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10 <br /> co,, 3 <br /> i7 <br /> r_...7-110:74.13 52 <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: Tune Iq, 2011 <br /> To Whom It May Concern: <br /> (PRINT NAM) eXreeN-cleld Ses■or HouS;N� 1.1.C s <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year 2.01-7 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 9-1`1`\51 29b3 <br /> In accordance with North Carolina General Statute 105-2821(a1),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 /> foee(4;fiO4 Sei■or Houc N9, I.LG 0,cluiced 4he, Qa�cel fcom {he TO 04' Chapel Hilt o1,1 r(larc1, l� <br /> 2.017. "IVS dMe, wa-s 0.44ec- klne dead\itse .foc aQlirc�ioN aNd wecessAa-kea o. late aff1;co4 off. <br /> C3 <br /> 1 <br /> How did you find out about the program(s)? Iri a met-tin W iih}he To•x Assessor on .curve 151 2.017 1 <br /> Thank you, <br /> (Signature) <br /> 1 <br /> 3 <br />