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Attachment E <br /> Chapel Hill Institute of Cultural and Language Education, LLC (CHICLE) <br /> 101 E. Weaver Street, 3r1 Floor <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 puni3hable <br /> as provided by N.C.G.S. 143-34(b). <br /> Sworn Statement: <br /> 1, being duly sworn, say that I am the President of Chapel Hill Institute of Cultural and <br /> Language Education, L.L.C. in the State of North Carolina; 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 /> Signature — <br /> ,,A n <br /> Sworn to and subscribed before me on the o /� 2014. <br /> My Commission Expires: <br /> (N y Signature and Seal) <br /> CRYSTAL BELLE COBLE <br /> NOTARY PUBLIC <br /> ORANGE COUNTY <br /> NORTH CAROLINA <br />