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14 <br /> nFrR 17 � D <br /> SEP 0 2020 <br /> 17 5z grange County Tax ' <br /> Request for Approval of <br /> Property Tax Exemptiol , Exclusion or Deferral <br /> Due to Showing of Good Cause for Failure to Make a Timely Application <br /> Date: n- ;`-Z 6 <br /> To Whom It May Concern : <br /> I, (PRINT NAM ) <br /> wish to be considered for Property Tax Exemption , Exclusion or Deferral for the tax year. <br /> on Tag Abstract or Parcel Identification Number(s) (PIN) # <br /> In accordance with North Carolina General Statute 105-282. 1(a1) , 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 (a1) 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 /> i d 16 aelf <br /> M- <br /> Ct lit c� W A16 6 <br /> 1 � 0. Y� e; 'j . )j e <br /> i <br /> How did you find out about the program (s) ? VA �� p r" esej' /'Adr1 y� <br /> Thank you, j <br /> �► <br /> (Signature) <br /> i <br />