Orange County NC Website
Browse       Search
Exhibit E <br /> Day Day <br /> 1105 Highway 54 Bypass Apt. Yl l <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 Day Day; 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 /> C <br /> Sworn to and subscribed before me on the C day of S '- <br /> -_II _ 41 My Commission Expires: 161 ci 2 c�c S <br /> !-' Signature and Se., <br /> 4O7q .2= <br /> • 'Q.� <br /> e <br /> S, Lic <br />