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10 <br /> jn <br /> t '.ti7y x FyW _ <br /> i <br /> MCK90WDD <br /> ®�°age eo4ry�� OCT 0 7 2021 <br /> Orange County Tax <br /> u sa <br /> i <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) , <br /> wish to be considered for Property Tax Exemption,Ex sion or Deferral for the tax year <br /> on Tax Abstract or Parept Identification Number(s)(PIN)# <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 /> Sed mti , slb'zess sp ,A)dl -no /r1Ywr h2tW- ma's '%;n- 7x�� <br /> "W rni' ,bre)leer a710l arid— bow akc a'hl ed l <br /> arm be shC I.Wed"Wen-f 'm � ,fie% <br /> How did you find out about the program(s)? _ 41 Me- Aa V ofs7ce., <br /> Thank you, <br /> (Signature) <br />