Orange County NC Website
DocuSign Envelope ID: 37E05944- 6119 - 4717- A9E3- 4C519DD0322C <br />Exhibit E <br />Margaret Lwai Thaw To <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 ffirther 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 />1, being duly sworn, say that I am Margaret Lwai Thaw Toe; and that the foregoing <br />certification is true, accurate and complete to the best of my knowledge and was made <br />and subscribed by me. I also acknowledge and understand that any misuse of State funds <br />will be reported to the appropriate authorities for further action. <br />Signature <br />Sworn to and subscribed before me on the cq ) day of O' U he ; 2018. <br />VA <br />V- v Y <br />(Notary Si ature and Sial) ,�- <br />A <br />¢"t G$l_IG <br />M Commission Ex ires: ff ( � / Z2 <br />Y p <br />