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5 <br /> 3 � <br /> r� os 05 ore fop <br /> !3 17 t].�r 52 <br /> Qa�� �Orrh aCaY°��� <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: 1 13)CC) 1 <br /> To Whom It May Concern: <br /> I,(PRINT NAME) -1t{ 1\-\\mea cues <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year SO n- <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 00100 q a ► a a�- <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 /> k,\brnAk.ec\ �N-LAN ico t6-) \ xtor bvk sons lac - it <br /> and lgac-\ rP -509ty;,t- nc_, tok riJ -Nr \n m m te a <br /> )(D!r\r‘ bacY') !\Sr, wa5r� \ �wire 4 ,2-)142-0A0‘0 u\},\ \cA--e-r <br /> How did you find out about the program(s)? C�a�gh�er <br /> Thank ou, <br /> (Signat,re) <br />