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12 <br /> ®�p�le ` Eo11d <br /> .�. i <br /> tI <br /> 0 <br /> "tit ccaco�� <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: l 0 i 2-5 l )-0 11 <br /> To Whom It May Concern: <br /> I,(PRINTNAME) "Ri✓rii(ti W tsl- -'.V-' el-Sib/IA/1%d - iY C,-S L‘ --C-- , <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year 20 (-7 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 9 S-°) 0 2_t--(t S).010`t 1 . <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 re quest. <br /> Please explain: <br /> le <br /> Fe-Si oQ e.✓}.CS S^' GAS iS Q I��/ e-3 uv-AG,w e_cd-i, 1-!L'1-44,,Y►aS�CS <br /> i"�S i h tna b,c-v/- c.,-,—r_ swix 0 S J -1-o ✓Sly.S w i I-t, <br /> dwa0-60. -.-._4- RA's cv6 /,-4- c s i <br /> How did you find out about the program(s)? uuC/(- S pr05-'G441— 6i',+lec / .7 7 V. <br /> Thank you, ��p <br /> ._— -6? 1l/Wv <br /> (Signature) <br /> • <br />