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7 <br /> NUG 2 5 ?021 <br /> 17 52 <br /> C-,unityTai <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:To Whom It May Concern: <br /> I,(PRINT NAME) F.p�\�1A Z. �\�+'�N\ nr sJc,"i <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year Zw!2p <br /> on Tax Ab tract 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 /> N'V Ch- Q�••� (a LS A oStr' <br /> r� <br /> V--5 A Nin <br /> How did you find out about the program(s)? <br /> Thank you,(Signature) <br />