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9 <br /> aVW ' Cop <br /> 17 52 0 <br /> ° S <br /> CEP o <br /> 1 2021 <br /> ,�or`h aY°�,� <br /> Orange County rax <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: C7 C7 <br /> To Whom It May Concern: <br /> I,(PRINT NAME) �o PJB�� !/D Aja e1r ,wish to be <br /> considered for Property Tax Exemption,Exclusion or Deferral for the tax year_s, on Tax Abstract or Parcel <br /> Identification Number(s)(PIN)4 �� Please note that the <br /> deadline to submit a timely application Deadline is June 1st of the tax year. <br /> In accordance with North Carolina General Statute 105-282.1(al),I submit the reason(s)set forth below for consideration as <br /> demonstration of good cause for failure to make a timely application. An untimely application approved under G.S. 105-282.1 <br /> (at)applies only to the property taxes levied by the county or municipality in the calendar year in which the untimely <br /> application is filed. If additional space for explanation is needed,please submit an attachment with this request. <br /> Please explain: <br /> l ' <br /> How did you find out about the program(s)? 0 160-�-r0 CC?I-L <br /> Thank you, <br /> V �Q( <br /> (Signature) <br />