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10 <br /> ty�gC t 2O <br /> 4, <br /> Ba <br /> FjWM DD <br /> u 52 [Orange <br /> P 1 9 2022 <br /> County Tax <br /> rtb cave <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• ] "- A 6� <br /> To Whom It May Concern: <br /> 1,(PRINT NAME) li � <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year e <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> ffzAi';'Ot <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: 144, <br /> f <br /> �. <br /> How did you find out about the program(s)? <br /> Thank y u, <br /> i <br /> V <br /> (Si ture) <br />