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FILED 13 <br />NOV 2 0 2017 <br />ORANGE COUNTY <br />TAX ADMINISTRATION <br />�,�:g'i4 <br />Rail <br />v ,.� <br />`_'`', <br />L m <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: /%/ — '` -O/ I <br />To Whom It May Concern: <br />I, (PRINT NAME) <br />wish to be co <br />for Property Tax Exemption, Exclusion of Deferral for the tax yea <br />on Tax Abstract or Parcel Identification Number(s) (PIN) # <br />In accordance with North Carolina General Statute 105- 282.1(al), 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 />How did you find out about the program(s)? <br />Thank you, <br />7 <br />(Si ture) <br />