Orange County NC Website
DocuSign Envelope ID: 1A43D806-0D44-4AC1-898C-3042FDBCA241 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> iii. Does your agency budget show a Surplus or Deficit? No <br /> Is there a significant change? No <br /> Please provide a brief explanation for Surplus or Deficit, and significant changes. <br /> iv. What is your agency's fiscal year? July 1 — June 30 <br /> (Example: July 1, 2016 through June 30, 2017) <br /> Agency Information 1/27/2017 8:51:47 AM Page 8 of 18 <br />