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6 <br /> u sz <br /> .a <br /> ort ,'ito V, <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 /> 19(PRINT NAME) Elle'/ [ �c <br /> wish to be considered for Property Tax Exemption,,Exclusion or Deferral for the tax year���� ' <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> /g6 �' �5 <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: 1� r <br /> cs cD tl I� <br /> r--C- c L aAJ 04 Law <br /> a. ScS' dLu�Z; <br /> How did you find out about the program(s)? et 6e%-+4"A 4✓ujf <br /> Th FK'--you, <br /> 1 <br /> (Signature) <br />