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18 <br /> [3C gPC ROTD <br /> qC041$e + �p <br /> 0` JUL 0.8 2022 <br /> 17 52 ., <br /> prt, Cava <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 W2Z^ <br /> To Whom It May Concern: <br /> I,(PRINT NAME) Z"A' C'561Af/ Oma/1 <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 /> 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 /> ( ignature <br />