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t <br /> ®�aVLg� <br /> � k <br /> 17 52 <br /> 3 <br /> F <br /> Request for Approval of f <br /> Property Tax Exemption, Exclusion or Deferral <br /> Due to Showing of Good Cause for Failure to Make a Timely Application <br /> s <br /> Date: 101 1 € <br /> F <br /> G <br /> p <br /> To Whom It May Concern: <br /> I,(PRM NAME, T\(0 n y)e <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year 20 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 8 T54 19 A�t <br /> F <br /> In accordance with North Carolina General Statute 105-282.1(al),I submit the reason(s)set forth below for <br /> t <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 /> explanation is needed,please submit an attachment with this request. <br /> u <br /> e <br /> Please explain: r <br /> 4 � _ <br /> ry p <br /> VI € <br /> f <br /> How did you find out about the program(s)? avy) ` . , <br /> ' t <br /> I: <br /> Thank y <br /> • (Signatur <br /> f <br />