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DocuSign Envelope ID: E0823671-DC32-4568-94FB-2BF1B9E36EAD <br /> Exhibit E <br /> Patricia Laura Nadabar <br /> 203 Swordgate Drive <br /> Cary,NC 27513 <br /> To: Grange 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 Patricia Laura Nadabar; 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 /> Signatur <br /> µNllfllTgfllf. L <br /> Sworn to and subscribed �te day of U�`� ,2011. <br /> e G �: • <br /> 01 <br /> My Commission Expires: <br /> a <br /> (Notary Si tore and # <br /> y�y4. Ul 1�; <br /> if 11l ll l llllOU <br />