2009-083 DSS - Housing for New Hope Inc. to provide homelessness prevention and rapid re-housing $482,933

Browse Search

Housing for New Hope - Preventing and Ending Hornelessnerr, One Valuable Perron at a Time ttac merit State Grant Certification - No Overdue Tax Debts 1 -- Instructions: Grantee should complete this certification for all state funds received. Entity should enter appropriate data in the yellow highlighted areas. The completed and signed form should be provided to the state agency funding the grant to be attached to the contract for the grant funds. A copy of this form, along with the completed contract, should be kept by the funding agency and available for review by the Office of the State Auditor 02/26/2009 To: State Agency Head and Chief Fiscal Officer Certification: We certify that Housing for New Hope, Inc. does not have any overdue tax debts, as defined by N.C.G.S. 105-243.1, at the federal, State, or local level. We further understand that any person who makes a false statement in violation of N.C.G.S. 143C-ti-23(c) is guilty of a criminal offense punishable as provided by N.C.G.S. 143-34(b). Swom Statement: Charles Wilson and Teny Allebaugh being duly sworn, say that we are the Board Chair and Executive - -- -- --Director respectively, af-Housing-for New-Hope of-Ducham~ in the.State of_North Carolina; _and_that the - __ _ foregoing certification is true, accurate-andcomplefe to the besf of our knowledge and v/as made and subscribed by us. We also acknowledge and understand that any misuse of State funds will be reported to the appropriate authorities for further action. Bo.;3r~e air Executive Director Swom to and subscribed before me on the day of the date of said certification. ~ My Commission Expires: 0 3- a ti- of J I J (Notary Signature rid Seal) If there are any questions, please contact the North Carolina Office of the State Auditor. ~~~ '4L.p;H K J ~~i Leigh Ann Kerr ~ (919) 807-7535 or `~~ 0•.•• '~. O~ i~~ Harriet Abraham ~ (919) 807-7673. ~ ,C{lR;: pTAR,~ ~,y, STATE CONTRACT# FDD-08-078-32-SKP = Q ~ ~ = U ~~ ..~~~ •z= G.S. 105-243.1 defines: "Overdue tax debt. -Any part of a tax debt that remains unpaid 90 days ere a111~1BS,'tG .•';yY. the notice of final assessment was mailed to the taxpayer. The term does not include a tax debt, ho tii~he_•..•'1~,` .~~ notice of final assessment was ma ledgand hastnot failed to makenany payment d3ue u'nderthe nstal~tit~ -M CO~~`'``` ///llllltt agreement.° Page 1 of 1 MS&NCD Form 0008 Eff. July 1, 2005 v d Jul ,1 g, 200 7J07 ~~ ~est ~olony~'lace, Suite 250, Durham, NC 27705 phone: (919) 489-6282 fax: (919) 489-6593 wvvw.housingfornewhope.org