Orange County NC Website
DocuSign Envelope ID: CE675105-630E-49DD-B392-DE8C1 F83FA54 <br /> Exhibit E <br /> Lucia Centeno <br /> 8002 MacKenzie Ct. <br /> Durham,NC 27713 <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 Lucia Centeno; 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 au '• i ties for furth- actio . <br /> Signature <br /> Sworn to and subscribed before me on the 9 ° day of , 2016. <br /> ! My Commission Expires: 6917-OF(aw <br /> '(Notary Signatu A and Seal) <br /> • <br /> •/ ,.�.1} <br /> •, •rr <br /> C. �� <br /> rrnrnu lto,ors <br />