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11 ._: <br /> argY z <br /> 17 ���_f 52 <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 /> q f <br /> Date: -I / l t /aO 19- <br /> To Whom It May Concern: <br /> I,(PRINT NAME) "L,Y )C/l w + 4 i( S <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year 9J9 I F <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 /> i 1 i <br /> \/L on a_ <br /> V•e,K? I(v )}-ed (014 of avt� <br /> -et 0 (,?71-- tit s-& <br /> n •s vo va. �.h D <br /> Y Li 0 UY rtyy/ S i Gl-P,tc-coL7 oyi <br /> How did you find out about the program(s)? ' Y 1.01 t <br /> Thank you, A 4 is,„., <br /> (Signature) <br /> V <br />