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DocuSign Envelope ID: o240er38-3r84-4*4e'e0e8-C4r5eAC37487. at <br /> Right <br /> � � Home 4905 Pine Cone Drive, SUITE 2 | P31S,237233J I vmmw.raxdok.00m <br /> In Homo Cam A Anakatnnce DURHAM, NC 27707 | F81g237.2152 | infv@rahgoh,cam <br /> ATTACHMENT E <br /> OVERDUE' TAXES <br /> Orange County Department of Social Services <br /> Contract#68-2017 <br /> KAR Care, LL.C, dba Right at Home <br /> Date: June 30, 2016 <br /> To: Orange County Department of Social Services <br /> Certification: <br /> I certify that the KAH Care, EEC does not have any overdue tax debts, as defined by N.C.G.S. 105-243.1 ', at <br /> the federal, State, or local level. | further understand that any person who makes a false statement in violation <br /> ofN.C.G3. 143C-6-23(c) is guilty ofa criminal offense punishable as provided by NC.G.S, 143C-10'l(h). <br /> Sworn Statement: <br /> Kenneth Helmuth being duly sworn says that he is the Board Chair of KAH Care, 1,1,,C of Durham in the State <br /> of North Carolina; and that the foregoing certification is true,accurate and complete to the best of our <br /> knowledge and was made and subscribed by him I also acknowledge and understand that any misuse ot'State <br /> funds will be reported to the appropriate authoritics for further action <br /> ) --, <br /> , '� <br /> Sworn the day of the date olsaid certilication, `xuwv,// <br /> � ��y L�nmisuiun �x����� - � <br /> ( ~` �~ =^°` �xpvoy <br /> ,.,ouuy �/g�o/ '�&^��.�� -- � <br /> �` • <br /> : <br /> ~^ '// ,?`' ,^ <br /> G.S. 105-243.1 deflnes:Overdue tax debt, —Any part ofa tax debt that remains unpaid 90 day or more afte the notice offimal <br /> assessment was mailed to the taxpayer. File term does not include a tax debt,however, if the taxpayer entered into an installment <br /> agreement for the tax debt under u,S, |V5-2]7 within vm days after the notice olOnul assessment was mailed and has not f'aiIcLI to make <br /> any payments due under the installment agreement" <br />