Orange County NC Website
♦ A <br /> ^r <br /> Exhibit E <br /> Lu Lu <br /> 413 Northside Drive <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 Lu Lu; 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 /> Sign tie--- <br /> Sworn to and subscribed before me on the (. 812) day of. �,2012. <br /> • <br /> .►j,,,,�, I My Commission Expires: dd(0?/mot <br /> p <br /> 1 )t. Signature and Seal) 41 <br /> 0,..., ,,,A,„ <br /> 4s S E.A RJ 2444 <br /> ‘,X OTARj-.R`� <br /> �9G, ,�lBLIG <br /> ',•, COU <br />