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ddress: r' I TeoJ~t L,/ ~ / ;JC 27s-r 3, <br />To: Orange County Department of Socia l Serv ices <br />Certification: <br />Ex hibit E <br />I certify that I do not have any overdue ta x debts, as defined by N .C.G.S . I 05-243.1, at <br />the federal, State, or local level. I further understa nd 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 .C.G.S . 143-34(b). <br />Sworn Statement: <br />L being duly sworn, say that 1 Che.Al\ ; and <br />that the foregoing ce11ification is true, accurate an complete to the best of my knowledge <br />and was made and subscribed by me. I also acknowledge and understand that any misuse <br />of State funds will be reported to the appropriate authorities for further action. <br />Sig~ <br />Sworn t and subscribed before me on the 7.,J,:J day of J\UjU~jo24. <br />My Co mmi ss ion Expires:) U I\) 1 20) Z02 ~ <br />Docusign Envelope ID: 0296C6ED-1498-4D02-B624-8121B0D1FF11