Orange County NC Website
DocuSign Envelope ID: B8F1B8CC-996A-4A3C-9F85-D3D0499CC2D7 <br /> Exhibit E <br /> Lucia Centeno <br /> 8002 MacKenzie Ct. <br /> Durham,NC 27713 <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 ofN.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 Lucia Centeno; and that the foregoing certification is <br /> true, accurate and compl to the best o knowledge and was made and subscribed by <br /> me. I also acknowled d enders d th any isuse of State funds will be reported to <br /> the appropriate auth iti s for er acti <br /> Signature <br /> Sworn to and subscribed before me on the day of , 201 1 <br /> wLYN 1rq IL-y y <br /> D Tq v'M Commission Expires-, <br /> %otary Signai nd Seal _ ,a <br /> y <br /> &&LIC <br />