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5 <br /> 13 <br /> ' 6 <br /> 0 <br /> � r r� {y_ f_Jrll�� NI <br /> AUG IS <br /> 2 � <br /> Tax.. j <br /> Request for Approval of <br /> rroperty Tax Exemption , fxc *lusio n or Deferra <br /> Due 'to Showing of Good Cause for Fal urre �o Make a Timely APPI cation <br /> Date * <br /> To Whom it May Concern <br /> wash to be coMidered for Property Tax Exemption, Exclusion or Deferral for the tax year <br /> on Tax Abstract or Parcel IdentiAcation. Number(s) (PIN) # <br /> In accordance with North Carolina General ,statute � Os�� �2. 1 (a� ), I s�ubn it the reason(s) set forte beIow for <br /> consideration as demon.stratio.0 o £ good cause for failure to make. a tamely application. untimely <br /> application approved under Q�.S. 105482. 1 (aj.) applies only to the property taxes levied by the county or <br /> munIcipality M the calendar year in which the untimely application m Med . U additional space for <br /> explanation is needed, plcase submit an affachment vAth this request <br /> Please explanae f <br /> ' At <br /> f' f <br /> COL�=e 6F <br /> )IoW did you fwd out about the prograM(s) ? S <br /> Th : 1 <br /> (Signature) <br />