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15 <br /> C SC <br /> 'Or Lr [Orange <br /> P: 0 1. 2022 <br /> f County Tax <br /> L <br /> 17 U <br /> { <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: <br /> To Whom It May Concern: <br /> I,(PRINT NAM-) <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year <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 explain: <br /> f ► a aj A) > rtt C U Z :` Rim? <br /> t1\)Cc7`1r a C'z-- )Aid' P'ALY1„Jf, zA,-- L- M!� ` )�L <br /> VL <br /> How did you find out about the program(s)? � f £ , t /1y X( 1 L <br /> Thank you, <br /> (Signet r <br />