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2008 Participation Form - new online web format replaces the Microsoft Word or pdf version of previous years

2008 Participation CHANGES only Form (New) -  use this form to notify the Clearinghouse of changes regarding the Debt Setoff Coordinator, Debt Setoff Contact, Phone Number, Email or software selection

Introduction:
  • Letter from David F. Thompson (NCACC) and S. Ellis Hankins (NCLM) regarding Program Changes (announced September 2005) (PDF)

Sample Letters:
  • Sample Resolution for Board Adoption (PDF)

  • Summary of Notification and Appeals Process with Sample Notification & Tracking (MS Word) (PDF)
  • Other sample letters: Simple 1 (MS Word), Simple 2 (MS Word)
 Required Only Once:
  • Memorandum of Understanding and Agreement (PDF)

  • Local Agency Certification  (PDF)

  • Multiple Unit Collection Rider  (PDF)

  • Inter-fund Transfer Authorization Form with Instructions (PDF)

Notes:

  • Send all of the above to the North Carolina Association of County Commissioners or North Carolina League of Municipalities, not the Clearinghouse

  • The above forms are only available in PDF format. Due to the legal and contractual information associated, they are in a format that cannot be modified. The only form which may be modified is the Summary of Notification and Appeals Process with Sample Notification & Tracking

Required Each Year:

Participation Form

  • New online web format replaces the Microsoft Word or pdf version of years 2006 and prior

  • Those local governments that have not yet participated must use the online 2008 Participation form.  Debts submitted to the Clearinghouse from these new entities will be forwarded to the Department of Revenue provided the Compliance Date allows for it. 

  • Send all of the above to the North Carolina Association of County Commissioners or North Carolina League of Municipalities, NOT the Clearinghouse.

  • Be sure to update and/or verify the Coordinator Name, Phone Number and Email Address, Contact Name, Phone Number and Email Address

  • Send the above to the North Carolina Association of County Commissioners or North Carolina League of Municipalities, not the Clearinghouse. 

  • Must be received by December 1st each year in order to be prepared for the next tax year

File Layouts:

 


Contacts for Forms

NCACC:                                       John Whitehurst                    (919) 715-2893                       (919) 733-1065 (Fax) john.whitehurst@ncacc.org

NCLM:                                           Tom Medlin                                (919) 715-2906                       (919) 715-1900 (Fax) tmedlin@nclm.org

Administrative  Asst:               Wanda Veasey                                (919) 715-2218  wveasey@nclm.org

 

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