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Ln <br /> Z017 <br /> Sy <br /> k <br /> Request for Approval of <br /> Property Tax Exemption, Exclusion or Deferral <br /> D-ue to Showing of Good Cause for Failure to Make a Timely Application <br /> t <br /> Date: <br /> E <br /> To Whom It May Concern: <br /> �d c <br /> Is Q?RUfr xaML) V V a 1 da <br /> wish to be considered for Property Tag Exemption,Exclusion or Deferral for the tax year © � <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> F. <br /> E <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 /> ti <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 /> .e, on vtK 1(INI) budziet and. lit S-t' <br /> r a—1 u <br /> %�� <br /> How did you find out about the program(s)? <br /> Thank you, <br /> E <br /> Q <br /> (Signature) <br /> Y <br /> 1 <br /> C <br /> E <br /> 2 <br /> q <br />