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10 <br /> FILED <br /> 17 52 DEC Q 8 2020 <br /> °rt� nrol�� 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 /> 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 /> In accordance with North Carolina General Statute 105-282.1(a1),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. H additional space for <br /> explanation is needed,please submit an attachment with this request. <br /> Please explain: p h <br /> W r-<' �' i - tea r t t d `4'0g. <br /> I .� <br /> How did you find out about the program(s)? = '� l q 7 <br /> Thank you, <br /> (Signature) <br />