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15 <br />FILED <br />JUL 2 5 2016 <br />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 />Date: <br />To Whom It May Concern: <br />S�-,(Ie `aV)" Isof) <br />I, (PRINT NAME) YYY <br />wish to be considered for Property Tax Exemption, Exclusion or Deferral for the tax year <br />on Tax Abstract or Parcel Identification Number(s) (PIN) # <br />995 1074 <br />In accordance with North Carolina General Statute 1o5- 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 />Pleas <br />exp►am: 1_1 <br />jn <br />�1a 5 ChcL <br />ii <br />VA <br />How did you find out about the program(s)?__ <br />Thank you, <br />(Signature) <br />