Orange County NC Website
DocuSign Envelope ID: C5100901-0F11-4FD5-B0F4-DEED9OBDE130 <br /> ry <br /> Attachment E <br /> Haymar Kyaw <br /> 1104 Laurens Way <br /> Knightdale,NC 27545 <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 Haymar Kyaw; 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 authorities for further action. <br /> 4 la <br /> Si: a, re <br /> Sworn to and subscribed before me on the day of Au 5 ws'C,2016. <br /> I <br /> di t I !.,�..;�_ My Commission Expires: A r Y ! )Q�j <br /> (Not...07;•• .' @4 4 Seal/ <br /> My Comm.Expires <br /> April 4.2020 <br /> • .UBL`G , V`. <br /> �• N <br />