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12 <br /> trr�e C0aa <br /> FILED <br /> 17 52 JUL 16 �01� <br /> ORANGE Cour4TV <br /> rt6 CaC°� TAXAMUL-MTRATIAN <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 /> — <br /> To Whom It May Concern: <br /> Is ,wish to be <br /> I,(PRINTNANIF) <br /> considered for Property Tax Exemption,Exclusion or Deferral for the tax year !o I q on Tax Abstract or Parcel <br /> Identification Number(s)(PIN)# �I g(oS 11'7 Coca 3 Please note that the <br /> deadline to submit a timely application Deadline is June 1st of the tax year. <br /> In accordance with North Carolina General Statute 105-282.1(al),I submit the reason(s)set forth below for consideration as <br /> demonstration of good cause for failure to make a timely application. An untimely application approved under G.S. 105-282.1 <br /> (al)applies only to the property taxes levied by the county or municipality in the calendar year in which the untimely <br /> application is filed. If additional space for explanation is needed,please submit an attachment with this request. <br /> Please explain: <br /> How did you find out about the program(s)? <br /> Thank you, <br /> V <br /> (Signature) <br />