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5 <br /> FILED <br /> u 52 NOV 01 2019 <br /> 4 ,�a ORANGE counn <br /> �AVG TAXADMINlSTRATION <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:jil/I <br /> j r <br /> To Whom It May Concern: <br /> JJ <br /> I,(PRINT NAME) <br /> � 'wish to be <br /> considered for Property Tax Exemption,Exclusion or Deferral f the tax year on Tax <br /> Abstract or Parcel Identification Number(s) (PEN)# q� O l �3 pl <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 /> Ij <br /> Q- -d-ts <br /> How did you nd out about the program(s)? <br /> Thank you, <br /> Signature <br />