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DocuSign Envelope ID:64B57AAO-E577-48A7-A2AD-05217CDOF7DB <br /> Exhibit E <br /> Benjamin Beaton <br /> 107 James Helen Ct. <br /> Willow Spring,NC 27592 <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 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 fLmds will be reported to <br /> the appropriate authorities for further action, <br /> Signatur <br /> Sworn to and subscribed before me on the day of 0'^�3 2019, <br /> .•e oP N �? 01 <br /> a c D',Q 4.vgI <br /> OIL My Commission Expires: <br /> Notary SignatZre and Se I a G�L IC <br /> ���"''11911111 <br />