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7 <br /> G3CC�l�O�D <br /> OCT 12 2021 <br /> 17 52 Orange County Tax <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: S C)I o1 <br /> To Whom It May Concern: <br /> I,(PRINT NAME) S\r\Qv o` \ Lc uU sie- 4oT— ,wish to be <br /> considered for Property Tax Exemption,Exclusion or Deferral for the tax year on Tax Abstract or Parcel <br /> Identification Number(s)(PIN)# 9 5 6-1CP-70 O Please note that the <br /> deadline to submit a timely application Deadline is June lst 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 /> (al)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 /> Personal reasons <br /> How did you find out about the program(s)? V�JC3Y O VV ��► I <br /> Thank you, <br /> (Signature) <br />