Orange County NC Website
Browse       Search
DocuSign Envelope ID:96EAAE81-6F3C-4C19-90BO-81AAOF1D1360 <br /> Exhibit E <br /> Margaret Toe <br /> 1621 US HWY 70A E. <br /> Hillsborough,NC 27278 <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 Margaret Toe; 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 /> Signature <br /> pp}} --� C <br /> Sworn to and subscribed before me on the oC day of etc)" ,2011.0111%WOW <br /> D 3 My Commission Expires: <br /> (Notary Signa find l) <br /> � tic <br /> c <br /> � <br /> aU IC <br />