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5 <br /> FILED <br /> ®t4rges ��4'� <br /> r <br /> OCT 302018 <br /> 17 52 ORANGE COUNTY <br /> TAX ADMINISTRATION <br /> z�orrb aco�`°a <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: O 0 <br /> To Whom It May Concern: <br /> I,(PRINT NAME) G I;2 P�j$�h- (a/4e <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(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 /> Please explain: <br /> Q N o-� e <br /> How did you find out about the program(s)? �,j Al I /11 c PJ <br /> Thank you, <br /> _ nn <br /> (Signa6re) <br />