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4 <br /> 10 <br /> i7 52 <br /> r <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: TuKe- 19,Z011 <br /> To Whom It May Concern: l <br /> I,�,�K,,,,�y &recN�ield SeNior HouSiN�t L..1..G <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year 201? <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 9"19°15'1 7-963 <br /> 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. I <br /> Please explain: <br /> �reeH�i�1� SeNior Hous%N9,I-LO o c juj1ced -lime, p xcet from }he. Towm o4 Chatel HUI oN I'flo�rcl, I <br /> 1.At-7. TVA;& dale, µiaS PH--r *Ae- deQAI;*le -ror avi;coi'ioo aNd a 10lre 4rflico.Voµ, <br /> ' a <br /> How did you find out about the program(s)? Irc a mee-tiNc wish}he'TAx lissessor oK ZjuNe 11517.01-7 <br /> Thank you, <br /> (signature) <br />