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5 <br /> r, <br /> FILED <br /> 17 .. az DEC 2 9 2021 <br /> ORANGE COUNTY <br /> TAX ADMINISTRATION <br /> aft <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: LF-14L.1 i Z d Z� <br /> To Whom It May Concern: <br /> 1 c t <br /> I,(PRINT NAME) L1{Cl r ✓� S c t n ]0 C r w�/ , <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year Z U Z <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> CtgOI35 $ 050 . o3`t <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 /> L e- <br /> J <br /> How did you find out about the program(s)? <br /> Thank you, <br /> (Signatd re) <br />