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DocuSign Envelope ID:9147F44B-6958-4793-8E4D-C3119F67BDD1 <br /> Exhibit E <br /> Benjamin Beaton <br /> 107 James Helen Ct. <br /> Willow Spring,NC 27592 <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 Benjamin Beaton; 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 .etorl. <br /> 7—:2 . <br /> Sign re / <br /> /�/ <br /> Sworn to and subscribed before me on the 011 ' day of use , 201 7 . <br /> t <br /> / <br /> 0 My Commission Expires: /'A? vL// <br /> (No a Signature and Seal) <br /> A NOTARY -As <br /> r tcl- <br /> E <br /> c <br /> s <br /> 3.:.% PUBLIC <br /> iiilluniiiitio0 <br />