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DocuSign Envelope ID: 070144E9-128B-49A8-AF04-000729A1 E559 <br /> Attachment E <br /> Haymar Kyaw <br /> 1104 Laurens Way <br /> Knightdale,NC 27545 <br /> To: Prange 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 /> Signature <br /> Sworn to and subscribed before me on the 0?,44- day of MU-, 201 7 . <br /> 77/i 4 My , <br /> y Commission Expires: �,02� /62 <br /> (Nl ;r Signature and Seal) <br /> 41% R6 <br /> NOTARY ;? <br /> PUBLIC vF <br /> V <br />