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DocuSign Envelope ID:41719992-014C-42.FB-B112-4FE349CEE5B1
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<br /> `..ViSpisite
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<br /> 5; tr-t01.1 .Pt",* .
<br /> Center...':.::::
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<br /> up ORANGE COUNTY
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<br /> June 27, 2017
<br /> TO: Orange County,.and to whom it may concern
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<br /> Certification
<br /> We certify that the Dispute Settlement Center, Inc. has no overdue tax debts, as defined 1
<br /> 1 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. 143-6,2(b2) is guilty of a
<br /> criminal offense punishable as provided by N.C.G.S. 143-34(b)...
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<br /> Sworn Statement
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<br /> Matt Epstein and Frances Henderson, being duly sworn, say that they are the President ,
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<br /> and Executive Director; respectively, of the Dispute Settlement Center, Inc. in the State
<br /> of North Carolina; and that the foregoing certification is true, accurate, and complete to 1
<br /> the best of their knowledge and was made and subscribed to by them. They also g
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<br /> ' acknowledge and understand that any misuse of State funds will be reported to the I
<br /> appropriate authorities for further action.
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<br /> (Matt Epstein) Sworn to and subscribed before me on the day of the date of said
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<br /> certification. S . .
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<br /> Matt Epstein;President Date fl
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<br /> (Frances Henderson) Sworn to and subscribed before me On -the day of the date of said 11
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<br /> certification.
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<br /> Frances Henderson, Executive Director • . .Date *
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<br /> Notary Public
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<br /> My Commission expires:007./,-Lgt2P64
<br /> United (RN •
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<br /> • Way
<br /> Vgdaiarmangte 302 West Weaver Street,Carrboro,N,C,27510 • (919)929- 8O0 • fax:(919)942-6931 • www.clisputesettlement.org
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