Orange County NC Website
DocuSign Envelope ID:4DOA7074-E28B-4FEA-A9EE-3856ABFCD1 DB <br /> Exhibit E <br /> Cindy Chen <br /> l l l Tealight Lane , <br /> Cary,NC 27513 <br /> To; Orange County Department of Social Services <br /> Certification: <br /> l certify that I do not have any overdue tax debts,as defined by N.C.G.S. 1 a5-243.1,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 Cindy Chen; 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 /> Signature <br /> Sworn to and subscrib ���ee� '1t ythe c day of a�V}'�,201 <br /> et <br /> V <br /> � My Commission Expires: I� -2 <br /> r <br /> A(Notaary Signa a L&S ea $L I G <br /> PUi�1z' ,710#'1' <br />