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7 <br /> ®S���e <br /> u =.1 r L,sz <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: io-1 4 1 <br /> To Whom It May Concern: <br /> I,(PRINT NAME) ` A h'C+C <br /> r <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year { 0' <br /> on Tax Abstract or Parcel Identification Number(s) (PIN)# <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: <br /> WOLN1) CUACTC— 41 al- "4"kt6 q(e-114Pii On titia..5 , vne, <br /> How did you find out about the program(s)? <br /> Thank you, <br /> (Signature) <br /> • <br />