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DocuSign Envelope ID:3104DB10-5BE2-4447-B27F-DB78763E6E88 <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 f <br /> the appropriate authorities for further ac kcdn. <br /> signature ,r <br /> is <br /> r <br /> is <br /> f <br /> Sworn to and subscribed before me on the day of 47 2016. <br /> My Commission Empires: <br /> (N tary Signature and 'Seal) <br /> CRYSTAL BE COBLE <br /> NOTARY PUBLIC � <br /> RAANGE COUNTY <br /> - NORTH VARnjLINA <br />