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7 <br /> i <br /> i <br /> FILET) <br /> 17 52 <br /> UP.14 2017 <br /> O`rb �atiat�°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 /> i <br /> Date: D — ` f <br /> • f <br /> To Whom It May Concern: <br /> Is(?FJNTNAME)— W��V �✓ Ax 4Jy QZ 0 0— t IL/ " <br /> v <br /> wish to be considered for Property Tag Exemption,Exclusion or Deferral for the tag year 2-0 1-7 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> �• 5 <br /> l <br /> In accordance with North Carolina General Statute 105-282.1(al),I submit the reason(s)set forth below for F <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(a1)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 /> QV ho A-7n <br /> •� , �9 ra't�'Y7 (F <br /> \. . \.M <br /> H d you find out about the program(s)? <br /> F AA-'R�� <br /> K <br /> ank you, <br /> (Signature) t <br /> F <br /> . t <br /> F <br /> f[j <br /> E <br /> . r <br /> f <br /> f <br />