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11 <br /> ��Q��4 �o4ryp Fxjr. k <br /> r <br /> u �z DEC 03 ; <br /> TAX Aft M jMS7 <br /> �`th �a<oNNa 2jn7',u,N <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: - n <br /> To Whom It May Concern: <br /> I,(PRINT NAME) !`� �� /". //Z wish to be <br /> considered for Property Tax Exemption,Exclusion or Deferral for the tax year on Tax <br /> Abstract or Parcel Identification Number(s) (PIN)# <br /> Please note that the deadline to submit a timely application Deadline is June 1st of the tax year. <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 application <br /> approved under G.S. 105-282.1 (al)applies only to the property taxes levied by the county or municipality in the <br /> calendar year in which the untimely application is filed. If additional space for explanation is needed,please <br /> submit an attachment with this request. <br /> Please explain: <br /> How did you find out about the program(s)? <br /> Thank you, <br /> Signature <br />