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MAY 2 3 POi� 9 <br /> O r ange Cow;. <br /> d <br /> 17 52 <br /> ��aCrh �nrel��o- <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 /> To Whom It May Concern: <br /> I,m r.A l �CSY�5 C� 1 L��} f 11 ' 1�iYeC. fpsfOMR_Y�iGJ U , <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year s b 1 <br /> on'fax Abstract or Pare I rication Number(s)(PIN)# <br /> In accordance with.North Carolina General Statute 105-282.I(a!),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. 1 Q5-282.1 (a 1)applies only to the property taxes levied by the county or <br /> municipality in the calendar year in which the untimely application is fled. if additional space for <br /> explanation is needed,please submit an attachment with this request. <br /> Please explain: <br /> �av�ua LA <br /> a & <br /> How did you find out about the program(s)? '- a,' — c� non—in ootr't <br /> Thank you, <br /> (Signature) <br />