Orange County NC Website
DocuSign Envelope ID:OFE288A9-2EE6-4332-87FC-71B133B62CE2 <br /> Exhibit E <br /> Celia Paung <br /> 1309 Silver Drive, Mebane <br /> North Carolina 27302 <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 KC.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. 143-5.2(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 Celia Paung; and that the foregoing certification is true, <br /> accurate and complete to the best of my knowledge and was made and subscribed by me. <br /> I also acknowledge and understand that any misuse of State funds will be reported to the <br /> appropriate authorities for further action. <br /> (�t;C^ <br /> Signature <br /> Sworn to me on the day of G ,201 <br /> s� NQ Tq's �0•i <br /> r � x <br /> It" My Commission Expires: � ,j z' <br /> (Notary IVISS,re and <br />