Orange County NC Website
DocuSign Envelope ID:5F2A6749-5668-4688-B470-4D344E4C961 F <br /> Exhibit E <br /> Chapel Hill Institute of'Cultural and Language Education, L L.C. (CHICLE) <br /> 101 E Weaver Street, 3rd Floor <br /> Carzboro, NC 2 7510 <br /> To: Orange County Depattment 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. 14.3-34(b). <br /> Sworn Statement: <br /> I, 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 trade <br /> and subscribed by me. I also acknowledge and understand that any misuse of State funds <br /> will be repotted to the appropriate authorities fot further action. <br /> Signature ` <br /> Sworn to and subscribed before me on the day '1114 , 2015 <br /> of <br /> My Commission Ex ires: l <br /> (N taty Signature AandSeal� <br /> CRYSTAL BELLE COBLE <br /> NOTARY PUBLIC <br /> ORANGE COUNTY <br /> NORTH CAROLINA <br />