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14 <br /> ®tpa�e ` �o4ry FILED <br /> f� <br /> Nov 19.201$ <br /> sz <br /> ORANGE CO <br /> UNTY <br /> TAX AD11iUVISTI2A IOT N <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: tJ S <br /> To Whom It May Concern: <br /> � r <br /> I, 1uNz NAME I <br /> cr ) <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tag year <br /> on Tax Abstract or Parcel Identification Numbelr_s)(PIN)# <br /> G 3 <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 /> 1_/W <br /> t - <br /> DC/- <br /> 42 Q � CA <br /> J <br /> Hoye did you find out about the program(s)? � � 1Y ' �✓►� <br /> Than <br /> (Signature) <br />