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11 <br />FILED <br />FEB232018 <br />ORANGE COuNTX <br />TAX ADMINLS'rRATION <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� a 3 11 <br />To Whom It May Concern: <br />I, (PRINT NAME) _ Fe f f, L'iru I �A'91 61 (OMMt N j P#'V ��jk <br />wish to be considered for Property Tax Exemption, Exclusion or Deferral for the lax year_ <br />on Tax Abstract or Parcel identification Number(s) (PIN) W <br />In accordance with North Carolina General Statute 105 -282, l(al), t submit (tie 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 (af) applies only to the property taxes levied by the county or <br />municipality in the calendar year fn which the untimely application is tiled. if additional space for <br />explanation is needed, please submit an attachment with this request. <br />Please explain: <br />Ori I/1 <br />How did you rind out about the program(s)? <br />Thank y u, <br />(Signature) <br />ii <br />1 <br />i <br />