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14 <br /> FT LED <br /> v 52 <br /> NOV 26 2019 <br /> ORANGE COUNTY <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,(PRINTNAMM ,wish to be <br /> considered for Property Tax Exemption,Exclus'.. o PDe✓}fe/r�ral for the tax year �M on Tax Abstract or Parcel <br /> Identification Number(s)(PIN)# %40(�0 0( / 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 /> (a1)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 xplam- / <br /> r-- <br /> c <br /> How did you find out about the program(s)? D <br /> , 0�11/'�� &�p <br /> TEA <br /> (Signature) <br />