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15 <br /> {SCI r '1 r •� <br /> t.'� f��1 <br /> (1{ 1 <br /> JUL 2 ZI''7 ;�;+ <br /> BY--------_ <br /> n' ;z I <br /> 'Itb Cava <br /> I <br /> e <br /> 1 <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: <br /> To Whom It May Concern: <br /> E <br /> T � i <br /> H(PRINT NAME) , t. i e� <br /> wish to be considered for Property Tax Exemption,Exclusign or Deferral for the tax year_ °-d 1/f] <br /> on Tax Abstract or Parcel Identification Numbers) IN)# qI i 4 5 °� q <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(a1)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 /> ChD <br /> _L vV re, <br /> . a-5- • v h u 13; .mss r�-� L)-b re <br /> Hoyv did you find out about the program(s)? r G,� ct�f lc e) <br /> a <br /> " r� lT i Dy�b Than u, yI <br /> WDI hgh4 <br /> ,16 aAc M <br /> (Signature CQIC <br /> �f r� <br /> l <br /> coq have (u.1acd q ` aX jedmc�('Oji !as- year <br /> hod KOC) Wh b a <br /> Seri o� de a f oh bu- nb,� dMS�bi {y f a <br />