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4 <br /> r <br /> Exhibit E <br /> Benjamin Beaton <br /> 107 James Helen Ct. <br /> Willow Spring,NC 27592 <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 Benjamin Beaton; and that the foregoing certification is <br /> true, accurate and complete to the best of my knowledge and was made and subscribed by <br /> me. I also acknowledge and understand that any misuse of State funds will be reported to <br /> the appropriate authorities for further action. <br /> 7 2 1. "" <br /> Signatur <br /> ..---ii <br /> Sworn to and subscribed before me on the day of At et -t•, 2012. <br /> Pt& <br /> ( i�E, Gam.. My Commission Expires: ii1 to <br /> -4-1-4 a° <br /> (Notary Signature and Seal) <br />