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9 <br /> I EEM <br /> ® 7r <br /> ti <br /> ®rare✓ C .uin Ta <br /> 17 52 <br /> "Ott, <br /> �.aca� <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 Wbom It May Concern: <br /> r-'V &A' 4 <br /> I,(PRINT NAME) ( XjA <br /> ew <br /> wish to be considered for Protfoeolrty Tax Exemption,Exclusion or Deferral for the tax year <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> 9'M��f0 . &42 <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 (a1)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 e�x�/plllain:,, <br /> \ - <br /> How did you find out about the program(s)? '� efli eix> �22cL ' <br /> Thank ou, <br /> (Signature) <br />