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11 <br /> AUG 13 2022 <br /> u 52 Orange County Tax <br /> rr� axon <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: Z Z d Z Z <br /> To Whom It May Concern: n <br /> 19(PRINTNAME) <br /> wish to be considered f Property Tax Exemption xclusion or Deferral for the tax year <br /> on Tax Abstract or Parcel entification Number(s)(PIN)# <br /> q'-7-7 16 .!�- L� d Q <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 ex Iain: <br /> A/C 1A11 Uv <br /> Ing�f Ea-A_ <br /> How did you find out about the program(s)"VVd ��rC ' j� 1/ jiL�iZG <br /> Than on, <br /> G <br /> (Signature) <br /> r <br />