2019-583-E DSS - Stephenson and Fleming DSS legal services

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DocuSign Envelope ID:840239B8-6ECB-403A-8387-COFEOF84D949 ATTACHMENT E OVERDUE TAXES Orange County Department of Social Services Instructions: Grantee/Provider should complete this certification for all funds received.Entity should enter appropriate data in the yellow highlighted areas. The completed and signed form must be provided to the County Department of Social Services. _ . KPH EN "S'U' N c� La bad" August 12,2019 To: Orange County Department of Social Services Certification: We certify�that the law firm of Stephenson& Fleming, LLP does not have any overdue tax debts, as defined by N.C.G,S. 105-243.1 1,at the federal.State, or local level. We Further understand that any person who makes a false statement in violation of N.C.G.S. 143C-6-23(c)is guilty ora crirninal offense punishable as provided by N.C.G.S. 143C-10-1(b). Sworn Statement: Angenette Stephenson and Deana K.Fleming being duly sworn,say that we are the Partners, respectively,of Stephenson&Fleming,LLP of Chapel Kill in the State of North Carolina;and that the foregoing certification is true,accurate and complete to the best of our knowledge and was made and su cri d by us. We also acknowledge and understand that any misuse of State funds II be re ❑reed t the appropriate authorities for further action. Part r i Partner Sworn to and subscribed before me on the day of the date of said certification. t G.S.105-243.1 defines:Overdue tax debt.—Any part of a tax debt that remains unpaid 90 clays or more alter the notice of final assessment wus mailed to the taxpayer.The term does not include a tax debt,however,il'thc taxpayer entered into an installment agreement for the tax debt under G.S.105-237 within 90 days alter the notice of final assessment was mailed and has not railed to make any payments dale under the installment Agreement." Overdue Taxes—(07/08) Page I of