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10 <br /> FILED <br /> ®t¢02 ' co4ry NOV 19 2018 <br /> ORANGE COUNTY <br /> TAX ADMINISTRATION <br /> IT <br /> a <br /> �N Cate <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 /> I,(PRINT NAME) <br /> wish to be considered or Property Tax Exemption,Exclusion or Deferral for the tag year <br /> on Tax A str ct or Pgrgel Identification Number(s)(PIN)# <br /> a�a?�GC/!j� <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: i( <br /> How did you find out about the program(s)? <br /> Thank you,, <br /> r2�i;�?lyYJG�� <br /> (Signature) <br />