Orange County NC Website
Browse       Search
July 7, 2011 <br />Naw Paw Paw Hser <br />306 Estes Drive, Apt. C-12 <br />Carrboro, NC 27510 <br />To: Orange County Department of Social Services <br />Certification: <br />I certify that I do not have any overdue tax debts, as defined by N.C.G.S. 105-243.1, at <br />the federal, State, or local level. I further understand that any person who makes a false <br />statement in violation of N.C.G.S. 143-6.2(b2) is guilty of a criminal offense punishable <br />as provided by N.C.G.S. 143-34(b). <br />Sworn Statement: <br />I, being duly sworn, say that I am Naw Paw Paw Hser; and that the foregoing <br />certification is true, accurate and complete to the best of my knowledge and was made <br />and subscribed by me. I also acknowledge and understand that any misuse of State funds <br />will be reported to the appropriate authorities for further action. <br />Signature <br />Sworn to and subscribed before me on the ~ day o ~. , 2011. <br />My Commission Expires: Cc~ v~l c~-~~ <br />Signature and Seal) <br />~•' ~ilTi~ ~~•:° <br />R~ <br />AA `` ~ ._ <br />R.~\V _ <br />