Orange County NC Website
Browse       Search
DocuSign Envelope ID: OE2F9DBB- D657- 45AD- B508- 556F4AE3530B <br />Exhibit E <br />Silvia Lissette Saca <br />103 N. Crabtree Knoll <br />Chapel Hill, NC 27514 <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 furtlrer 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 Silvia Lissette Saca; and that the foregoing certification <br />is true, accurate and complete to the best of my knowledge and was made and subscribed <br />by me. I also acknowledge and understand that any misuse of State funds will be <br />reported to the appropriate authorities for further action. <br />Siga tune <br />►y11111tri7p- <br />Sworn to and subscribed before me oii t�� ►., day of y �Ie , 2018. <br />Poe/ l AUBL\ commission Expires: �r I <br />(N fary Si ature and Seal) � <br />+rry CQUOk� �•, <br />�4rrru� � u1 sir► + ► ►a <br />