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19 <br /> JUL 2 5 ,2022 <br /> u ;2 Orange County Ta <br /> 4 <br /> tl) 0.Ca��`` <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: (,b( <br /> To Whom It May Concern: <br /> I,(PRINT NAME) or "al <br /> ss�� � <br /> wish to be considered Property Tax Exemption,Exclusion or Deferral for the tax year 6y= <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <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 explai <br /> i <br /> How did you find out about the program(s)? <br /> Thank you, <br /> ; Grp° i�j�7 <br /> (Signat ) <br />