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DocuSign Envelope ID: E5125061 -EBDC- 4026- B598- F44E12576444 <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 farther action. <br />Sworn to and subscribed before mg,p the r / day of �'`� , 2018. <br />�. N <br />e <br />(Notary Signature and Se o� (jSL1� <br />My Commission Expires: l( 2� zv <br />