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6 <br /> �Qrge �p4h <br /> 17 52 <br /> OCT 2 4 2019 <br /> IN Carn ORANGr C0UNTY <br /> 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: <br /> To Whom It May Concern: <br /> I,(PRINTNAME).:- > ci'G�l�(•' �J/ V h, ,wish to be <br /> considered for Property Tax' xemption,Exclusion or Deferral for the tax year &W on Tax Abstract or Parcel <br /> Identification Number(s)(PIN)# � 0 1(�'la � . 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 /> i <br /> Q' �J <br /> (Signature) <br />