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9 <br /> RLED <br /> NOV 2 7 2019 <br /> u sz <br /> ORANGE COUNTY <br /> TAX ADMINISTRATION <br /> ' clito�ka a <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: k k— 2 <br /> To Whom It May Concern: <br /> 4(PRINT NAME) �l� Y L e- LO Lk <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year <br /> on Tax Abstract or Parcel identification Number(s)(PIN)# <br /> Ua00 <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 riled. If additional space for <br /> explanation is needed,please submit an attachment with this request. <br /> Please explain: <br /> I h(S t/U 0 u-kVVk t kcf IBCcL-w y 1 dk c xr' i )c-Kova <br /> V- J I oP v e(�Lr VAS l�Cp n i <br /> k -f co o ( <br /> d <br /> J How did you find out about the program(s)? c� a u - o- ujgd D V) a,G� <br /> Thank you, <br /> �GL.'VIIrit_.PJ� � C) <br /> (Signature) <br />