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i <br /> 7 <br /> • t <br /> i <br /> ®SAsiv a C044� <br /> 17 52 3 <br /> ` k <br /> phi <br /> — Q d <br /> • 6 <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: <br /> p <br /> To Whom It May Concern: <br /> I,(PRWTNAME) <br /> wish to be considered for Property Tag Exemption,Exclusion or Deferral for the tag year a <br /> onn�Tax CAbstract 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 /> • <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 Sled. If additional space for I <br /> explanation is needed,please submit an attachment with this request. <br /> i <br /> I <br /> Please explain:l <br /> f <br /> I <br /> Hoye did you find out about the program(s)? <br /> :Thank you, <br /> • (Signature) <br />