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12 <br /> u sa <br /> N cat <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: a <br /> To Whom It May Concern: J <br /> -wish to be considered for Property Tax Exemption,Exclusion or Defer- for the tag year '0 <br /> on T Abstract or arce Identification Number(s)(PIN)# <br /> In accordance with North Carolina General Statute 105-282.1(al),1 submit the reasons)set forth below for <br /> consideration as demonstration of good cause for failure to matte a timely application. An untimely <br /> application approved under G.S.105-292.1(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 ex p�� <br /> c.� D .0 <br /> e h ,e- ��. <br /> V a7 <br /> How did you find out about the program(s)7 <br /> _7 <br /> Thank you, <br /> 4 <br /> {'Signature} . <br />