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19 <br />FILED <br />JUN 1`0 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 />r <br />Date: �'Ir1 lagA <br />To Whom It May Concern: <br />If (PRINT NAMi) C-641 41 Jil P1 /-Y Gam_ <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 />gFF�I a Gil it- <br />In accordance with North Carolina General Statute 105- 282.1(al), I submit the reasons) 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: _ 1 <br />_L_ �0 rr�o � � a'f2.p •� ��uG � 1 c �" (.l� Q S 3c.c vl � <br />How did you find out about the program(s)7 �0 C�CI Q �C9c/ I f �� 1441 C4 <br />Thank you, <br />(Signature) <br />