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CSC ' S . ' 6 Form AV-1 0 (Rev. 5-97) YEAR 2002 OCT 17 2M2 APPLICATION FOR PROPERTY TAX EXEMPTION T f County ORANGE Town or City BIN H M ORANGE CO. 19N OFR Owner ANOINTED CHRISTIAN CHURCH OF CHAPEL HILL NC Address PO BOX 778 CARRBORO NORTH CAROLINA 27510 (Street or Route) (Town) (State) (Zip Code) 1. 1400 FERGUSON ROAD. GIS 6.37B..1 AND GIS 6.37B..2. BEING ALL OF LOTS SA'DMSION OF TRACT 5, LACY PENNIX HEIRS' BINGHAM TOWNSHIP, ORANGE COUNTY, NORTH CAROLINA, DATED MAY 2, 1977, ACCORDING TO PLAT AND SURVEY OF STEPHEN E WILSON, RLS, SAID PLAT BEING RECORDED IN PLAT BOOK 27, PAGE 32, ORANGE COUNTY REGISTRY. Location of Property INSTRUCTIONS Under the provisions of C. S. 105-282.1 every owner of property claiming exemption or exclusion from property taxes must demonstrate that the property meets the statutory requirements for exemption or classification. Claims for exemption or exclusion must be filed with the Assessor of the county in which the property is located. (see reverse side) Claims for exemption should include all land and improvements and persona) property situated thereon and complete information regarding its use. . The undersigned owner or authorized representative hereby petitions for exemption of the following described property: 2. Give complete description of property Land: SIX ACRES (LIGHTLY WOODED AND OPEN AREA) Improvements: 36 X 80 SHELTER WITH TOILET FACILITIES STORAGE ROOM WELL AND SEPTIC SYSTEM Personal Property: RECREATION EQUIPMENT (BALLS ONE VOLLEYBALL NET SOFTBALL GLOVES 3. List and explain the purposes for which the property is used: Land: FUTURE SITE FOR WORSHIP CENTER Improvements: FUTURE SITE FOR WORSHIP CENTER - Personal Property: YOUTH MINISTRIES 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 the amount of any income received for such use. 5. Give your estimate of the true value in money of the property: Land: $30000 Improvements: $21000 Personal Property: $25 6. Upon what uses or purposes do you base this claim for exemption? Literary ( ); Scientific ( ); Other 7. Give the speck statutory authority upon which this property is claimed as exempt: GS. 105-278.3. REAL AND PERSONAL PROPERTY USED FOR RELIGIOUS PURPOSES. (Full texts of all exemption and classification statutes are available at the o ke of the county Assessor.) AFFIRMATION Under penalties prescribed by law, 1 hereby affirm that to the best of my knowledge and belief, the statements d information in this application are true and correct, and are made for the purpose of exempting the property h described o . OCTOBER 17 2002 Signature of owne uthorized rep esentative PASTOR ANOINTED CHRISTIAN CHURCH 493-8806tH) 843-9765(W) APPROVED p YES p NO Title Telephone No. Charitable (X ); Religious (X); 'Educational ( );