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14 <br />FILED <br />JUN 2 6 2016 <br />17 sa ORANGE COUNTY <br />T*X ADM T1ON <br />�jottr tdacc��, <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: <br />To Whom It May Concern: <br />I, (PMTNAME)"L�(A,,T) ,u�V1 .kiA <br />wish to be considered for Property Tax <br />I h - <br />on, Exclusion or Deferral for the tax year a <br />on Tax Abstract or Parcel Identification Number(s) (PIN) # <br />- 2'T1 9 <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 />Nil <br />How did you find out about the program(s)? <br />Thank you, <br />4Si nature) <br />G`e• <br />