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11 <br /> 0{poke -t eat'` <br /> , <br /> 17 '��, �� � - sz <br /> 1./1 ;-7-2 <br /> ortb cave' <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: 101 t (p I I-4 <br /> To Whom It May Concern: <br /> I,MINT NAME) Yv-0 O ' € Pnv -k , <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year 20 I 1 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 983-5 - 1934 . <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: h. <br /> /f <br /> 4AL• 114 -7VL 11` ■ .41 1-: 41111111Milt <br /> How did you find out about the program(s)? 0'6-1'\—U')-.b/w- d 1 . , <br /> Thank you, <br /> / I ' i t <br /> r <br /> (Signatur <br />