Orange County NC Website
Attachment E <br />Overdue Taxes <br />Orange County Department of Social Services <br />Family Violence Prevention Center of Orange County <br />P.O. Box 187 <br />Chapel Hill, NC 27514 <br />Tel: (919) 929-3872 Fax: (919) 929-9925 <br />June 1, 2011 <br />To: Orange County Department of Social Services <br />Certification: <br />We certify that the Familv Violence Prevention Center of Orange County does not have any overdue <br />tax debts, 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. 143C-6-23(c) is <br />guilty of a criminal offense punishable as provided by N.C.G.S. 143C-10-1. <br />Sworn Statement: <br />Michelle Williams Hamilton and DeWarren Brandon Watson being duly sworn, say that we are the <br />Board President and Treasurer, respectively, of Familv Violence Prevention Center of Orange County <br />in Chapel Hill in the State of North Carolina; and that the foregoing certification is true, accurate and <br />complete to the best of our knowledge and was de and subscribed by us. We also acknowledge <br />and understand that any misuse of State swill a reported to the appropriate authorities for <br />further action \\~~~ttll lI t~~~~~/ <br />\~~~\P.NUDSO~ ii~~ <br />•' <br />P sident _= ~• NARY ' ~ -_ <br />'" *** ;~_ <br />O •• PUBLIC = <br />e e ~~iicF COU 1~\\\\\~~ <br />Sworn to and subscribed before me on the day of the date of said certification. <br />(Notary ignature and Seal) <br />My Commission Expires: I °Z/3 ~ / ~ 3 <br />Overdue Taxes - (07/08) Page 1 of 1 <br />