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'C dV ` C°4h� 22 <br /> r FILED <br /> u 52 OCT 0 7 2019 <br /> a ORANGE COUNTY <br /> °rth cat o TAX ADMINISTRATION <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: D / <br /> To Whom It May Concern: <br /> I,(PRINT NAME) ,wish to be <br /> considered for Property Tax Exemption,Exclusion or <br /> Deferral for the tax year G on Tax Abstract or Parcel <br /> Identification Number(s)(PIN)# V� 11 M,�0 fs 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 /> WI <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 /> e. 4 Ct er <br /> he- -0-7-11w <br /> How did you find out about the program(s)? <br /> Thank you, <br /> W <br /> (Signature) <br />