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5 <br /> rAUG <br /> � EM <br /> Ot <br /> f t�^ -)t.- <br /> 17 <br /> ;t.17 52 <br /> l <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 /> I,(PRINT NAME) I\�"�J &J a 14 YU C �C , <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year ! c Z 2 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 2 � J 79 <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: n 1, <br /> How did you find out about the program(s)? W" Cy— <br /> Thank you, <br /> (Si ture) d <br />