Orange County NC Website
Browse       Search
Attachment E <br /> Lesly Veronica Penick <br /> 221 Adams Street <br /> Cary, NC 27513 <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 Lesly Veronica Penick; 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 nn <br /> Sworn to and subscribed before me on the day o , 2014. <br /> My Commission Expires: /7 <br /> j ry Signatur d Seal) <br />