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X <br />f <br />AN 02 2018 <br />tr sz ?'O MIMSTUNTy <br />�TION <br />4 <br />.yorrh Car <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: IJCJ n , I o <br />To Whom It May Concern: <br />I, (PRINT NAME) <br />wish to be considered for Property Tax Exemption, Exclusion or Deferral for the tax year .K �A6P7 <br />on Tax Abstract or Parcel Identification Number(s) (PIN) # <br />q �fC�6g I a I 5,v <br />In accordance with North Carolina General Statute 105- 282.1(al), 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 />How did you find out about the program(s)? r Gt S tc J Cl- — ,) P— A oA J1C i, <br />(/MA fixes. <br />Thank , <br />( gnature) <br />i <br />