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9 <br /> f,6 <br /> u iin J 52 <br /> o"Ib ea�ta■% <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 /> i <br /> Date:(0 �� 00 i.4 ■ <br /> To Whom It May Concern: <br /> I,(PRINT NA&LE) Wa N v C...). L- E, <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year I I <br /> on Tax Abstract o Parcel Identification Number(s)(PIN)# <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 /> P ease explain: . <br /> i <br /> How did you find out about the program(s)? �/, ' ' 'V '�J.,.! CA- 4 . /1, t <br /> • i <br /> Thank yo <br /> C <br /> Cti ai_4(...44_ ek C4T-e-f- . _-- <br /> (Signature) <br />