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9 <br /> rA <br /> -V��'D <br /> IGG 2022 <br /> ' sr t °``ate Orange County Tax <br /> r <br /> u sz <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:_2/IAP /4 �-- <br /> To Whom It May Concern: <br /> I,(PRINT NAME) �/ j�x �!! Q/��!' <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year Qct( <br /> onTax <br /> �Abstract or Parcel Identification Number(s)(PIN)# <br /> Tatr <br /> `��sa-411 <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 /> I' Ah <br /> thca4 l� <br /> I�r�hi) - h rl,'�iCd 11144 �t�d �L'T v <br /> How did you find out about the program(s)? <br /> Thank ou, <br /> 1 aC <br /> 1 <br /> (Signature) <br />