Orange County NC Website
DocuSign Envelope ID:A70900D0-A55E-4E6C-87AE-D788DF2AC51 C <br /> Exhibit E. <br /> Silvia Lissette Saca <br /> 103 N. Crabtree Knoll <br /> Chapel Hill,NC 27514 <br /> To: Orange County Department of Social Services <br /> Certification: <br /> I certify that I do not have any over 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 /> asprovidedbyN.C.GS 143-34(b). <br /> Sworn Statement: <br /> 1, being duly sworn, say that I am Silvia Lissette Saca; and that the foregoing certification <br /> is true, accurate and complete to the best of my knowledge and was made and subscribed <br /> by me. I also acknowledge and understand that any misuse of State funds will be <br /> reported to the appropriate authorities for further action <br /> a .re <br /> Sworn to and subscribed before me on the day of l�` 2015. <br /> _ <br /> My Commission Expires: � <br /> ( otary atur and Seal) <br /> CRYSTAL, BELLE COBLE <br /> NOTARY PUBLIC <br /> ORANGE COUNTY <br /> NORTH CAROLINA <br />