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6 <br /> CE fE <br /> AUG 7 2017 <br /> Ei By <br /> art$ caCa��� <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: Ail 111 bl') <br /> To Whom It May Concern: <br /> I,(PRINT NAME) el n�L a 7 1 2 , c+ <br /> wish to be considfor Property Tax Exemption,Exclusion or Deferral for the tax year 00 11 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 6/0437/ 0,27 <br /> In accordance with North Carolina General Statute 105-282.1(al),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 /> 1,(LiLft st <br /> St)fit <br /> How did you find out about the program(s)? <br /> Th k you, <br /> (Signat re) �J <br />