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ATTACHMENT E <br />CERTIFICATION OF NO OVERDUE TAX DEBT <br />Instructions: <br />The attached document must be completed by all non-governmental entities receiving state funds. <br />1. Download the form from OEO's website (httn://www.dhhsstate.nc.us/oeo/) <br />(The form in the contract package will look slightly different from the form on the website. The website form has <br />been reformatted for print on standard letterhead. If needed, please adjust to fit your agency's letterhead. Fonn <br />should be one page only.) <br />2. Fill in the blanks with your agency's information <br />3. Form must be notarized <br />4. Print form and return to our office with the original contract <br />Or <br />I. Copy the attached document on your agency's letterhead <br />2. Fill in agency's information <br />3. Print, notarized and return with original contract <br />DHHS (Contract) (General) (03/07) ~ 7 ~ l0 <br />