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7 <br /> 17 52 <br /> JAN 13 2022 <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: i ll q ld t---)` <br /> To Whom It May Concern: <br /> I,(PRINT NAME) l C—ki VC i =-Iij&Zfjl--n L)p ,wish to be <br /> considered for Property Tax Exemption,Exclusion or Deferral for the tax year on Tax <br /> Abstract or Parcel Identification Number(s) (PIN)# L <br /> Please note that the deadline to submit a timely application Deadline is June 1st of the tax year. <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 application <br /> approved under G.S. 105-282.1 (al)applies only to the property taxes levied by the county or municipality in the <br /> calendar year in which the untimely application is filed. If additional space for explanation is needed,please <br /> submit an attachment with this request. <br /> Please explain: <br /> i n U' t`yt 10 1 r LL-y-a u" <br /> V- u -AQP—PL (--CA-( t JA- I ( l e c <br /> How did you find out about the program(s)? C,LfL C <br /> Thank you, <br /> Signature <br />