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f <br /> t <br /> u sz f <br /> f <br /> 0 <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 /> M <br /> Date: <br /> e <br /> To Whom It May Concern: a <br /> J <br /> I,(PRINT NAME) ` SPiSd h , <br /> 20/7 <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year <br /> on Tax Abstractor Parcel Identification Number(s)(PIN )# <br /> ,f X73 qf-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(a1)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 /> i <br /> explanation is needed,please submit an attachment with this request. <br /> Please explain: L - 0 °` <br /> ' /L" U2611Pd&A-2 � <br /> How did you find out about the program(s)? ReOi^-+ 7`RX J�yryrt4L Vi 1OA7 <br /> Thank yon, �Q <br /> <fz t to- <br /> (Signature) <br />