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DocuSign Envelope ID: FBA030F0-9120-42B9-A272-5932D959B8F6 <br /> CHARLES HOUS5 ASSOCIATION <br /> �•�, Helping people age the way they have lived <br /> June 25,2019 <br /> To: Orange County Department of Social Services <br /> Serving Seniors and Their <br /> Families Since 1990 <br /> Certification: <br /> Enriching the!Ives ofsen1w We Certify that Charles House Association does not have any overdue tax <br /> Supportingfam111es caring for debts, as defined by N.C.G, 105-243.1, at the federal, state, or local level. We <br /> aging family members <br /> further understand that any person who makes a false statement in violation of <br /> Reprerentirrg the rommuniLy's <br /> commitment to its elders N.C.G.S. 143-6-23(c) is guilty of a criminal offense punishable as provided by <br /> N.C.G.S. 143C-1a-1. <br /> 130AHIJ OF DIRECTORS <br /> Bradley Fox and Paul Klever,being duly sworn, say that we are tie Board <br /> PRESIDENT Treasurer and Executive Director, respectively, of Charles House Association <br /> Melvin Hurston of Chapel Hill, in the state of North Carolina; and that the foregoing <br /> VICE PRESIDENT certification is tiue,accurate and complete to the best of our knowledge and <br /> Beth'Fillman was made and subscribed by us, We also acknowledge and understand that any <br /> ;Board <br /> suse of State fiord4wi be reported to the appropriate authorities for further <br /> SECRETARY ion. <br /> Sheana Futilchouser <br /> TREASCIRER <br /> Bradley Fox <br /> Treasurer <br /> Jesse Bassnight,Jr. (P � <br /> Anna Beeber <br /> Suzanne Kalbas Executive Director <br /> Julia Lunsford <br /> Joel Levy Sworn to and subscribed before me on the day of the date of said certification. <br /> Nancy Jones <br /> Mildred Witt L```1` tt1t9Hpt��f, <br /> ay <br /> EXECUTIVE Notary Signature grid Seaf Q; No1[3ty Public <br /> DIRECTOR urban'G°unw <br /> PaulItlever MY oromisslosr xPiSeS} <br /> paul@charleshouse,org <br /> My Commission Expires: 13 ,y <br /> q CPS" �"N <br /> G.S. 105-243.1 defines:overdue tax debt.—Any part of a tax debt that remains unpa€d 90 days or more <br /> after the notice of final assessment was mailed to the taxpayer.The term does not include a lax debt, <br /> however,.if the taxpayer entered into an Installment agreement for the tax debt under G.S. 105-237 within <br /> 90 days aQcr the notice of final assessment was mailed and has not failed to make any payments due <br /> under the installment agreement. I <br /> 1 <br /> `s <br /> 1 <br /> 7511 Sunrise Road, Chapel Hill, NC 275 i 4 (919) 967-7570 <br />