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DocuSign Envelope ID: 88034C6E- 715D- 41C8- A5B0- 814CA90145FF <br />Exhibit E <br />Zahra Brooks <br />1000 Discovery Way <br />Apt. 1017 <br />Durham, NC 27703 <br />To: Change 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. 105243.1, at <br />the federal, State, or local level. I further understand that any person who makes a false <br />statement in violation ofN.C,G.S. 143- 6.2(b2) is guilty of 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 Zahra Brooks; 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 />K, �j <br />Signature <br />Sworn to and subscribed before me on the � day o 2018. <br />Commission Expires: <br />