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8 <br /> t4oAe <br /> Iz 52 <br /> amort, C uLte 4 <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: t I — 1 �g <br /> To Whom It May <br /> &- na(&M Concern: <br /> 1,(PRINT NAME) <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year e�- <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> -" 7�LG <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: fes_ <br /> 1 U <br /> Dim ! ' 4! -4 vi <br /> e v) <br /> r <br /> How did you find out about the program(s)? � <br /> Tha you, <br /> (Signature) <br />