Orange County NC Website
24 <br /> State Grant Certification -- No Overdue Tax Debts <br /> Instructions: Grantee/Contractor should complete this certification for all state funds received. Entity should <br /> enter appropriate data in the yellow highlighted areas. The completed and signed form should be <br /> provided to the state agency funding the grant to be attached to the contract for the grant funds. A <br /> copy of this form, along with the completed contract, should be kept by the funding agency and <br /> available for review by the Office of State Budget and Management. <br /> Vole": /f,rott hav<,a eloltPP`eull that exionds fl fw(r'th(m oflo ;tat"fisted/ ."(?r. volt will Fwv(/to(7/fohl ent tlfl'/idrt"(d(`rrV'Y!%lE'Clltt)f?,fvP <br /> colifolof, <br /> 04/18/2024 <br /> To: Nancy Coston, Director, Orange County Department of Social Services <br /> Certification: <br /> We certify that the law firm of Stephenson & Fleming, LLP does not have any overdue tax debts, as <br /> defined by N.C.G.S. 105-243.1, 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 <br /> offense punishable as provided by N.C.G.S.) 143C-10-1(b). <br /> Sworn Statement: <br /> Angenette Stepheson and Deana K. Fleming being duly sworn, say that we are Partners, respectively, <br /> of Stephenson & Fleming, LLP of Chapel Hill in the State of North Carolina; and that the foregoing <br /> 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 <br /> reported to thpIppropriate authorities for further action. <br /> Avm� <br /> Partin ana K. Fleming <br /> Y®eq @7tb PP61g FNEY <br /> Partn An nette Stephenson f , <br /> Sworn to and subscribed before me on the day of the date of said certification. (� <br /> � �',' 4 � 1 P°t F <br /> My Commission Expires: . Lk,-20-L(,°r) <br /> (Notary Signature Seal) <br /> If there are any questions,please contact the state agency that provided your grant. if needed,you may contadlf the'+N&W b <br /> Carolina Office of State Budget and Management:NCGrants@osbm.nc.gov-(919)807-4795 <br /> I G.S. 105-243.1 defines: Overdue tax debt.—Any part of a tax debt that remains unpaid 90 days or more after <br /> the notice of final assessment was mailed to the taxpayer.The term does not include a tax debt, however, if the <br /> taxpayer entered into an installment agreement for the tax debt under G.S. 105-237 within 90 days after the <br /> notice of final assessment was mailed and has not failed to make any payments due under the installment <br /> agreement." <br /> Page 1 of 1 <br /> MS&NCD Form 0008 <br /> Eff.July 1,2005 <br /> Revised July 18,2006,7/07,8/09,9/11 <br />