Orange County NC Website
Flaircare,Inc. <br /> ATTACHMENT E <br /> OVERDUE TAXES <br /> Orange County Department of Social Services and Orange County Department on Aging <br /> 2,4 , 2010 <br /> To: Orange County Department of Social Services and Orange County Department on <br /> Aging <br /> Certification: <br /> I certify that Flaircare, Inc. does not have any overdue tax debts, as defined by N.C.G.S. <br /> 105-243.1, at the federal, State, or local level. I further understand that any person who <br /> makes a false statement in violation of N.C.G.S. 143-6.2(b2)is guilty of a criminal <br /> offense punishable as provided by N.C.G.S. 143-34(b). <br /> Sworn Statement: <br /> ��or c ��crZ.,e— , being duly sworn, say that I am the �j sss7� of <br /> Flaircare, Inc. of in the State of North Carolina; and that the foregoing certification is <br /> true, accurate and complete to the best of my knowledge and was made and subscribed by <br /> me. I also acknowledge and understand that any misuse of State funds will be reported to <br /> the appropriate authoritie for further action. <br /> a <br /> Directo <br /> Sworn to and subscribed before me on the day of the date of said certification. <br /> My Commission Expires: 10' a 1 <br /> (Notary Signature and Seal) <br /> Overdue Taxes—(06/04) Page 1 of 1 <br />