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6 <br /> FILE f� <br /> NOV 13 20 17 52 <br /> ORANGE COUNTY <br /> TAX ADMINISTRATION th Cato <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,(PRINT NAME) Ste-► A rGt �JG S ,wish to be <br /> considered for Property Tax Exemption,Exclusion or Deferral for the tax year a 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 /> K nt V) Cnr, i rt-ctt OUS k Pa C az r1 <br /> How did you find out about the program(s)? �\r1 o o--J u,-+ +► e- � r <br /> Tha k you, 7 �L CA 2c- Q I' n L, <br /> '' Signature <br />