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6 - . <br />FILET) <br />JUN 112018 <br />ORANGE COUNTY <br />TAX ADMINLSTRA11ON <br />17 52 <br />a)oAt, �bnLO���`4 <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: b�ljlg'l <br />To Whom It May Concern: <br />12 (PRINT NAME) 1411 111 <br />wish to be considered for <br />Tax Exemption, Exclusion or Deferral for the tax year <br />on Tax Abstract # <br />ror Parcel Identification Number(s) (PIN) <br />f z-ftl& <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 (a1) 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 />explain: <br />How did you rind out about the program(s)? Acat 06r,) A111) <br />Thank you, f <br />(Signature) r <br />