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5 <br /> /* <br /> 17 52 DEC 23 20119 <br /> ORANGE <br /> A 1)rVI LN <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: /7-11&-Il 9 <br /> To Whom It May Concern: <br /> 19(PRINT NAME) <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year C)019 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 9S656JS153 <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 /> Please explain: 4" 4AJ6 jt4Sf (F1+9111\1M <br /> N5 <br /> How did you find out about the program(s)? mm t <br /> Thank you, <br /> FtSic j/A, <br /> (Signature) <br />