Orange County NC Website
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'cr ices r_ta;s Irarzart rsts :ST 1 Ass rrr')Vc1y Fix mr_f1;-.ge nterc-sJ pats, <br /> ar.luilrPCn.:t yter icrriert-r:,a:i rwy Mpery.raroalaron rf irtrt•witr butitxr-::ar rdred�al•crrarra-1 TT;n •rt1'11".erd spec:-W., ::ay-rW.% <br /> ruu tr,;r, nl aCA e rd.recltt>=::sryn ttF c#et;FlceCcei.Cv.eau nu:t p•o,tee y%ii:r c:r a.:1-:y.^e•;!hr Ir+rirLl:•'a-s fu par it,later <br /> Sign w nrro __ <br /> Here US I . ►,.r / �-/� —_ OsII.0, ` • j -..20 2 I <br /> General Instructions •F:Irm'094-CIL}_ivroenz r,clunn;irr-yC.h qse :,,stxrtL:La. <br /> h rnrtel <br /> `»+.ti rl r+te rrl:r,a+a to rs+I, �r =tr.r^UC C✓�0 4rIlaAN C111+1r'R�O .farm r(l:t9-1115G Ivttrlws'r:---s of IM:YrO p-zcs aeia tl..tr•ar--s <br /> F'iAl"davMlUQrllwnt.s.'cr:t•C latAa nt.,-1 diiLrt a:OL':de anp-raitA .Far'n 1099•131 iS:ra:K or vwt-sat t,.t KI 9nle.O•+d C,2, it.ztncr <br /> rsratea'n Fnrrr -a.and itt nstmcnwm. :.ir_-ab:-vtle.r m erortnd a an;3ctalr_ ey"rocer:l <br /> ^er Ihrr'rerc puatlarr,�.S7-•L <br /> •Far-r IMP-$Ip•VCr ds from^Cal C'Aq'a:►d'.SkF,•hj.I•a: <br /> Purpose of Form •Forr IL-Ti ir,ar:flit 1 cats:ar(2:rlld 1),71:y Hari.-rk t d iyyL-•_rr <br /> A•I ItYttvr:.ilal p•Nw**.V it=rn vt 3 rtigL.?21er;*►Tu•s reglirad tc tic a, •Furr 1:�ly.,-ern^,rrrh�]^ rlle^dsKl `0 lr L tstutsar•1.-a-ir'Eleyl� <br /> niornat zr wtsr w:r Ittw IRS nt.r.ruY+sir.yt�jI tu'rect:ai:ayur I C49 It ilho-I <br /> deradlrs:�n rtvrnc?r I�itll Ihhen n:y_4 yp,;r ifW191 eicr",y n inh.r .=Writ 1:93-C icarcntarl nahr. <br /> •.Ssw. ndtnidi a ta>,Mw tleritTifCatton lLrrnar tITiNI,a*pt:o^ rn 1 C�3 k ia.7Jts:an_r aharxrt,-nsl.$IIp3?"iderttllt'atair-1�-"00 OTINl.c-r errpllytar o it'K;atrsn rtlrrber t,.leVJ- i prepe^�1 <br /> tPM.'u•ec+.v u-�•1 ir':Tawr reki'tl l'te affxu,-Pak)to,joi; Ch_ Us <br /> f c e Fcrt' N-3 Orl'r If%C We e 3 U.S.Pettrrl II"fit r►�3 ta9ipent <br /> a'ra,.rl'repnrMbe rn an ir•ctorwburt rearm I:IrarrplFx,3t n1tNm51icrt allanl,:a pre..de you•carer''iN <br /> I»h�r,s i•-I;v_r,b.:t air.nr,T li•n'ed to,tlr_ic"1,A rxp of r10t1 do rre't refu•!I r.Ym IV is t:-Vic/xrlxailcr.x t -+ <br /> w L t a 1.�',yt,o n:19,tt•t aem'.03�1'�T tie ract A4I-,QC cit pmdl ha ;!.qkW t,biCAuy Sca:r.1a•::t,3ek10 ov`!thcldnc, <br /> 17.rgr . <br /> =r 'ILI fv six <br />