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12 <br /> r <br /> i <br /> 17 5� <br /> 4 <br /> artb 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: Q 0.2 OCT 0.6 2021 <br /> To Whom It May Concern: Orange CDDDty raX <br /> I,(FAINT NAME)_rk fifA0Y s Veliffe—Al <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year—,2�—O.- <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> IF <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(a1)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: j r / <br /> �weiS vtViawti2r�° oQ a eM.d s{�g �l cnbo41Pd` Wj— J� <br /> 1 t &PW i�cl7'ij <br /> �y,,��,_� r 1(7 + e �tec� I FAY <br /> How did you find out about the program(s)? ��� G t•� Y11 L tid"Pll»G� <br /> Thank y u, <br /> (Si nature) ' <br />