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DocuSign Envelope ID:68D8F6E6-2DBA-4A21-88B6-65745F8FEE4F Property Identification: Property Owner Tiffany Brandenburg Appellant(if different) Property Address 307 Virginia Lee Lane I Parcel ID or Abstract 19836562936 Statement of Appeal: The appellant was recently declared disabled retroactive to the time of filing for disability in 2019 and feels her untimely filed 2021 application for the disabled exclusion should be approved. Current Assessed Value $313,400 County Opinion Denial of Exclusion Time of Hearin 1:24 PM Appellant Opinion To grant the exclusion County Representative Shavonda McLean Board Decision To grant the exclusion Evidence submitted by the appellant: • Request for approval of Property Tax Exemption, Exclusion, or Deferral due to Showing of Good Couse for Failure to Make a Timely Application • Consent to Remote Hearing form • County letter informing appellant of not being eligible for exclusion due to County not receiving additional information needed to determine eligibility. • Orange County Solid Waste Programs Fee application for 2021 for Homestead exclusion • 2020 income tax return • 2020 tax bill • Social Security disability benefits statement. • AV-9A completed by medical practice. Evidence submitted by the county representative: • Orange County Board of Equalization&Review form stating the subject property was denied tax relief due to the requested AV-9A Certification of Disability for Property Tax Exclusion form needed to determine eligibility was never provided. • Qualifications for Elderly or Disabled Exclusion: Must be a NC resident who also must be at least 65 years of age OR totally and permanently disabled on or before January 1 of current tax year. Must have owned and occupied a permanent residence on or before January 1 of current tax year.Timely applications for 2021 tax year must have been filed January 1,2021-June 1, 2021. Late applications must have been filed June 2,2021-December 31,2021 along with a good cause letter for failure to submit a timely application. Applicants for 2021 tax year exclusion cannot have 2020 income in excess of$31,500. • December 29,2021 County letter informing appellant of not being eligible for exclusion due to not receiving additional information needed to determine eligibility. • July 26,2021 County letter informing Ms. Brandenburg of not being eligible for exclusion due to not receiving Good Cause letter,income, and Certification of Disability needed. • Appellant's Application for Property Tax Relief for 2021 tax year 0 Appellant's 2020 income tax return.