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13 <br /> ®Oose CO <br /> FILEDf <br /> u 52 AUG 15 2019-- <br /> ORANGE COUN•ry <br /> o"rh °Y°`:�a TAX ADMj MST$AnON <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: f If <br /> To Whom It May Concern: <br /> I,(PIUNT NAME) Crib I� 4X Z- ` 1/4 <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tag year C( <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 9 $go1kz41'5'1 . QO <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 <br /> application approved under G.S. 105-282.1 (al)applies only to the property taxes levied by the county or <br /> municipality in the calendar year in which the untimely application is filed. If additional space for <br /> explanation is needed,please submit an attachment with this request. <br /> Please explain: <br /> Aw 6��✓ U�- �,,,,�, �a, c s c�rJ�n�.-.►is <br /> d a,-V �► <br /> r`u�. �► �,�cnti.a.�. �r o��- -�.��s �t�e.1-` N G Cr�,.s�-u-Iz<.,k, [ram. �.?�,7 <br /> How did you find out about the program(s)? Lynn�ki <br /> Thank you, ��w,• ' /,,, �, r <br /> ev i ✓�CJ�S ��-G� <br /> (Signature) <br />