Orange County NC Website
DocuSign Envelope ID:5B6FF7D8-5B74-4BD3-BC2C-DDBAEB3C9E82 <br /> Exhibit E <br /> Zahra Brooks <br /> 1000 Discovery Way <br /> Apt. 1017 <br /> Durham,NC 27703 <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. 143-62(b2) is guilty of a criminal offense punishable <br /> as provided by N.0 G.S 143-34(b) <br /> Sworn Statement: <br /> I, being duly sworn, say that I am Zahr a Brooks; and that the foregoing certification is <br /> true, accurate and complete to the best of'my knowledge and was made and subscribed by <br /> me. I also acknowledge and understand that any misuse of State funds will be reported to <br /> the appropriate authorities for fiuther action. <br /> ��.a <br /> Sibiatule <br /> Sworn to and subscribed before me on the da y of 2015 <br /> My Commission Expires: <br /> ( o <br /> CRYSTAL BELLE COBLE <br /> NOTARY PUBLIC <br /> ORANGE COUNTY <br /> NORTH CAROLINA <br />