Orange County NC Website
Browse       Search
DocuSign Envelope ID:6D5F41 E3-E7E2-4D6C-l3E76-951 E8674450E <br /> i <br /> CHARL ES HOUSE ASSOCIATION <br /> Helping People Age the Way They Have Lived <br /> 71 <br /> I. <br /> June 15,2018 <br /> Senfing Seniors and Their TO: Orange County Department of Social Services <br /> Families Since 1990 <br /> CERTIFICATION: <br /> Enriching the Ilves of seniors We certify that Charles House Association sloes not have any overdue tax debts,as <br /> Supporting families caring for defined by N.C.G.S. 105-243.1,at the federal,state or local level. We further <br /> aging family members <br /> Representing the communitys <br /> understand that any person who makes a false statement in violation ofN.C.G.S. 143- <br /> commitment to its elders 6.2(b2)is guilty of a criminal offense punishable as provided by N.C.G..S. 143-34(b). <br /> BOARD OF DIRECTORS SWORN STATEMENT: <br /> PRESIDENT Melvin Hurston and Paul Klever being duly sworn,say that we are the Board <br /> Melvin Hurston President and the Executive Director,respectively,of Charles House Association of <br /> VICE PRESIDENT Chapel Hill in the state of North Carolina;and that the foregoing certification is true, <br /> Sheryl Zimmemian accurate and complete to the best of our knowledge and was made and subscribed by <br /> us.We also acknowledge and understand that any misuse of State funds will be <br /> SECRETARY reported to the appropriate authorities for further action. <br /> Sheana Funkhouser <br /> TREASURER <br /> Bradley Fox <br /> Board President <br /> Jesse Basnight,Jr. <br /> Michael Hill <br /> Nancy.tones Executive Director <br /> Suzanne Kalbas <br /> Joel levy Swom to and subscribed before me on the day of the date of said certification. <br /> Betb Tillman <br /> Mildred Witt Jenni#er L.Macy <br /> Notary Public <br /> �gb d e <br /> EXECUTIVE � M Common Ex res 7 2022 <br /> DIRECTOR <br /> Paul Klever Sl tor�a�nd eal) <br /> paul@charleshouse.orgZMy Commission Expires: Z0 72— <br /> G.S. 105-243.1 defines: Overdue tax debt.—Any part of a tax debt that remains unpaid 90 days <br /> or more after the notice of final assessment was mailed to the taxpayer.The term lows not <br /> include a tax debt,however,if the taxpayer entered into an installment agreement for the tax <br /> debt under G.S, 105-237 within 90 days after the notice of final assessment was mailed and has <br /> not failed to make any payments due under the installment agreement, <br /> 751 1 SUNRISE ROAD, CHAPEL HILL, NC 27514 (919) 967.7570 <br />