with North Carolina General Statute 105-282.1(al),I submit the reason(s)set forth below for E <br /> `s. <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 Bled. If additional space for <br /> explanation is needed,please submit an attachment with this request. <br /> s <br /> Please explain: <br /> _�_Vb'4n+ W14AC ss -eac�m ►on w06 aw-, <br /> F <br /> R <br /> Ep[ <br /> P <br /> 4 <br /> How did you find out about the program(s)? <br /> Thank you, <br /> Elk,, <br /> (Signature) <br /> s <br />