Orange County NC Website
c <br /> C' <br /> Exhibit E <br /> Cherry Naw <br /> 211 Melville Loop Apt 3 <br /> Chapel Hill,NC 27514 <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 Cherry Naw; and that the foregoing certification is true, <br /> accurate and complete to the best of my knowledge and was made and subscribed by me. <br /> I also acknowledge and understand that any misuse of State funds will be reported to the <br /> appropriate authorities for further action. <br /> Signature <br /> i& <br /> Sworn to and subscribed before me on the c) day of J,2012. <br /> / A tax <br /> My Commission Expires: to �o c <br /> otary Signature an' e,i • 1.7 SPN <br /> olARy <br /> PuBO <br /> ti•M coy <br />