Orange County NC Website
Contract#68-2012 <br /> CNC Access,Inc.dba ResCare HomeCare <br /> ATTACHMENT E <br /> OVERDUE TAXES <br /> Orange County Department of Social Services and Orange County Department on Aging <br /> / ,2010 <br /> To: Orange County Department of Social Services and Orange County Department on <br /> Aging <br /> Certification: <br /> I certify that CNC Access, Inc.,DBA ResCare HomeCare does not have any overdue tax <br /> debts,as defined by N.C.G.S. 105-243.1, at the federal, State, or local level. I 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 /> 'J i <br /> 1 d�D �� ,being duly sworn, say that I am the (A-AL 1P':' of <br /> CNC Access,Inc., DBA ResCare HomeCare of Chapel Hill in the State of North <br /> Carolina; and that the foregoing certification is true, accurate and complete to the best of <br /> my knowledge and was made and subscribed by me. I also acknowledge and understand <br /> that any misuse of State funds will be reported to the appropriate authorities for further <br /> action. <br /> I <br /> Dir ct <br /> Sworn to and subscribed before me on the day of the date of said certification. <br /> My Commission Expires: <br /> (No S' a muro}�1 Seal) <br /> � ST1L(N�ii��. <br /> " pUBVP <br /> c000 <br /> Overdue Taxes—(06/04) Page 1 of 1 <br />