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DocuSign Envelope ID:00FE0B2E-F9BE-4D36-97AE-1776640D2D7C <br /> 'oreA DURHAM T E C <br /> I s s 107 1, <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: 12/15/2016 <br /> To: Orange County Department of Social Services <br /> Certification: <br /> We certify that the Durham Tech Community College does not have any overdue tax debts,as <br /> defined by N.C.G.S. 105-243.1',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. 143C-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 /> MaryAnn E.Black and Matthew Williams being duly sworn,say that we are the Board Chair <br /> and Matthew Williams— Vice President, Finance& Administrative Services, respectively,of <br /> Durham Tech Community College of Durham in the State of North Carolina; and that the <br /> foregoing certification is true,accurate and complete to the best of our knowledge and was made <br /> and subscribed by us. We also acknowledge and understand that any misuse of State funds will <br /> be reported to the appropriate authorities for further action. <br /> :..rd lair <br /> Vice President, Finance&Administrative Services <br /> Sworn to and subscribed before me on the day of the date of said certification. <br /> 01_41 . <br /> • i I AV2.0/1 <br /> R-ExPialf <br /> (Notary Signature and Seal) B Oil <br /> of „by <br /> • Public • ' • <br /> G.S. 105-243.1 defines:Overdue tax debt. -Any part ol 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 lax debt under G S. 105-237 within 90 days after the notice of final <br /> assessment%%as mailed and has not failed to make any payments due under the installment agreement." <br /> Overdue Taxes- (07108) Page I of 1 <br />