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FILED9 <br /> JUN 27 2019 <br /> 52 ORANGE COUNTY <br /> TAX ADMINISTRATION <br /> 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: G12-G 19 <br /> To Whom It May Concern: <br /> 15(PRINTNAME) � n t ,wish to be <br /> considered for Property Tax Exemption/ xccllusiio�n or Deferral for the tax year on Tax Abstract or Parcel <br /> Identification Number(s)(PIN)# %�J�% �401 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 /> (at)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 /> tt s an s O� I_ ®I I. • <br /> S Cc i 0.1 C LA�� ^e\IP E` er ► 1 avyl e i! G4t n© D m A P -V _ <br /> 4-()l.X a P,v)(1 t7 t o ri <br /> How did you find out about the program(s)? <br /> Thank you, <br /> (Signature <br />