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DocuSign Envelope ID:218BDE7F-0473-4740-91 FB-B8ACB26A75F7 <br /> Exhibit E <br /> Benjamin Beaton <br /> 107 Tames Helen Ct. <br /> Willow Spring, NC 27592 <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 US 143-34(b). <br /> Sworn Statement: <br /> 1, being duly sworn, say that I am Benjamin Beaton; 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 ffinds will be reported to <br /> the appropriate authorities far further action. <br /> r <br /> Sign e i <br /> F <br /> Sworn to and subscribed before me on the day of , 2015.. <br /> M Commission Ex it es: )� <br /> My p <br /> o y Signature and Seal) <br /> CRYSTAL BELLE COBLE <br /> NOTARY PUBLIC <br /> ORANGE COUNTY <br /> NORTH CAROLINA <br />