Orange County NC Website
Exhibit E <br /> Naw Paw Paw Hser <br /> 306 Estes Drive, Apt. C-12 <br /> Carrboro,NC 27510 <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 Naw Paw Paw Hser; and that the foregoing <br /> certification is true, accurate and complete to the best of my knowledge and was made <br /> and subscribed by me. I also acknowledge and understand that any misuse of State funds <br /> will be reported to the appropriate authorities for further action. <br /> t <br /> Signature <br /> Sworn to and subscribed before me on the 1 0 day of juzA/ , 2012. <br /> �L1► _ • talll■■mi . My Commission Expires: (U(O ,( 0i <br /> t'a ary Signature and Se., <br /> td. AUBt-W <br /> ''Z 1M'D1� N, <br />