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CHARLES HOUSE ASSOCIATION <br /> Helping People Age the Way They Have Lived <br /> July 24,2013 <br /> Serving Seniors and Their TO: Orange County Department of Social Services <br /> Families Since 1990 <br /> CERTIFICATION: <br /> Enriching the lives of seniors <br /> Supporting families caring for We certify that Charles House Association does not have any overdue tax debts,as <br /> aging family members defined by N.C.G.S. 105-243.1,at the federal,state or local level.We further <br /> Representing the community's understand that any person who makes a false statement in violation of N.C.G.S. 143- <br /> commitment to its elders <br /> 6.2(b2)is guilty of a criminal offense punishable as provided by N.C.G.S. 143-34(b). <br /> BOARD OF DIRECTORS <br /> SWORN STATEMENT: <br /> PRESIDENT <br /> Beth Tillman Beth Tillman and Paul Klever being duly sworn,say that we are the Board President <br /> VICE PRESIDENT and the Executive Director,respectively,of Charles House Association of Carrboro in <br /> Luke Riggsbee the state of North Carolina;and that the foregoing certification is true,accurate and <br /> complete to the best of our knowledge and was made and subscribed by us.We also <br /> SECRETARY acknowledge and understand that any misuse of State funds will be reported to the <br /> Dickie Andrews appropriate authorities for further action. <br /> TREASURER <br /> Cindy Skocik <br /> 1 _ <br /> Board President <br /> Michael Bradley <br /> Shelly Craig-Taylor CW / <br /> Shelly Eubanks �wL/`' <br /> Deborah Frazier Executive Director <br /> Michael Hill <br /> Patty Hill Sworn to and subscribed before me on the day of the date of said certification. <br /> Norman Klase ````�4�, <br /> Katie Koenig \\\�.'SNON M. <br /> Caroline Resnick <br /> Jerry Salak <br /> Tammie Stanton M . = Notary Public <br /> Sheryl Zimmerman Q4otdy Signature and Seal) = Durham County <br /> EXECUTIVE <br /> DIRECTOR My Commission Expires: <br /> Paul Klever <br /> paul @charleshouse.org <br /> G.S. 105-243.1 defines:Overdue tax debt.—Any part of a tax debt that remains unpaid 90 days <br /> or more after the notice of final assessment was mailed to the taxpayer. The term dows not <br /> include a tax debt,however,if the taxpayer entered into an installment agreement for the tax <br /> debt under G.S. 105-237 within 90 days after the notice of final assessment was mailed and has <br /> not failed to make any payments due under the installment agreement. <br /> 109 Hillcrest Avenue, Carrboro, NC 27510 (919) 967-7570 <br />