Orange County NC Website
DocuSign Envelope ID:65368034-CB64-4B11-834E-02A1309289FB <br /> Exhibit E <br /> Margaret Toe <br /> 611 Dupree Street <br /> Durham,NC 27701 <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 Margaret Toe; 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 /> r d- )2itate...._ <br /> Signature <br /> Sworn to and subscribed before me on the day of <br /> Adm._ <br /> , 201 7. <br /> /?-71 <br /> My Commission Expires: /- elf-‘20/e <br /> (N' . y Signature and Seal) <br /> H 111 111 ki,,, <br /> �A <br /> Av <br /> NOTARY <br /> i <br /> 'PUBLIC 4V1 <br /> %taco" <br /> *llmimiwo <br />