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7 <br /> C p52 <br /> e <br /> 43'.0 \-1 <br /> itio\'� <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: /3 ` r 1 <br /> To Whom It May Concern: <br /> 1,(PRINT NAME) C love" G f der, / 1 l (ci aC.t_! <br /> e <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year .R01 7 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <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 /> eF1a.r,gc �r-, rcxce.( ?ron,e-kd C2w--N LA-Col aje_ck apt°Ii c4, o-� <br /> How did you find out about the program(s)? 1 0"7-`r+ CCU <br /> Thank you, <br /> / ,V.1,,-;!7 ,,,'''''''e------/, ,,/"; '‘',1 2.> , "m.- -) <br /> P', (Signature) - <br /> I <br />