Orange County NC Website
Browse       Search
ASSISTANCE <br /> Travel <br /> Transport, Inc. <br /> Contract 968-1020 <br /> Assistance Travel&Transit,Inc. <br /> ATTACHMENT E <br /> OVERDUE TAXES <br /> Orange County Department of Social Services <br /> Instructions: Grantee/Provider should complete this certification for all funds received.Entity <br /> should enter appropriate data in the yellow highlighted areas. The completed and signed form <br /> must be provided to the County Department of Social Services. <br /> [Date of Certification(04-04-2013)] <br /> To: Orange County Department of Social Services <br /> Certification: <br /> We certify that the Assistance Travel&Transport,Inc. does not have any overdue tax debts,as <br /> defined by N.C.G.S. 105-243.1 t,at the federal,State,or local level. We further understand that <br /> any person who makes a false statement in violation of N.C.G.S. 1430-6-23(c)is guilty of a <br /> criminal offense punishable as provided by N.C.G.S. 143C-10-1(b). <br /> Sworn Statement: <br /> Kenneth M.Williams and Tonya R.Williams being duly sworn,say that we are the President and <br /> Secretdry,respectively,of Assistance Travel&Transport,Inc.of Durham in the State of North <br /> Carolina;and that the foregoing certification is true,accurate and complete to the best of our <br /> knowledge and was made and subscribed by us. We also acknowledge and understand that any <br /> misuse of Stat funds will be reported to the appropriate authorities for further action. <br /> J*aLCbair <br /> C-J)a444 <br /> Secret <br /> Sworn to and subscribed before me on the day of the date of said certification. <br /> A- 4�1k4 My Commission Expires: <br /> otary Signature and Seal) <br /> G.S.105-243.1 defines:Overdue tax debt-Any part of a tax debt that remains unpaid 90 days or more after the <br /> notice of final assessment was mailed to the taxpayer.The term does not include a tax debt,however,if the taxpayer <br /> entered into an installment agreement for the tax debt under G.S.105-237 within 90 days after the notice of final <br /> assessment was mailed'and has not failed to make any payments due under the installment agreement." <br /> Overdue Taxes-(07/12) Page I of I <br /> 3710 University Drive,Suite 240 Durham,NC 27707 Phone:919-489-5050 Fax:919-489-5011 <br />