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Contract #68-2006 <br />Triangle Home Health Care, Inc. <br />• <br />ATTACHMENT E <br />OVERDUE TAXES <br />Orange County Department of Social Services <br /> <br />June 21, 2007 <br />To: Orange County Department of Social Services <br />Certification: <br />We certify that the Triangle Home Health Care, Inc. does not have any overdue tax debts, <br />as defined by N.C.G.S. 105-243.1, at the federal, State, or local level. We further <br />understand that any person who makes a false statement in violation of N.C.G.S. 143- <br />6.2(b2) is guilty of a criminal offense punishable as provided by N.C.G.S. 143-34(b). <br />Sworn Statement: <br />t..p ~ I/t. ~ "~ ce.- ,being duly sworn, say that I am the ~ ~ ~o lr , <br />of Triangle Home Health Care. Inc. of Durham in the State of North Carolina; and that <br />the foregoing certification is true, accurate and complete to the best of my knowledge and <br />was made and subscribed by me. I also acknowledge and understand that any misuse of <br />State funds will be reported to the appropriate authorities for further action. <br />n ./___< <br />Director <br />• <br />Sworn to and subscribed before me on the day of the date of said certification. <br />(Notary Signature and Seal) <br />Overdue Taxes - (06/04) <br />My Commission Expires: <br />Page 1 of 1 <br />