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<br />Form AV-1 0 5 <br />(Rev. 5-97) YEAR =2 <br />APPLICATION FOR PROPERTY TAX EXEMPTION <br />County ORANGE Town or City BINGHAM <br />n,.,..e. AK1n1K1Tr-n ruaICTION r.1-11 IRCI-I r)F CHAPEL HILL NC <br />Address PO BOX 778 CARRSORO NORTH CAROLINA 27510 <br />(Street or Route) (Town) (State) (Zip Code) <br />1. 1400 FERGUSON ROAD. GIS 6.37B..1 AND GIS 6.378..2. BEING ALL OF LOTS 5B -DIVISION OF TRACT 5, LACY PENNIX HEIRS' BINGHAM TOWNSHIP, <br />ORANGE COUNTY, NORTH CAROLINA, DATED MAY 2, 1977., ACCORDING TO PLAT AND SURVEY OF STEPHEN E. WILSON, RLS, SAID PLAT BEING RECORDED <br />IN PLAT BOOK 27, PAGE 32, ORANGE COUNTY REGISTRY. <br />Location of Property <br />INSTRUCTIONS <br />Under the provisions of C. S. 105-282.1 every owner of property claiming exemption or exclusion from property taxes must demonstrate that the <br />property meets the statutory requirements for exemption or classification. Claims for exemption or exclusion must be filed with the Assessor of the <br />county in which the property is located. (see reverse side) Claims for exemption should include all land and improvements and persona) property <br />situated thereon and complete information regarding its use. <br />The undersigned owner or authorized representative hereby petitions for exemption of the following described property: <br />2. Give complete description of property <br />Land: THREE ACRES (LIGHTLY WOODED AREA) <br />Improvements: <br />Personal Property: <br />3. List and explain the purposes for which the property is used: <br />Land: FUTURE CAMPSITE FOR BOY SCOUT TROOP <br />Improvements: <br />Personal Property: <br />4. If any organization other than the owner uses the property, give the name of the organization, full particulars regarding its use of the property and <br />the amount of any income received for such use, <br />5. Give your estimate of the true value in money of the property: <br />Land: $20000 <br />Improvements: - <br />Personal Property: <br />6. Upon what uses or purposes do you base this claim for exemption? <br />Literary ( ); Scientific ( ); Other <br />7. Give the specific statutory authority upon which this property is claimed as exempt: <br />GS. 105-278.3. REAL AND PERSONAL PROPERTY USED FOR RELIGIOUS PURPOSES. <br />(Full texts of all exemption and dassiScation statutes are available at the ofrm of the county Assessor.) <br />AFFIRMATION <br />Under penalties prescribed by law, I hereby affirm that to the best of my knowledge and belief, the statements and information in this application <br />are true and correct, and are made for the purpose of exempting the property herein cn d from to <br />OCTOBER 17 2002 <br />Signature of owner uthorized repr entative <br />PASTOR ANOINTED CHRISTIAN CHURCH 493-8806(H) 843-9765(W) <br />APPROVED p YES p NO Title Telephone No. <br />Charitable (X); Religious ( X ); Educational ( );