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12 <br />®`°"se C04'�fti AIL <br />Ir sz <br />��C z 8 20» <br />O�GE <br />��ohth �aC °���a TAX Oo�TY <br />n1?g TION <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: V z i ( B f-7 <br />To Whom It May Concern: <br />I, (PRINT NAME) 1 e I - r)UDYE <br />wish to be considered for Property Tax Exemption, <br />3r <br />on Tax Abstract or Parcel Identification Number(s) (PIN) # <br />G -18-1 18 35t5b <br />or Deferral for the tax year ?-0 <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 />explanation is needed, please submit an attachment with this request. <br />Please explain: <br />(at-vo' 1 ab lc- <br />How did you find out about the program(s)? �%� -E>} <br />Thank you, <br />(Signature) <br />