Orange County NC Website
A. <br /> Exhibit E <br /> Saw San Mya <br /> 110 Fan Branch Lane <br /> Chapel Hill,NC 27516 <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 Saw San Mya; 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 /> C -,- AP- <br /> Signature <br /> Sworn to and subscribed before me on the oc 1 day ofi t-"' ° ;2012. <br /> (MA _ 1•' My Commission Expires: /6 in fog LS--- <br /> otary Signature and S <br /> *AuBL\G <br /> ••,,4M�boN,,• <br />