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6 <br /> LED <br /> u 52 DEC 2 8 2021 <br /> ;u <br /> dart' aCnNGE c-OUNTY <br /> TAX AD&ONLISTRATION <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: a <br /> To Whom It May Concern: <br /> � t <br /> 1,(PRINT NAME) �t!1t(I� V1 19 J[ f }}��C Z ✓� <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 /> 9 (e Ll I `4 <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: t <br /> J r <br /> How did you find out about the program(s)? `C /c,� , ? j}y?`� & KE <br /> Thank you, <br /> tc• -; G <br /> (Signature) <br />