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11 <br /> ( — <br /> 51 D <br /> �/I__; o <br /> l7 S2 <br /> SEP O Y 2g20 <br /> (?range Coup <br /> � Tax <br /> a <br /> Tax) <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 /> 13(PRINT NAME) ) <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year L <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <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: <br /> (A C'i t7 4 a �`u 5 ��GWl 1-Z"A Y d�Vt�� Ll� Ci � �Pi <br /> How did you find out about the program(s)? Ls 0 V9,v 45of l o eJe <br /> Thank you, <br /> I <br /> (Signature) <br />