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FILED 8 <br /> SEP 2 8 2017 <br /> coohti <br /> _ ORANGE COUNTY <br /> TAX ADMINISTRATION <br /> 17 IP n _!72 <br /> earth cave <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: g/W7 <br /> To Whom It May Concern: <br /> I,(PRINT NAME) /Ill l-�� (// Wr <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year c52,1i 5I 7 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 95/ 7,96653 • <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 /> "jg 4 u— 4i`L�49 ihe' <br /> How did you find out about the program(s)? bgh,C Y1 <br /> Thank you, <br /> (Sign41; MYa)R <br /> ture) <br />