Orange County NC Website
DocuSign Envelope ID: C6F7BCA9-9E69-42C5-B5EE-FD39B8B2CEC5 <br /> Exhibit E <br /> Chapel Hill Institute of Cultural and Language Education, L.L.C. (CHICLE) <br /> 101 E. Weaver Street, 3rd. Floor <br /> Carrboro,NC 27510 <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 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 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 <br /> Sworn to and subscribed before me on the day of 4/17 , 2016. <br /> /1 10 li 5,I, <br /> ;Ate" <br /> it d <br /> % / / My Commission Expires: 77'1 <br /> (NI ary Signare and Seal) <br /> CRYSTAL BELLE COBL <br /> NOTARY PUBLIC <br /> ORANGE COUNTY <br />