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9 <br /> OCT 1 0 2022 <br /> Orange County Tax <br /> 17 sa <br /> �e <br /> Cat% <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: l Io l <br /> M <br /> To Whom It May Concern: <br /> I,(PRINT NAME) <br /> wish to be considered for Property Tax Exemption,Exclusion or,Deferral for the tax year ` <br /> on Tax Abstract <br /> or Parcel Identification Number(s)(PIN)# <br /> �d��70 O <br /> In accordance with North Carolina General Statute 105-282.1(a1),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 (a1)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 /> ' dol jo <br /> M ,O1 ")roa 7 ���{�r SOX 14eL �ryM 1cc <br /> ce 'v"t?c ODd 70 Gli( a b le, X12-2r <br /> How did you find out about the program(s)? <br /> Than you, <br /> ignature) <br />