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15 <br /> IF_ 1-n:,, F - -'.--, ,--T,---1 <br /> r 1„ s <br /> ®�poa �oUry <br /> /LJL JUL ('J I I,,r <br /> Lii <br /> Ev.X t1 <br /> 17 i n:., 52 n.-_W a® <br /> a <br /> art$ eat°��� <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: 7 - 23 -4P) 7 <br /> To Whom It May Concern: <br /> I, Pe - T?en i I lex(PRINT NAME) 1I t , <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year 4 0 I a <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# qq‘`t 5 g f�°I 3`j#1 10 (' <br /> a .,, ii4 p - ■ i) � ,, s :0. . . Cj 5 cpq wxe, 3are3 <br /> In accordance with North Carolina General Statute 105-282.1(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: //� (%� j <br /> A �. ■ IL el �' 1 t4 /// [ /c& I-Oh 4 -- L., <br /> - t. E _i r <br /> rA A # • t/ la .L pv/ I rei <br /> I me. _ �1`4 ., ►►'i . : I .K., of • IN WA <br /> Ik a p • v h emu.Cy /3,- c-;)1-,- L c 1 ft-1 }tee. a- 061 );(7e <br /> ow did you find out about the program(s)? � C4-1 f�� <br /> H � <br /> Than uA e day 1 r J ,-1' J kolz 1 0. C <br /> h� � X01 b � j� �,�-� <br /> °Ar hghd ryt rvtce 11Y)d�y . ar�r <br /> (Signature) W e(,�`C MC/ S I C K I <br /> 1 Coq\a hay& (eciewd a 4-ax <br /> thdc0h Iasi y ear <br /> i 1 hod goo k7 h 6014 1- 1—` �� �.ba'. 4- -1-h e <br /> Ser oy dC��lc- Q`1 b u-\- no+ f5Gi.bl e <br />