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[ �i� rD <br /> SEP 10 2018 <br /> l Orange County fax <br /> Ir 5 <br /> aN CateE� <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: Oq 02 1 f} <br /> To Whom It May Concern: <br /> L{PRINT NAME} 1 <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 /> In accordance with North Carolina General Statute 105-282.1(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(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 /> Plc se explain: <br /> [ 6pj-] reeII `A � x r � e,W �- tr <br /> How did you find out about the program(s)? �0 4 6 W EE � � TTCCIL d <br /> Thank you, <br /> (Signature) <br />