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6 <br /> et- <br /> °q,ra 52 -- <br /> �lorrh caco�`�a <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: If- 6 - 2017 <br /> To Whom It May Concern: <br /> I,(PRINT NAME) Ells - • T' '"`-Ce,h , <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year 2o/7 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 73 gq--3 /660 <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: ?1/7 Attrat6a-"11, <br /> w • ham aatyi&i-+_A a , <br /> pfrrrein b-40 b%/ <br /> How did you find out about the program(s)? Fi- ' 7' x h./1 r lh r1let7;on 0 A S'74112 <br /> 2vJr', <br /> Thank you, <br /> (Signature) <br />