Orange County NC Website
DocuSign Envelope ID: C8420C15-C9C1-4CO3-B333-49D77DABC2C4 <br /> Exhibit E <br /> Lucia Centeno <br /> 8002 MacKenzie Ct. <br /> Durham,NC 27713 <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 Lucia Centeno; 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 fu er a'tion. <br /> i <br /> fir / <br /> Signature <br /> Sworn to and subscribed before me on the 2 day of Gl. , 201 7. <br /> , ..(w My Commission Expires: / a, �OlV <br /> To . , Signature and Seal) <br /> or <br /> 4SCP-r R 'f'''�, <br /> -S <br /> NOTARY z <br /> PUBLIC <br /> 4 <br /> /tfiCOUI4V% <br />