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21 <br /> ®tQINV <br /> t <br /> v 52 <br /> o° <br /> ot�� 4CdCalti :.- <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: /U- /S If/`t <br /> To Whom It May Concern: <br /> I,(PRINT NAME) LnrS To ex PA �G !ry Aff L [• wish to be <br /> considered for Property Tax Exemption,Exclusion or Deferral for the tax year U 1 of on Tax <br /> Abstract or Parcel Identification Number(s) (PIN) <br /> Please note that the 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 <br /> consideration as demonstration of good cause for failure to make a timely application. An untimely application <br /> approved under G.S. 105-282.1 (al) applies only to the property taxes levied by the county or municipality in the <br /> calendar year in which the untimely application is filed. If additional space for explanation is needed,please <br /> submit an attachment with this request. <br /> Please explain: <br /> w f3 IV r9 w a d T S /To 2�) C4 N , L i4 <br /> e J,-) v e S A7-,�,•• �~-t''�J n'1 �j - /2,,e 7�b l�r., a.s <br /> How did you find out about the program(s)? ow! <br /> f <br /> Thank you, <br /> FILIED <br /> Signature <br /> OCT 15 .2019 <br /> ORANGE COUNTY <br /> TAX ADMINISTRATION <br />