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DocuSign Envelope ID: EE0D7A24-3C3D-485C-AE8B-53FC4F6128E1 <br /> Exhibit E <br /> Communication Services for the Deaf and Hard of Hearing <br /> 1175 Revolution Mill Dr., Studio 15 <br /> Greensboro,NC 27405 <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 Director of Communication Services for the Deaf <br /> and Hard of Hearing, in the State of North Carolina; 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 icknowledge and understand that any misuse of State funds will be reported to <br /> the appro r■a ° authorities for further action. <br /> Signature <br /> Sworn to and subscribed before me on the 2D day of j LV , 2016. <br /> My Commission Expires: ,(7•,;1 ' b <br /> (Notary Signature and Seal) <br /> ALLISON POTTER <br /> NOTARY PUBLIC <br /> GUILFORD COUNTY,NC <br /> *Commission EspUes ►. • <br /> I <br />