Orange County NC Website
Betty Rintoul, Ph.D. <br />Clinical Psychologist 104 Jones Ferry Road, Suite A <br />(919) 602-2482 Carrboro, NC 27510 <br />Date: June 2, 2009 <br />To: Orange County Department of Social Services <br />Certification: <br />I certify that I, Betty Rintoul, Ph.D,. do not have any overdue tax debts, as defined by <br />N.C.G.S. 105-243.1, at the federal, State, or local level. I further understand that any <br />person who makes. a false statement in violation of N.C.G.S. 143-6.2(b2) is guilty of a <br />criminal offense punishable as provided by N.C.G.S. 143-34(b). <br />Sworn Statement: <br />I swear that I am Betty Rintoul, Ph.D. of Carrboro in the State North Carolina and that <br />the foregoing certification is true, accurate and complete to the best of my knowledge and <br />was made and subscribed by me. I also acknowledge and understand that any misuse of <br />State funds will be reported to the appropriate authorities for further action. <br />~~ ~ <br />Signature of Betty Rintoul <br />Sworn to and subscribed before me on the day of the date of said certification. <br />~ ~~~ <br />My Commission Expires: j-..>~ Z6 ~~ <br />(Notary Signature and Seal) <br />