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17 <br /> i <br /> c� �i i�) 1 l� _'017 }! <br /> ` - 52 <br /> S4 <br /> i <br /> ley <br /> At t b Cat°��� <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: L/ti`v /Z, 72, 1 <br /> To Whom It May Concern: <br /> � � G I,(PRINT NAME ..'-//14' 71--, y .____/___, / ' S , <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year :1)-, C! /7 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> /,S°:5'323 '2 . %$ . <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: <br /> L ' ,� I. /'�/'N G /l4 ./ d c-P-t/i-1 - is,F / ,i / <br /> e u. / jq-Z a I /717/.S 7/).=-41 I ''�o�t //1 '15/ I,/ rk/ <br /> // <br /> How did you find out about the program(s)? _30//N'' DN/% J L/Vf . ti/4%G1/` (2/4;‘)/� <br /> Thank you, 4 <br /> (Signature) I ./g <br />