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DocuSign Envelope ID:6640lB51-89A1-4507-BCA8-FE809341297F <br /> September 26,2019 <br /> To:Orange County Department of Social Services <br /> Certification: <br /> We certify that the Premier Home Health Care Services,Inc.does not have any overdue tax debts,as <br /> defined by N.C.G.S. 105-243.11,at the federal,State,or local level. We further understand that any <br /> person 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-10-1(b). <br /> Sworn Statement: <br /> Artie Schwabe and Gregory Turchan being duly sworn,say that we are the Board Chair and President, <br /> respectively,of Premier Home Health Care Services,Inc.in the State of North Carolina and that the <br /> foregoing certification is true,accurate and complete to the best of our knowledge and was made and <br /> subscribed by us. We also acknowledge and understand that any misuse of State funds will be reported to <br /> the appropri_3e authorities for 11.ir I1er actio 1. <br /> Board ChajkJ <br /> PresidWit <br /> Sworn to and subscribed before me on the day of the date of said certification. <br /> � r My Commission Expires: rZZ <br /> (Notary 5i ature and Seal) <br /> ALICE J, LOUSBERG <br /> NOTARY PUBLIC STATE OF NEW YORK <br /> NO.OI L06043539 <br /> QUALIFIED IN DUTCHESS COUNTY <br /> COMMISSION EXPIRES JUNE 19,20 2—a <br />