Orange County NC Website
Browse       Search
JIF <br />AV-10 <br />6-97) <br />YEAR „??? <br />APPLICATION FOR PROPERTY TAX EXEMPTION <br /> <br />8 <br />County C Town or City <br />Owner <br />Address <br />(Street or Route) (Town) (State) (tip Code) <br />Location of Property <br />INSTRUCTIONS <br />Under the provisions of G. S. 105-282.1 every owner of property claiming exemption or exclusion from property taxes must demonstrate that the property <br />meets the statutory requirements for exemption or classification. Claims for exemption or exclusion must be filed with the Assessor of the county in <br />which the property is located. (see reverse side) Claims for exemption should include all land and improvements and personal property situated thereon <br />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: 'C S ?C- <br />Land: IT' I <br />Improvements: <br />Personal Property: <br />3. List and explain the purposes for which the property is used: <br />Land: a <br />Improvements: <br />Personal Property: , v %b <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 <br />property and the amount of any income received for such use. 1? <br />5. Give your estimate of the true value in money of the property: <br />Land: - U <br />Improvements: <br />Personal Property: <br />6. Upon what uses or purposes do you base this claim for exemption? Charitable ( ); Religious ( ); Educational ( ); <br />Literary ( ); Scientific ( ); Other _ <br />7. Give the specific statutory authority upon which this property is claimed as exempt: <br />(Full texts of all exemotion and elassif radon statutes are available at the ofce 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 <br />application are true and correct, and are made for the purpose of exemptin the property herein described from taxation. <br />/? JJr A <br />ignatur of owner or authorized representative `. <br />APPROVED C3 YES 0 NO Title Telephone No.