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6 <br /> FTL D <br /> AUC; 3 0 2021 <br /> 17 5P GRANGE COUNTY <br /> TAX AD1tiIINISTIMTION <br /> 0 <br /> �io�r4 Qat°��o <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:� � L2.;;_x I <br /> To Whom It May <br /> Concern: <br /> 1, <br /> 1,(PRINTNA_HE) /• �/'C� /�SO/✓ l ��LIWC�� /!C �1 G✓f���+7 , <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year 4?0.2 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> �$-1-71 Qj 857 <br /> In accordance with North Carolina General Statute 105-282.I(a 1),1 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 /> /124-1 6414 o 2 eS <br /> How did you rind out about the program(s)? /tlg <br /> Thank you, <br /> V1. C <br /> (Signature) <br />