Orange County NC Website
s i j <br /> DocuSign Envelope ID:B92DDOFA-B451-4722-ACC3-D65CAA5BDAEC <br /> r kj°✓t\-�>{` 1 l <br /> Jun 02 2012:01 p Premier Home Health Care 1 p.1 <br /> June 2,2020 <br /> To:Orange Cminty Department of Social Smiees <br /> Certit-uatiotu <br /> We certify that t11e Premier Rome Health Care Services,Inc.does not have any overdue tax debts,as <br /> defined by N.C.G.S. 105-243.11,at tlx:federal,State,or local level. We fiirther understand that any <br /> person,who makes a false statement in violation orN.C.G.S. 143C-6-23(c) is guilty of a cximinal offense <br /> punlshoble as pro-vided by N.C,G,S. 143C-10-1(b). <br /> Sworn Statement: <br /> Artie Schwabe and Gregory`1 urchan being duly sworn.. say that we are the Hoard Cliair and President, <br /> respeet-ively,of Premier Home Health Care Semiecs,Inc. in the Stare of Norrh Carolina and that the <br /> foregoing eerti:cation is trams accurate and comptete to the best of our knowledge and was made and <br /> subscribed by us. We also aclmawledge and understand that any misuse of State funds-will be repor ed to <br /> the appmpraterhuthcm-�i�for eror,� <br /> Board Cis' <br /> I' ' At <br /> Sworn to and subscribed before me on the day of the date of said cerfifir ation, <br /> (( '�otary Si tore and Seal 11 <br /> ALICE 3. LOUSSERG <br /> NOTARY at76LiC STATE OF NEW YORK <br /> NO-ML06 l43533 <br /> QUALIFIED IN DUTCHnS COUNTY <br /> (:OM 1SSION E:XPMES 16W 0,24 .A=;� <br />