Orange County NC Website
DocuSign Envelope ID:92CA6B6A-5CBD-40AE-8FF1-B6100066874C <br /> Exhibit E <br /> Lissette Saca <br /> 103 N. Crabtree Knowll <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 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 Lissette Saca; 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 /> C_ <br /> Sworn to and subscribed before me on the <:� day of�U , 201 <br /> ....{11111I11f+l1„+ <br /> My Commission Expires: <br /> (Notary Si ture, d SOcou , <br /> r'�t111111111411tij1 <br />