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12 <br /> u sa <br /> orth lac°���.° C:;utVl �COUNIIY <br /> TAX ADMINISTRATIQX <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,(PRINT NAME) (1 (1 I t l IS Ili S O Y ,wish to be <br /> considered for Property Tax Exemption,Exclusion or Deferral for the tax year ht 1 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 (a1)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 /> ulft-s )a-� ) e JC j5� <br /> How did you find out about the program(s)? n 1 �� s U�' E'S�e t <br /> Thank you, <br /> Cc) <br /> T <br /> Signature <br />