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5• <br /> • <br /> • <br /> • FILED <br /> xx Hi , 52 <br /> u- �p (MANCE:t OUNTY <br /> rfI Inc°‘-‘, TAX A 1h1STRAT1ON <br /> Request for Tax Relief <br /> Late Application Filing • <br /> Date: / � 2O/ <br /> To Whom It May Concern: <br /> I \ie. '/ ■1a ket :129 x-719 s ,am applying for a late <br /> (PRINT NAME) • <br /> Property Tax Reli9f Exemp,tion or Exclusion fgthe year on parcel <br /> number(PIN) ft vl - 2-Z - I S S�--- <br /> The reason for my late request is: - <br /> I was not aware that this exemption was available to me. <br /> [�just found out about the Property Tax Relief Program. <br /> Other.(please explain) <br /> • <br /> Thank you, • <br /> tgnature) <br /> • <br /> How did you find out about this exemption? . <br /> • <br /> • <br /> • <br /> • <br />