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DocuSign Envelope ID: FB28FAE1-FFC6-4AE8-BB72-9CC28168D54E <br /> Transit <br /> April 23, 2019 <br /> To: County Department of Social Services/Human Services <br /> Certification: <br /> We certify that Chatham Transit Network does not have any overdue tax debts, as defined by <br /> N,C.G.S. 105-243.1, at the federal, State, or local level. We further understand that any person <br /> who makes a false statement in violation of N.C.G.S. 143C-6-23(c)is guilty of a criminal offense <br /> punishable as provided by N.C.G.S) 143C-10-1b. <br /> Sworn Statement;: <br /> Tim Mounce and Anna Testerman being duly sworn,say that we are the Board Chair and <br /> Executive Director, respectively, of Chatham Transit Network of Pittsboro in the State of North <br /> Carolina; and that the foregoing certification is true, accurate and complete to the best of our <br /> knowledge and was made and subscribed by us. We also acknowledge and understand that <br /> any misuse of State funds will be reported to the appropriate authorities for further action. <br /> LJ <br /> Board Chair <br /> . QIj I 4A 4,j kaa, <br /> Executive Director <br /> Sworn to and subscribed before me on the day of the date of said certification. <br /> v2tMy Commission Expires' p q <br /> (Not iry SignaturNOTAN i}OBLIC <br /> LEE COUNTY,NC <br /> MY COMMISSION EXPIRES D4-29-2019 <br /> 1 G.S. 105-243.1 defines: Overdue tax debt.--Any part of a tax debt that remains unpaid 90 days or more <br /> after the notice of final assessment was mailed to the taxpayer.The term does not include a tax debt, <br /> however, if the taxpayer entered into an installment agreement for the tax debt under G.S. 106-237 within <br /> 90 days after the notice of final assessment was mailed and has not failed to make any payments due <br /> under the installment agreement." <br /> 65 E. Chatham Street www.chathamtransli.org <br /> PO Box 1032, Pittsboro, NC 27312 919.542.5136 1 Fax 919.545.0672 <br />