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DocuSign Envelope ID: AA1647C8 -6778- 4021- 9E83- EDC4C913A37C <br />Attachment E -- No Overdue Tax Debts <br />SHI - Orange <br />0610412018 <br />To: Orange County Department of Social Services /Human Services <br />Certification: <br />We certify that SHI - Orange does not have any overdue tax debts, as defined by N.C.G.S. 105- 243.1, <br />at the federal, State, or local level. We further understand that any person who snakes a false <br />statement in violation of N.C.G.S. 1430- 6 -23(c) is guilty of a criminal offense punishable as provided <br />by N.C.G.S.) 143C -10 -1 b. <br />Sworn Statement: <br />Charles E. Trefzger, Jr. and Shana Gebelein being duly sworn, say that we are the Board Chair and <br />V.P. of Finance, respectively, of The Stratford of Chapel Hill in the State of North Carolina; and that <br />the foregoing certification is true, accurate and complete to the hest of our knowledge and was, made <br />and subscribed by us. We also acknowledge and understand that any misuse of State funds will be <br />reported to the appropriate authdrities for further action. <br />Chair <br />Cl�of Financ <br />Sworn to and subscribed before me on the day of the date of said certification. <br />My Commission Expires. � <br />(Notary Signature and Seal) <br />co U i <br />",, w <br />I G.S. 105 -243.1 defines: Overdue tax debt. -- Any part of a tax debt that remains unpaid 90 days or more after <br />the notice of final assessment was mailed to the taxpayer. The terns does not include a tax debt, however, If the <br />taxpayer entered Into an installment agreement for the tax debt under G.S. 105-237 within 90 days after the <br />notice of final assessment was malted and has not failed to make any payments due under the installment <br />agreement." <br />Page 1 of 1 <br />Rev. 6 -7 -2015 <br />